Wallis Anne Baber, Brînzaniuc Alexandra, Cherecheş Razvan, Oprescu Florin, Sirlincan Emanuela, David Ioana, Dîrle Ioana Andreea, Dungy Claibourne I
Department of Epidemiology and Community & Behavioral Health, College of Public Health, University of Iowa, Iowa City, IA, USA.
Acta Paediatr. 2008 Sep;97(9):1194-9. doi: 10.1111/j.1651-2227.2008.00914.x.
To describe the development and testing of the Romanian version of the Iowa Infant Feeding Attitude Scale (IIFAS-R). The original instrument has well-established psychometrics for use in English-speaking countries.
Questionnaires including demographics and items about prior pregnancy and opinions about breastfeeding in public were administered to women in Cluj-Napoca, Romania, attending antenatal clinic (n = 336) and to a separate cohort of mothers within 24 h of delivery (n = 276). Postpartum follow-up was conducted with a sample of maternity cohort subjects who initiated breastfeeding in the hospital (n = 52).
Internal consistency was adequate in both cohorts (antenatal alpha= 0.50; maternity alpha= 0.63), with improved reliability for antenatal multigravid (alpha= 0.60) and university-educated women (alpha= 0.57). Score distributions were comparable and item means were approximately central across cohorts. Among pregnant women, higher scores (more positive towards breastfeeding) were associated with longer planned maternity leave (chi2= 17.8; p = 0.02). Higher maternity cohort scores were associated with age (r = 0.31, p = 0.003), urban residence (chi2= 10.2, p = 0.04), breastfeeding a prior infant for at least 6 weeks (chi2= 6.4, p = 0.04), and with intending to breastfeed for at least 6 weeks (chi2= 4.7, p = 0.03). Postpartum women still breastfeeding at follow-up also scored higher (chi2= 9.3, p = 0.009).
This is the first study to report on use of the IIFAS in Eastern Europe. The IIFAS-R is easy to administer, reliable and valid in Romania. The IIFAS-R can support data collection to promote and assess breastfeeding initiatives consistent with World Health Organization recommendations.
描述罗马尼亚版爱荷华婴儿喂养态度量表（IIFAS - R）的开发与测试情况。原始量表在英语国家具有成熟的心理测量学特性。
向罗马尼亚克卢日 - 纳波卡市参加产前诊所的女性（n = 336）以及另一组分娩后24小时内的母亲（n = 276）发放问卷，问卷内容包括人口统计学信息、既往妊娠情况以及关于公共场所母乳喂养的看法。对在医院开始母乳喂养的产妇队列样本（n = 52）进行产后随访。
两个队列的内部一致性均足够（产前α系数 = 0.50；产妇α系数 = 0.63），产前多产妇（α系数 = 0.60）和受过大学教育的女性（α系数 = 0.57）的可靠性有所提高。各队列的得分分布具有可比性，项目均值大致居中。在孕妇中，得分较高（对母乳喂养态度更积极）与更长的计划产假相关（χ² = 17.8；p = 0.02）。产妇队列得分较高与年龄（r = 0.31，p = 0.003）、城市居住（χ² = 10.2，p = 0.04）、曾母乳喂养前一个婴儿至少6周（χ² = 6.4，p = 0.04）以及打算母乳喂养至少6周（χ² = 4.7，p = 0.03）有关。随访时仍在母乳喂养的产后女性得分也更高（χ² = 9.3，p = 0.009）。
这是第一项报告IIFAS在东欧使用情况的研究。IIFAS - R在罗马尼亚易于实施，可靠且有效。IIFAS - R可支持数据收集，以促进和评估符合世界卫生组织建议的母乳喂养倡议。
