Department of Health and Nutrition Sciences at Montclair State University, NJ 07043, USA.
J Hum Lact. 2010 Feb;26(1):26-34. doi: 10.1177/0890334409350168. Epub 2009 Nov 12.
This study aimed to investigate the relative importance of the psychosocial factors underlying mother's decision to continue exclusive breastfeeding (EBF) for 6 months using the theory of planned behavior. A cohort of EBF-mothers (N = 78) completed a questionnaire assessing theoretical constructs at baseline and phone-interviewed at follow-up. Multiple regression analyses were performed to find important predictors of intention, overall and married vs unmarried. Attitude, subjective norm, and perceived behavioral control together explained 50.2% (P < .01) of the variance in mothers' intention to continue EBF for 6 months. Attitude and subjective norm were better predictors of the intention than perceived behavioral control. The role of subjective norm was greater in married than in unmarried women. A strong, positive correlation (gamma = 0.67, P < .01) was found between intended and actual EBF duration. Intervention programs designed to positively influence mother's attitude and social support may be effective in improving intention, thereby increasing EBF maintenance for 6 months.
本研究旨在使用计划行为理论探究母亲决定持续纯母乳喂养(EBF)6 个月的心理社会因素的相对重要性。一组 EBF 母亲(N=78)在基线时完成了一份评估理论构念的问卷,并在随访时进行了电话访谈。采用多元回归分析来寻找意向、总体意向以及已婚与未婚母亲意向的重要预测因素。态度、主观规范和感知行为控制共同解释了母亲持续 EBF 6 个月的意向 50.2%(P<.01)的差异。态度和主观规范比感知行为控制对意向的预测作用更好。主观规范在已婚妇女中的作用大于未婚妇女。意图和实际 EBF 持续时间之间存在很强的正相关(gamma=0.67,P<.01)。旨在积极影响母亲态度和社会支持的干预计划可能有助于改善意向,从而增加 6 个月的 EBF 维持率。