Anchondo Inés, Berkeley Lizabeth, Mulla Zuber D, Byrd Theresa, Nuwayhid Bahij, Handal Gilbert, Akins Ralitsa
From the Department of Obstetrics and Gynecology, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso 79905, USA.
South Med J. 2012 May;105(5):243-8. doi: 10.1097/SMJ.0b013e3182522927.
Investigate physicians' breast-feeding experiences and attitudes using a survey based on two behavioral theories: theory of reasoned action (TRA) and the health belief model (HBM).
There were 73 participants included in the investigation. These participants were resident and faculty physicians from pediatrics, obstetrics/gynecology, and family medicine at a university campus, located on the US-Mexico border. The sample was reduced to 53 and 56 records for the attitude and confidence variables, respectively. Physicians answered a survey about their breast-feeding experiences and attitudes to learn about intention and ability applying constructs from TRA and HBM. An attitude scale, confidence variable (from self-efficacy items), and a lactation training index were created for the analysis.
Analysis of the association between physicians' breastfeeding experiences and their attitudes revealed physicians are knowledgeable about breast-feeding and have positive attitudes towards breast-feeding. They did not seem to remember how long they breast-fed their children or whether they enjoyed breast-feeding, but they wanted to continue breast-feeding. Physicians cite work as a main reason for not continuing to breast-feed.
Physicians' attitudes toward breast-feeding are positive. They are expected to practice health-promotion behavior including breast-feeding; however, physicians' breast-feeding rates are low and although they are knowledgeable about breast-feeding their training lacks on didactic depth and hands-on experience. If physicians learn more about breast-feeding and breast-feed exclusively and successfully, the rates in the United States would increase naturally.
运用基于两种行为理论的调查，即理性行动理论（TRA）和健康信念模型（HBM），来探究医生的母乳喂养经历和态度。
共有73名参与者纳入此次调查。这些参与者是位于美墨边境一所大学校园里的儿科、妇产科和家庭医学专业的住院医师和教职医生。态度变量和信心变量的样本记录分别缩减至53条和56条。医生们回答了一项关于他们母乳喂养经历和态度的调查，以了解运用TRA和HBM中的概念的意图和能力。为分析创建了一个态度量表、信心变量（来自自我效能项目）和一个哺乳培训指数。
对医生母乳喂养经历与其态度之间关联的分析表明，医生们对母乳喂养知识丰富，且对母乳喂养持积极态度。他们似乎不记得自己给孩子喂了多久的母乳，也不记得自己是否享受母乳喂养，但他们希望继续进行母乳喂养。医生们指出工作是不再继续母乳喂养的主要原因。
医生对母乳喂养的态度是积极的。他们理应践行包括母乳喂养在内的健康促进行为；然而，医生的母乳喂养率较低，而且尽管他们对母乳喂养知识丰富，但他们所接受的培训缺乏教学深度和实践经验。如果医生更多地了解母乳喂养并成功地进行纯母乳喂养，美国的母乳喂养率将会自然上升。
