Faculty of Nursing and Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Department of Pediatric Nursing, Faculty of Nursing, Mahidol, University, Bangkok, Thailand.
Matern Child Nutr. 2019 Apr;15(2):e12714. doi: 10.1111/mcn.12714. Epub 2018 Oct 30.
The advantages of exclusive breastfeeding for the first 6 months are well-known. Unfortunately, adolescent mothers have lower rates of breastfeeding exclusivity and shorter duration of breastfeeding. There is limited evidence regarding exclusive breastfeeding determinants in adolescent mothers. The purpose of this study was to obtain adolescent mother-generated factors related to exclusive breastfeeding at 6 months. A mixed-methods design was conducted through concept mapping. Thirty adolescent mothers aged 15-19 years who had wide range of exclusive breastfeeding experiences brainstormed about specific factors. They then sorted and rated the statements into key clusters. Finally, half of the participants were involved in the interpretation of the mapping results and the creation of pathway diagrams. Data were analysed by multivariate statistics in the Concept System Global MAX program. The results showed that the adolescent mothers brainstormed about 104 statements on the factors related to exclusive breastfeeding at 6 months. These factors can be categorized into the following six key clusters: (a) breastfeeding advantages; (b) facilitating factors and necessary skills; (c) promotion and support needed; (d) community and social influence; (e) internal and external barriers; and (f) key problems in families. The pattern matching provided understanding of how key clusters are important to successful breastfeeding through comparing three groups of exclusive breastfeeding durations. Finally, the relationships of the stated factors were drawn in pathway diagrams. Exclusive breastfeeding experiences among Thai adolescent mothers showed complexity involving multilevel influences of social systems. The promotion of optimal breastfeeding should recognize the influences of both personal and environmental factors.
纯母乳喂养头 6 个月的好处众所周知。然而，青少年母亲的纯母乳喂养率较低，母乳喂养持续时间也较短。关于青少年母亲纯母乳喂养决定因素的证据有限。本研究旨在获取与青少年母亲 6 个月纯母乳喂养相关的、由其自身提出的因素。本研究采用混合方法设计，通过概念映射进行。30 名 15-19 岁的青少年母亲广泛经历过纯母乳喂养，她们围绕具体因素展开头脑风暴。然后，她们对陈述进行分类和评分，归入关键聚类。最后，一半的参与者参与了映射结果的解释和路径图的创建。数据通过 Concept System Global MAX 程序中的多变量统计进行分析。结果显示，青少年母亲围绕 6 个月纯母乳喂养相关因素提出了约 104 条陈述。这些因素可分为以下六个关键聚类：(a)母乳喂养的好处；(b)促进因素和必要技能；(c)需要的推广和支持；(d)社区和社会影响；(e)内部和外部障碍；以及(f)家庭中的关键问题。模式匹配通过比较三组纯母乳喂养持续时间，提供了关于关键聚类对成功母乳喂养的重要性的理解。最后，在路径图中绘制了陈述因素的关系。泰国青少年母亲的纯母乳喂养经验显示出涉及社会系统多层次影响的复杂性。促进最佳母乳喂养应认识到个人和环境因素的影响。
