Iliadou Maria, Lykeridou Katerina, Prezerakos Panagiotis, Tzavara Chara, Tziaferi Styliani G
Department of Nursing, Laboratory of Integrated Health Care, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Sparti, Greece.
Department of Midwifery, Faculty of Health and Care Sciences, University of West Attica, Athens, Greece.
Mater Sociomed. 2019 Sep;31(3):160-165. doi: 10.5455/msm.2019.31.160-165.
A modifiable factor related to breastfeeding is breastfeeding attitudes. The Iowa Infant Feeding Attitude Scale (IIFAS) is used to evaluate this factor. Although the breastfeeding rates in Greece are declined there is not available any validated instrument to evaluate infant feeding attitudes.
to determine the psychometric properties of the Greek adaptation of the IIFAS in a sample of pregnant women.
Pregnant women (N=203) from a University Hospital in Athens, Greece, were administered the Greek version of the IIFAS, while being in hospital, and their infant feeding mode at six months postpartum was recorded by telephone. The reliability of the scale was assessed by using corrected item-total correlations and Cronbach's alpha. Construct validity of the scale was assessed by using confirmatory factor analysis and predictive validity by using t-tests. Multiple linear regression analyses in a stepwise method (p for removal was set at 0.1 and p for entry was set at .05) was performed in order to find variables independently associated with IIFAS total score.
The mean IIFAS score was 70.0 (SD=7.6). The corrected item-total correlation ranged from 0.22 to 0.51. Cronbach's alpha was equal to 0.71. The confirmatory factor analysis indicated an adequate fit of the one-factor model. Concerning the predictive validity of IIFAS it was significant for breastfeeding at six months. The mean IIFAS score was significantly greater (p=0.001) for women that had exclusive breastfeeding at six months (mean (SD): 68.4(6.6)) as compared with those that did not (mean (SD): 64.0(7.5)). Higher IIFAS scores were found in older women, with higher educational level and in those that had breastfed children in their social environment.
The Greek version of the IIFAS demonstrated satisfying reliability and validity for measuring women's infant feeding attitudes in the Greek context. Also, the results of the present study provide further evidence of the international applicability of the IIFAS.
与母乳喂养相关的一个可改变因素是母乳喂养态度。爱荷华婴儿喂养态度量表（IIFAS）用于评估这一因素。尽管希腊的母乳喂养率有所下降，但尚无经过验证的工具来评估婴儿喂养态度。
确定希腊版IIFAS在一组孕妇样本中的心理测量特性。
来自希腊雅典一家大学医院的203名孕妇在住院期间接受了希腊版IIFAS测试，并通过电话记录她们产后六个月的婴儿喂养方式。量表的信度通过校正的项目-总分相关性和克朗巴哈系数进行评估。量表的结构效度通过验证性因素分析进行评估，预测效度通过t检验进行评估。采用逐步法进行多元线性回归分析（剔除的p值设定为0.1，纳入的p值设定为0.05），以找出与IIFAS总分独立相关的变量。
IIFAS平均得分为70.0（标准差=7.6）。校正的项目-总分相关性范围为0.22至0.51。克朗巴哈系数等于0.71。验证性因素分析表明单因素模型拟合良好。关于IIFAS的预测效度，其对六个月时的母乳喂养具有显著意义。六个月时纯母乳喂养的女性（均值（标准差）：68.4（6.6））的IIFAS平均得分显著高于未纯母乳喂养的女性（均值（标准差）：64.0（7.5））（p=0.001）。年龄较大、教育水平较高以及在社交环境中有过母乳喂养孩子经历的女性IIFAS得分较高。
希腊版IIFAS在希腊背景下测量女性婴儿喂养态度方面表现出令人满意的信度和效度。此外，本研究结果为IIFAS的国际适用性提供了进一步证据。
