埃塞俄比亚梅克莱的预期夫妇母乳喂养知识、态度和感知伴侣支持的横断面比较。
A cross-sectional comparison of breastfeeding knowledge, attitudes, and perceived partners' support among expectant couples in Mekelle, Ethiopia.
机构信息
School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia.
School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia.
出版信息
Int Breastfeed J. 2021 Jan 4;16(1):3. doi: 10.1186/s13006-020-00355-z.
BACKGROUND
Breastfeeding is considered the biological norm and essential to reduce infant morbidity and mortality. Mothers are responsible for breastfeeding but the support of others, including their partners is an influential determinant. The aim of this study was to compare antenatal breastfeeding knowledge, attitudes, and perceived breastfeeding support of expectant couples in Mekelle, Ethiopia.
METHODS
As part of a randomised controlled trial of an mHealth intervention, 128 couples in their third trimester from three selected health centres in Mekelle city were recruited to participate between September and October 2018. Couples who each had a personal mobile phone, read and spoke Tigrigna, and lived together were included. Baseline data on breastfeeding knowledge, attitudes, and perceived support (breastfeeding savvy, help, appreciation, presence and responsiveness) were collected using previously validated tools through interview by health workers.
RESULTS
Compared to mothers, male partners were more likely to indicate their intention to provide breastfeeding appreciation (p = 0.02), breastfeeding presence (p = 0.002), and breastfeeding responsiveness (p = 0.04). The mothers' prenatal perception of their partners' intended breastfeeding support was lower than fathers' perceptions to support their partners. Multiparous mothers had more positive perceptions regarding their partners' breastfeeding savvy (p = 0.03), and breastfeeding help (p = 0.02) compared to primiparous mothers.
CONCLUSIONS
Fathers in Ethiopia are potentially strong supporters of breastfeeding practice. Future breastfeeding interventions should promote the involvement of fathers in breastfeeding and encourage mothers to increase their partners' involvement in breastfeeding.
背景
母乳喂养被认为是一种自然常态，对于降低婴儿发病率和死亡率至关重要。母亲是母乳喂养的责任人，但其他人的支持，包括其伴侣的支持，也是一个有影响力的决定因素。本研究旨在比较埃塞俄比亚梅克莱市三个选定卫生中心的 128 对处于妊娠晚期的夫妇的产前母乳喂养知识、态度和感知的母乳喂养支持。
方法
作为 mHealth 干预的随机对照试验的一部分，2018 年 9 月至 10 月期间，招募了来自梅克莱市三个选定卫生中心的 128 对具有个人移动电话、能够阅读和讲提格里尼亚语且同住的夫妇参与研究。通过卫生工作者的访谈，使用先前经过验证的工具收集了母乳喂养知识、态度和感知支持（母乳喂养悟性、帮助、赞赏、在场和反应性）的基线数据。
结果
与母亲相比，父亲更有可能表示他们有意提供母乳喂养赞赏（p=0.02）、母乳喂养在场（p=0.002）和母乳喂养反应性（p=0.04）。母亲对伴侣预期的母乳喂养支持的产前感知低于父亲对伴侣的感知。与初产妇相比，经产妇对其伴侣的母乳喂养悟性（p=0.03）和母乳喂养帮助（p=0.02）的看法更为积极。
结论
埃塞俄比亚的父亲可能是母乳喂养实践的有力支持者。未来的母乳喂养干预措施应促进父亲参与母乳喂养，并鼓励母亲增加其伴侣的参与度。
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