Department of Health Management, School of Health Kirklareli University, Kirklareli, Turkey.
Department of Nurition and Dietetics, Faculty of Health Sciences, Bandirma Onyedi Eylul University, Balikesir, Turkey.
PLoS One. 2021 Apr 2;16(4):e0249538. doi: 10.1371/journal.pone.0249538. eCollection 2021.
The study was aimed at investigating the association between postpartum women's breastfeeding self-efficacy levels and their depression levels, social support levels, and breastfeeding attitudes in early postpartum period.
The cross-sectional study was carried out in Kirklareli in Turkey. The population of the study consisted of 398 women aged 15-49 in the first 42 days of the postpartum period who presented to eight family health centers. The study data were collected face-to-face using the Personal Information Form, Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), Edinburgh Postnatal Depression Scale (EPDS), Multidimensional Scale of Perceived Social Support (MSPSS), and Breastfeeding Attitudes of the Evaluation Scale (BAES).
The mean age of the participants was 28.61±5.72 (Min:18, Max: 44), and the mean score they obtained from the BSES-SF was 55.13±8.39. Statistically significant differences were detected between the participants' BSES-SF scores and age groups, employment status, perceived income level, and the number of living children (p < 0.05). No statistically significant differences were detected between marital status, educational status and BSES-SF scores (p > 0.05). In the multivariate regression analysis adjusted according to the sociodemographic characteristics, BAES, EPDS and MSPSS accounted for 48.3% of the BSES-SF. A negative association was found between BSES-SF scores and EPDS scores (β = -0.178, 95% CI:-0.349, -0.006), and a positive relation between the BAES scores (β = 0.194, 95% CI: 0.163, 0.226) and the MSPSS scores (β = 0.114, 95% CI: 0.037, 0.191).
As the level of depression of women increases in the postpartum period, the level of breastfeeding self-efficacy decreases. The breastfeeding self-efficacy increases as the level of social support increases and as the attitudes that drive breastfeeding behavior change positively.
本研究旨在探讨产后妇女母乳喂养自我效能水平与抑郁水平、社会支持水平以及产后早期母乳喂养态度之间的关系。
本横断面研究在土耳其基尔克拉雷利进行。研究人群为产后 42 天内的 398 名 15-49 岁的妇女，她们在 8 家家庭健康中心就诊。通过个人信息表、母乳喂养自我效能量表-短表（BSES-SF）、爱丁堡产后抑郁量表（EPDS）、多维感知社会支持量表（MSPSS）和母乳喂养态度评估量表（BAES）进行面对面的研究数据收集。
参与者的平均年龄为 28.61±5.72（最小年龄 18 岁，最大年龄 44 岁），BSES-SF 的平均得分为 55.13±8.39。参与者的 BSES-SF 评分与年龄组、就业状况、感知收入水平和儿童人数之间存在显著差异（p＜0.05）。婚姻状况、教育程度与 BSES-SF 评分之间无统计学差异（p＞0.05）。根据社会人口学特征调整的多元回归分析中，BAES、EPDS 和 MSPSS 占 BSES-SF 的 48.3%。BSES-SF 评分与 EPDS 评分呈负相关（β=-0.178，95%CI：-0.349，-0.006），BAES 评分与 MSPSS 评分呈正相关（β=0.194，95%CI：0.163，0.226）。
随着产后妇女抑郁程度的增加，母乳喂养自我效能水平下降。随着社会支持水平的提高和促进母乳喂养行为的积极态度的改变，母乳喂养自我效能水平会提高。
