Ouyang Yan-Qiong, Nasrin Layla
School of Health Sciences, Wuhan University, Wuhan 430072, China.
Healthcare (Basel). 2021 Mar 3;9(3):276. doi: 10.3390/healthcare9030276.
Despite worldwide initiatives, the exclusive breastfeeding (EBF) rate is low. The study aims to investigate the role of fathers' knowledge, attitude and support in formulating mothers' practice of breastfeeding taking Bangladeshi parental cases as a sample. The study uses a standard survey instrument following the theory of planned behavior (TPB). Responses from 332 couples are accepted following a standard criteria and used for analysis. The sample is divided into sub-groups based on delivery mode-vaginal ( = 211, 64%) and cesarean section ( = 121, 36%). Based on the sub-groups, a multi-group structural equation modelling (SEM) is applied to analyze the phenomena. The study finds that a father's knowledge in EBF can, in one way, significantly enhance mother's knowledge by sharing and, in another way, can enhance his own attitude to offer different support to his partner/wife which induces the chances of EBF practices by mothers. The enhanced EBF knowledge of a mother raises her attitude to practice EBF, which is also positively affected by the father's attitude. Thus, fathers' support, coupled with mothers' positive attitude, the mother's intention to practice EBF as per standard guidelines.
尽管全球都在采取相关举措，但纯母乳喂养（EBF）率依然很低。本研究旨在以孟加拉国的父母为例，调查父亲的知识、态度和支持在塑造母亲母乳喂养行为方面所起的作用。该研究采用了基于计划行为理论（TPB）的标准调查工具。按照标准准则，接受了332对夫妇的回复并用于分析。样本根据分娩方式分为亚组——顺产（= 211，64%）和剖宫产（= 121，36%）。基于这些亚组，应用多组结构方程模型（SEM）来分析这一现象。研究发现，父亲在纯母乳喂养方面的知识，一方面可以通过分享显著提高母亲的知识水平，另一方面可以增强他自己为伴侣/妻子提供不同支持的态度，从而增加母亲进行纯母乳喂养的可能性。母亲纯母乳喂养知识的增强会提高她进行纯母乳喂养的态度，而这也受到父亲态度的积极影响。因此，父亲的支持，再加上母亲的积极态度，会使母亲按照标准指南进行纯母乳喂养的意愿增强。
