Department of Population and Family Health, Jimma University, Jimma 378, Ethiopia.
Department of Community Medicine and Global Health, University of Oslo, 0316 Oslo, Norway.
Int J Environ Res Public Health. 2021 Jul 27;18(15):7930. doi: 10.3390/ijerph18157930.
Understanding the underlying determinants of maternal knowledge and attitude towards breastfeeding guides the development of context-specific interventions to improve breastfeeding practices. This study aimed to assess the level and determinants of breastfeeding knowledge and attitude using validated instruments in pregnant women in rural Ethiopia. In total, 468 pregnant women were interviewed using the Afan Oromo versions of the Breastfeeding Knowledge Questionnaire (BFKQ-AO) and the Iowa Infant Feeding Attitude Scale (IIFAS-AO). We standardized the breastfeeding knowledge and attitude scores and fitted multiple linear regression models to identify the determinants of knowledge and attitude. 52.4% of the women had adequate knowledge, while 60.9% of the women had a neutral attitude towards breastfeeding. In a multiple linear regression model, maternal occupation was the only predictor of the BFKQ-AO score (0.56SD; 95%CI, 1.28, 4.59SD; = 0.009). Age (0.57SD; 95%CI, 0.24, 0.90SD; = 0.001), parity (-0.24SD; 95%CI, -0.47, -0.02SD; = 0.034), antenatal care visits (0.41SD; 95%CI, 0.07, 0.74SD; = 0.017) and the BFKQ-AO score (0.08SD; 95% CI, 0.06, 0.09SD; < 0.000) were predictors of the IIFAS-AO score. Nearly half of the respondents had inadequate knowledge and most women had a neutral attitude towards breastfeeding. Policymakers and managers could address these factors when planning educational interventions to improve breastfeeding practices.
了解影响母乳喂养知识和态度的潜在因素，可以为制定具体的干预措施提供指导，以改善母乳喂养行为。本研究旨在使用经过验证的工具评估埃塞俄比亚农村孕妇的母乳喂养知识和态度水平及其决定因素。总共对 468 名孕妇进行了访谈，使用的是奥罗莫语版母乳喂养知识问卷（BFKQ-AO）和爱荷华婴儿喂养态度量表（IIFAS-AO）。我们对母乳喂养知识和态度评分进行了标准化，并拟合了多元线性回归模型，以确定知识和态度的决定因素。52.4%的妇女具有足够的知识，而 60.9%的妇女对母乳喂养持中立态度。在多元线性回归模型中，母亲的职业是 BFKQ-AO 评分的唯一预测因素（0.56SD；95%CI，1.28，4.59SD； = 0.009）。年龄（0.57SD；95%CI，0.24，0.90SD； = 0.001）、产次（-0.24SD；95%CI，-0.47，-0.02SD； = 0.034）、产前保健就诊次数（0.41SD；95%CI，0.07，0.74SD； = 0.017）和 BFKQ-AO 评分（0.08SD；95%CI，0.06，0.09SD； < 0.000）是 IIFAS-AO 评分的预测因素。近一半的受访者知识不足，大多数妇女对母乳喂养持中立态度。政策制定者和管理者在规划教育干预措施以改善母乳喂养行为时，可以考虑这些因素。
