Assistant Professor, Department of Community and Family Medicine, All India Institute of Medical Sciences Mangalagiri, Andhra Pradesh, India.
Additional Professor, Department of Community and Family Medicine, All India Institute of Medical Sciences Mangalagiri, Andhra Pradesh, India.
J Prev Med Hyg. 2022 Jan 31;62(4):E892-E903. doi: 10.15167/2421-4248/jpmh2021.62.4.2032. eCollection 2021 Dec.
Breastfeeding is the most effective intervention to improve child health. Young adults, both genders play an important role in society supporting breastfeeding as they will be stepping towards parenthood in the near future. Bringing awareness and busting the myths among them is essential. This study aimed to develop a Gender Friendly Breastfeeding Knowledge scale based on a conceptual framework that reflected the knowledge of young adults and evaluates its validity and reliability.
Development of the questionnaire for Conceptual framework and item generation was done using PubMed, Google Scholar, other sources and expert opinion. The type of measurement was structured as a 5-point Likert scale. The Lawshe technique to assess the content validity ratio. A cross-sectional survey in graduation colleges situated in Mangalagiri or within the radius of 30 km of Mangalagiri, Andhra Pradesh, India was conducted in 2020. 1400 Adult males and females aged 20-25 years and perusing full-time graduation course were recruited. For each item in the Gender Friendly Breastfeeding Awareness scale, we assessed individual item characteristics and item-test correlation. To check to construct validity, we performed exploratory factor analysis and confirmatory factor analysis.
Expert panel retained 23 items from initially 30 items. The content validity index score for the each of 23-items in the scale was more than 0.80. A four-factor structure perfectly fitted the data and illustrated 54% of the variation in knowledge of breastfeeding. 4 stages of CFA were completed. The chi-square = 860.534 was significantly above the 0.01 level. Cronbach's alpha = 0.787 based on standardized items reflected the overall internal consistency of the Gender Friendly Breastfeeding Awareness scale.
Gender Friendly Breastfeeding Knowledge scale is a valid and reliable tool, it is recommended that this scale be used in communities, educational institutions, and in relevant research to assess Breastfeeding knowledge among young adults of both genders, thereby promoting breastfeeding practices in the future.
母乳喂养是改善儿童健康的最有效干预措施。年轻的成年人，无论性别，在支持母乳喂养方面都扮演着重要的角色，因为他们即将成为父母。在他们中间提高认识和打破误解是很重要的。本研究旨在根据反映年轻成年人知识的概念框架，制定一个性别友好母乳喂养知识量表，并评估其有效性和可靠性。
概念框架问卷的开发和项目生成是使用 PubMed、Google Scholar 等来源和专家意见完成的。测量的类型是结构化的 5 点李克特量表。Lawshe 技术用于评估内容有效性比。2020 年在印度安得拉邦曼加拉吉里或半径 30 公里范围内的毕业学院进行了横断面调查。共招募了 1400 名年龄在 20-25 岁之间、正在攻读全日制本科课程的成年男性和女性。对于性别友好母乳喂养意识量表中的每一个项目，我们评估了单个项目的特征和项目-测试相关性。为了检查结构有效性，我们进行了探索性因素分析和验证性因素分析。
专家小组从最初的 30 个项目中保留了 23 个项目。该量表中每个项目的内容有效性指数得分均大于 0.80。四因素结构完美地拟合了数据，并说明了母乳喂养知识变化的 54%。完成了 4 个 CFA 阶段。卡方=860.534 显著高于 0.01 水平。基于标准化项目的克朗巴赫的α=0.787 反映了性别友好母乳喂养意识量表的整体内部一致性。
性别友好母乳喂养知识量表是一个有效和可靠的工具，建议在社区、教育机构和相关研究中使用该量表来评估年轻成年人的母乳喂养知识，从而促进未来的母乳喂养实践。
