Department of Social Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
East Mediterr Health J. 2023 May 31;29(5):335-342. doi: 10.26719/emhj.23.048.
Social media posts that violate the International Code of Marketing of Breastmilk Substitutes (the Code) may influence societal opinions, views, attitudes, behaviours, and beliefs about breastfeeding, including among healthcare personnel who provide services to breastfeeding women and infants.
To investigate the literacy of healthcare personnel at Ankara Hacettepe University Hospitals, Türkiye, about the Code and their selection of social media posts about breastfeeding, after completing a breastfeeding counselling course.
This study included healthcare personnel who completed 2 breastfeeding counselling courses conducted at Hacettepe University in October 2018 and July 2019. They were asked to search for breast milk and breastfeeding on their favourite social media platforms, select 2-4 posts that attracted them, and evaluate the posts to know if they were supportive of breastfeeding. The counselling course facilitators assessed their responses.
Twenty-seven nurses and 40 medical doctors participated in the study; 85.0% of them were female. The participants selected 82 (34%) posts from Instagram, 22 (9.1%) from Facebook, 4 (1.7%) from YouTube, and 134 (55.2%) from other social media platforms. The most common themes of the posts were benefits of breast milk, methods of giving breast milk, and use of infant formula instead of breast milk. The contents of the media were 68.2% (n = 165) favourable and 31.0% (n = 75) unfavourable to breastfeeding. The inter-rater reliability between the participants and facilitators was almost perfect (κ coefficient 0.83).
Sustainable support is needed in Türkiye to increase literacy among healthcare personnel about social media posts that violate the Code, especially those working at baby-friendly hospitals and those who care for breastfeeding mothers.
违反《国际母乳代用品销售守则》（以下简称《守则》）的社交媒体帖子可能会影响社会对母乳喂养的意见、看法、态度、行为和信念，包括向母乳喂养妇女和婴儿提供服务的医疗保健人员。
调查土耳其安卡拉哈塞特佩大学附属医院医疗保健人员在完成母乳喂养咨询课程后对《守则》的了解程度以及对母乳喂养相关社交媒体帖子的选择。
本研究纳入了于 2018 年 10 月和 2019 年 7 月在哈塞特佩大学参加了 2 次母乳喂养咨询课程的医疗保健人员。他们被要求在自己喜欢的社交媒体平台上搜索母乳和母乳喂养相关内容，选择 2-4 条吸引他们的帖子，并评估这些帖子是否支持母乳喂养。咨询课程的教师评估了他们的回答。
27 名护士和 40 名医生参加了这项研究，其中 85.0%为女性。参与者从 Instagram 上选择了 82 条（34%）帖子、从 Facebook 上选择了 22 条（9.1%）帖子、从 YouTube 上选择了 4 条（1.7%）帖子，从其他社交媒体平台上选择了 134 条（55.2%）帖子。帖子的主题最常见的是母乳的益处、母乳喂养方法和婴儿配方奶代替母乳。媒体内容中 68.2%（n=165）是支持母乳喂养的，31.0%（n=75）是不支持母乳喂养的。参与者和教师之间的评分者间信度几乎为完美（κ 系数 0.83）。
需要在土耳其开展可持续的支持活动，以提高医疗保健人员对违反《守则》的社交媒体帖子的了解程度，尤其是在婴儿友好型医院工作的人员和照顾母乳喂养母亲的人员。
