Faculty of Medicine, Department of Social and Preventive Medicine, University Malaya, Federal Territory of Kuala Lumpur, Kuala Lumpur, Malaysia.
Department of Research Development and Innovation, University Malaya Medical Center, Federal Territory of Kuala Lumpur, Kuala Lumpur, Malaysia.
PLoS One. 2024 Mar 4;19(3):e0299308. doi: 10.1371/journal.pone.0299308. eCollection 2024.
The World Health Organisation (WHO) recommends that all babies be exclusively breastfed, stating that donor milk is the next best alternative in the absence of the mother's own milk. Milk sharing takes many forms, namely wet nursing, co-feeding, cross-feeding, and a human milk bank (HMB). However, the establishment of a human milk bank is still not widely accepted and is a debatable topic because of religious concerns in Malaysia. The aim of this study is to determine the facilitators and barriers among Malaysians towards the acceptance of an HMB. A cross-sectional study with 367 participants was conducted; the participants answered an online-validated, self-administered questionnaire. Data on sociodemographic, knowledge on breastfeeding benefits, knowledge and attitude on HMB-specific issues were analysed in terms of frequency before proceeded with multiple logistic regression. The majority of the respondents were Muslim (73.3%), had completed their tertiary education (82.8%), and were employed (70.8%). Only 55.9% of respondents had heard of HMB, stating the internet as their main source of information, but many respondents were agreeable to its establishment (67.8%). Most respondents had a good score on knowledge of breastfeeding benefits and on HMB-specific issues (70% and 54.2%, respectively), while 63.8% had a positive attitude towards HMB. In the multivariate analysis, mothers with a good score on general knowledge of breastfeeding (AOR: 1.715; 95% CI 1.047-2.808) were more likely to accept the establishment of HMB, while being a Muslim was negatively associated with its establishment (AOR = 0.113, 95% CI 0.050-0.253). The study found a high prevalence of mothers who were willing to accept the establishment of HMB. By educating mothers on the benefits of breastfeeding, as well as addressing their religious concerns, the establishment of a religiously abiding HMB in Malaysia may be accepted without compromising their beliefs or the health benefit of donor milk.
世界卫生组织（WHO）建议所有婴儿进行纯母乳喂养，并指出在无法获得母亲自身母乳的情况下，捐献母乳是第二佳选择。母乳共享有多种形式，包括哺乳、共同喂养、交叉喂养和人乳库（HMB）。然而，由于马来西亚的宗教问题，建立人乳库尚未得到广泛认可，并且这仍是一个有争议的话题。本研究旨在确定马来西亚人对接受 HMB 的促进因素和障碍。采用横断面研究，共纳入 367 名参与者，他们通过在线验证的自我管理问卷回答问题。对社会人口统计学数据、母乳喂养益处知识、HMB 特定问题的知识和态度进行了分析，然后进行了多因素逻辑回归分析。大多数受访者是穆斯林（73.3%），完成了高等教育（82.8%），并就业（70.8%）。只有 55.9%的受访者听说过人乳库，他们主要通过互联网获取信息，但许多受访者同意建立人乳库（67.8%）。大多数受访者在母乳喂养益处和 HMB 特定问题方面的知识得分较高（分别为 70%和 54.2%），而 63.8%的人对 HMB 持积极态度。在多因素分析中，母乳喂养一般知识得分较高的母亲（OR：1.715；95%CI 1.047-2.808）更有可能接受建立 HMB，而穆斯林则与其建立呈负相关（OR=0.113，95%CI 0.050-0.253）。研究发现，愿意接受建立 HMB 的母亲比例很高。通过教育母亲母乳喂养的好处，并解决她们的宗教关切，在不损害其信仰或捐赠母乳健康益处的情况下，在马来西亚建立一个符合宗教信仰的 HMB 可能会被接受。
