Targhaq Shaqayeq, Hosseinzadeh Mina, Mirghafourvand Mojgan, Mousavi Zahra
Department of Community Health Nursing, Nursing & Midwifery Faculty, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Community Health Nursing, Nursing & Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
BMJ Open. 2025 Jan 20;15(1):e084337. doi: 10.1136/bmjopen-2024-084337.
Breast milk is crucial for the health and survival of infants, but exclusive breastfeeding often fails due to various reasons such as lack of breastfeeding empowerment.
This study aimed to determine the status of breastfeeding empowerment and its relationship with health literacy and perceived spousal support among breastfeeding mothers while recognising that other related factors also contribute to breastfeeding empowerment.
Cross-sectional study.
Primary health centres of Tabriz city, Iran.
Included 342 breastfeeding mothers with infants aged 6 months or younger in Tabriz, Iran.
The mean (SD) scores for breastfeeding empowerment, health literacy and partner support were 141.98 (33.92) out of a possible range of 37 to 185, 126.08 (21.27) out of a possible range of 33 to 165 and 64.95 (12.62) out of a possible range of 20 to 100, respectively. Based on the adjusted general linear model, for every unit increase in perceived spousal support, women's breastfeeding empowerment score increased significantly (B=0.546; 95% CI 0.29 to 0.79; p<0.001). Additionally, working mothers had a significantly higher breastfeeding empowerment score compared with housewives (B=13.91; 95% CI 0.88 to 27.73; p=0.04), and currently, breastfeeding mothers had a significantly higher score compared with mothers who were not currently breastfeeding (B=72.26; 95% CI 60.42 to 84.10; p<0.001).
The findings of this study underscore the critical role of perceived spousal support in enhancing breastfeeding empowerment among mothers. By encouraging spousal involvement, families can create a supportive environment that values and facilitates breastfeeding. Healthcare providers also can play an essential role in offering guidance and resources to both mothers and their partners. By emphasising the importance of spousal support in breastfeeding, a supportive culture can be fostered that values breastfeeding as a natural aspect of motherhood.
母乳对婴儿的健康和生存至关重要，但由于缺乏母乳喂养支持等各种原因，纯母乳喂养往往难以实现。
本研究旨在确定母乳喂养支持的状况及其与母乳喂养母亲的健康素养和配偶支持感之间的关系，同时认识到其他相关因素也有助于母乳喂养支持。
横断面研究。
伊朗大不里士市的初级卫生中心。
包括伊朗大不里士市342名有6个月及以下婴儿的母乳喂养母亲。
母乳喂养支持、健康素养和配偶支持的平均（标准差）得分分别为141.98（33.92）（满分范围为37至185）、126.08（21.27）（满分范围为33至165）和64.95（12.62）（满分范围为20至100）。基于调整后的一般线性模型，配偶支持感每增加一个单位，女性的母乳喂养支持得分显著增加（B = 0.546；95%置信区间0.29至0.79；p < 0.001）。此外，职业母亲的母乳喂养支持得分显著高于家庭主妇（B = 13.91；95%置信区间0.88至27.73；p = 0.04），目前正在进行母乳喂养的母亲的得分显著高于未进行母乳喂养的母亲（B = 72.26；95%置信区间60.42至84.10；p < 0.001）。
本研究结果强调了配偶支持感在增强母亲母乳喂养支持方面的关键作用。通过鼓励配偶参与，家庭可以营造一个重视并促进母乳喂养的支持性环境。医疗保健提供者在为母亲及其配偶提供指导和资源方面也可以发挥重要作用。通过强调配偶支持在母乳喂养中的重要性，可以培育一种将母乳喂养视为母亲身份自然组成部分的支持性文化。
