Saxby Solange M, Haas Carlyn, Klein Anna, Titcomb Tyler J, Shemirani Farnoosh, Wahls Terry, Snetselaar Linda, Gill Christine, Mulder Pamela
Department of Internal Medicine, University of Iowa, Iowa City, Iowa, USA.
Department of Community and Family Medicine, Dartmouth Health, Lebanon, New Hampshire, USA.
Brain Behav. 2025 Apr;15(4):e70468. doi: 10.1002/brb3.70468.
This study aimed to describe breastfeeding attitudes among health care personnel, as well as breastfeeding attitudes and self-efficacy in women with multiple sclerosis (MS), who are currently or have previously breastfed.
Two cross-sectional surveys were sent electronically to health care personnel at a single center to capture attitudes toward breastfeeding in women with MS using the Iowa Infant Feeding Attitudes Scale (IIFAS), and women with MS who were currently or had previously breastfed to measure breastfeeding attitudes and self-efficacy using the IIFAS and Breastfeeding Self-Efficacy Survey-Short Form (BSES-SF). Descriptive statistics and one-way analysis of variance were used to assess differences among categories of participant demographics.
In the health care personnel survey, among health care specialties, neonatology exhibited the highest mean scores on the IIFAS (69.8 ± 8.89), reflecting positive attitudes, while neurology and students had the lowest mean IIFAS scores (62.4 ± 10.3 and 58.2 ± 3.94, respectively) with neutral attitudes. Health care personnel with 16 or more years of service demonstrated positive attitudes toward breastfeeding (70.9 ± 9.30), as assessed by IIFAS. In the survey of women with MS, women identifying as Middle Eastern/North African had the highest mean IIFAS score (78.0 ± 5.66), indicating positive breastfeeding attitudes, while women identifying as Black had the lowest (62.7 ± 6.07), reflecting a neutral attitude. Positive attitudes were revealed by participants who exclusively breastfed for 6 months (70.1 ± 7.17) and who had three or more children (70.1 ± 6.17). Participants who exclusively breastfed for 6 months and who had breastfed three or more children demonstrated the highest breastfeeding self-efficacy as assessed by BSES-SF scores (52.2 ± 4.93 and 51.7 ± 5.26, respectively).
Attitudes towards breastfeeding in women with MS differed by health care specialty and years of service in health care personnel. Among women with MS, infant feeding attitudes and breastfeeding self-efficacy varied based on ethnicity, age, number of children, number of children breastfed, and breastfeeding exclusivity.
本研究旨在描述医护人员对母乳喂养的态度，以及目前正在或曾经进行母乳喂养的多发性硬化症（MS）女性的母乳喂养态度和自我效能感。
通过电子邮件向单一中心的医护人员发送了两份横断面调查问卷，以使用爱荷华婴儿喂养态度量表（IIFAS）来了解他们对MS女性母乳喂养的态度；同时向目前正在或曾经进行母乳喂养的MS女性发送问卷，以使用IIFAS和母乳喂养自我效能量表简表（BSES-SF）来测量她们的母乳喂养态度和自我效能感。使用描述性统计和单因素方差分析来评估参与者人口统计学类别之间的差异。
在医护人员调查中，在各个医疗专业中，新生儿科在IIFAS上的平均得分最高（69.8±8.89），反映出积极的态度，而神经科和学生的IIFAS平均得分最低（分别为62.4±10.3和58.2±3.94），态度中立。根据IIFAS评估，服务年限达16年或以上的医护人员对母乳喂养表现出积极态度（70.9±9.30）。在MS女性的调查中，自认为是中东/北非裔的女性IIFAS平均得分最高（78.0±5.66），表明对母乳喂养持积极态度，而自认为是黑人的女性得分最低（62.7±6.07），反映出中立态度。纯母乳喂养6个月的参与者（70.1±7.17）和育有三个或更多子女的参与者（70.1±6.17）表现出积极态度。根据BSES-SF得分评估，纯母乳喂养6个月和育有三个或更多子女的参与者表现出最高的母乳喂养自我效能感（分别为52.2±4.93和51.7±5.26）。
医护人员中，对MS女性母乳喂养的态度因医疗专业和服务年限而异。在MS女性中，婴儿喂养态度和母乳喂养自我效能感因种族、年龄、子女数量、母乳喂养子女数量和母乳喂养方式的不同而有所差异。
