Tosun Hülya, Özkan Hava
Midwifery Department, Health Science Faculty, Kütahya Health Science University, Kütahya 43020, Türkiye.
Midwifery Department, Health Science Faculty, Atatürk University, Erzurum 25030, Türkiye.
Healthcare (Basel). 2025 Sep 4;13(17):2216. doi: 10.3390/healthcare13172216.
Social Media Use has become an integral part of contemporary motherhood, with potential effects on maternal mental health and breastfeeding behaviors. This study aimed to examine the relationship between problematic social media use, anxiety levels, infant feeding attitudes, and feeding intentions among social media-native mothers. A mixed-methods design was used with 222 mothers. Quantitative data were collected using the Trait Anxiety Inventory (STAI-T), Social Media Disorders Scale (SMDS-9), Iowa Infant Feeding Attitude Scale (IOWA), and Newborn Feeding Intention Scale (IFI). Qualitative data were obtained through semi-structured interviews. Quantitative analyses explored associations between problematic social media use, anxiety, and feeding-related outcomes, while qualitative data were analyzed thematically. SMDS-9 scores were generally low; only 2.7% of participants reported low feeding intention. No significant association was found between problematic social media use and breastfeeding intention or attitudes. Mothers with strong breastfeeding intentions demonstrated significantly more positive attitudes toward nursing than those with lower intentions. Higher problematic social media use was observed among high school graduates and those from high-income groups. Qualitative analysis identified two main themes of Negative Impacts and Positive Impacts, as well as five sub-themes of comparison and inadequacy, information overload, breastfeeding mistakes, anxiety, and social support. Problematic social media use did not directly affect breastfeeding intentions or attitudes; however, high school-educated and high-income mothers were more likely to report higher usage. Incorporating social media literacy into prenatal education and adapting tools for assessing postpartum anxiety to include indicators for problematic social media use, particularly for these at-risk groups, may support early detection, reduce stress, and promote positive breastfeeding practices.
社交媒体的使用已成为当代母亲生活中不可或缺的一部分，对母亲的心理健康和母乳喂养行为可能产生影响。本研究旨在探讨社交媒体原生母亲中存在问题的社交媒体使用、焦虑水平、婴儿喂养态度和喂养意愿之间的关系。采用混合方法设计，研究对象为222名母亲。使用特质焦虑量表（STAI-T）、社交媒体障碍量表（SMDS-9）、爱荷华婴儿喂养态度量表（IOWA）和新生儿喂养意愿量表（IFI）收集定量数据。通过半结构化访谈获得定性数据。定量分析探讨了存在问题的社交媒体使用、焦虑与喂养相关结果之间的关联，而定性数据则进行了主题分析。SMDS-9得分普遍较低；只有2.7%的参与者报告喂养意愿较低。在存在问题的社交媒体使用与母乳喂养意愿或态度之间未发现显著关联。母乳喂养意愿强烈的母亲对哺乳的态度明显比意愿较低的母亲更积极。高中毕业生和高收入群体中存在问题的社交媒体使用情况更为普遍。定性分析确定了“负面影响”和“正面影响”两个主要主题，以及“比较与不足”、“信息过载”、“母乳喂养错误”、“焦虑”和“社会支持”五个子主题。存在问题的社交媒体使用并未直接影响母乳喂养意愿或态度；然而，受过高中教育和高收入的母亲更有可能报告较高的使用率。将社交媒体素养纳入产前教育，并调整产后焦虑评估工具以纳入存在问题的社交媒体使用指标，特别是针对这些高危群体，可能有助于早期发现、减轻压力并促进积极的母乳喂养行为。
