Attitudes towards Breastfeeding-the Iowa Infant Feeding Attitude Scale in Chinese Mothers Living in China and Australia

以IOWA嬰兒餵養態度問卷評估居住在中國及澳洲的華人母親其母乳餵養態度

Shu Chen ； Colin W Binns ； Yi Liu ； Bruce Maycock ； Yun Zhao ； Li Tang

《Asia Pacific Journal of Clinical Nutrition》 22卷2期 (2013/04) Pp. 266-269

https://doi.org/10.6133/apjcn.2013.22.2.09

摘要

This study aimed to translate and validate a Chinese (simplified) version of the Iowa Infant Feeding Attitude Scale (IIFAS) and compare the infant feeding attitudes of Chinese mothers living in Perth Australia and in Chengdu P.R. China. A survey was undertaken on 200 Chinese mothers living in Perth and 1620 mothers living in Chengdu. The simplified Chinese version of IIFAS had a moderate level of internal consistency with a Cronbach's alpha of 0.69 for mothers in Australia and 0.55 for mothers in China. The mean IIFAS scores in both country groups lay in the range of 'neutral breastfeeding attitudes'. Higher IIFAS scores were significantly associated with the likelihood of both breastfeeding initiation (OR: 3.85; CI: 2.49-5.96; p＜0.001) and longer (≥8 months) breastfeeding duration (OR: 2.52; CI: 1.87-3.40; p＜0.001). Chinese mothers in Perth (mean IIFAS score=60.0±6.3) tended to have more positive attitudes towards breastfeeding than mothers in Chengdu (mean IIFAS score=57.7±5.1, p＜0.001), and had a longer duration of 'any breastfeeding' (10.0±6.2 months in Perth compared to 7.4±4.3 months in Chengdu, p＜0.001). In conclusion, higher scores on the IIFAS in simplified Chinese are associated with breastfeeding initiation and duration in Chinese populations.

關鍵字

母乳哺餵 ； Iowa嬰兒餵養態度問卷 ； 態度 ； 嬰兒餵養 ； 移民

並列摘要

This study aimed to translate and validate a Chinese (simplified) version of the Iowa Infant Feeding Attitude Scale (IIFAS) and compare the infant feeding attitudes of Chinese mothers living in Perth Australia and in Chengdu P.R. China. A survey was undertaken on 200 Chinese mothers living in Perth and 1620 mothers living in Chengdu. The simplified Chinese version of IIFAS had a moderate level of internal consistency with a Cronbach's alpha of 0.69 for mothers in Australia and 0.55 for mothers in China. The mean IIFAS scores in both country groups lay in the range of 'neutral breastfeeding attitudes'. Higher IIFAS scores were significantly associated with the likelihood of both breastfeeding initiation (OR: 3.85; CI: 2.49-5.96; p＜0.001) and longer (≥8 months) breastfeeding duration (OR: 2.52; CI: 1.87-3.40; p＜0.001). Chinese mothers in Perth (mean IIFAS score=60.0±6.3) tended to have more positive attitudes towards breastfeeding than mothers in Chengdu (mean IIFAS score=57.7±5.1, p＜0.001), and had a longer duration of 'any breastfeeding' (10.0±6.2 months in Perth compared to 7.4±4.3 months in Chengdu, p＜0.001). In conclusion, higher scores on the IIFAS in simplified Chinese are associated with breastfeeding initiation and duration in Chinese populations.

並列關鍵字

breastfeeding ； Iowa Infant Feeding Attitude Scale ； attitudes ； infant feeding ； migrants

參考文獻

Binns CW, Lee M, Scott JA. The fetal origins of disease hypothesis: public health implications for the Asia-Pacific region. Asia Pac J Public Health. 2001;13:68-73.

Xu F, Qiu L, Binns CW, Liu X. Breastfeeding in China: a review. Int Breastfeed J. 2009;4:6.

Qiu L, Binns CW, Zhao Y, Lee AH, Xie X. Breastfeeding practice in Zhejiang province, PR China, in the context of melamine-contaminated formula milk. J Health Popul Nutr. 2010;28:189-98.

Li L, Zhang M, Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding by Chinese mothers in Perth, Western Australia. J Hum Lact. 2004;20: 188-95.

De la Mora A. The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity. J Appl Soc Psychol. 1999;29:2362-80.