Breastfeeding Status of Infant from Birth to One Year and the Influence of Fathers in Society with Traditional Cultural Structure, Türkiye
Year 2025,
Volume: 7 Issue: 2, 77 - 86, 22.08.2025
Selma Kahraman
,
Zeynep Yaztürk
,
Suzan Havlioğlu
Abstract
Objectives: The aim of this study was to focus on the father in breastfeeding, to determine the influence of fathers in breastfeeding in a society with a traditional culture consisting of different ethnic groups, and to determine the prevalence of breastfeeding at 0-1 years of age with their statements.
Methods: The sample of this cross-sectional study consisted of 410 infants aged 0–1 year and their fathers. Data were collected using a questionnaire including socio-demographic characteristics, the Breastfeeding Attitude, and Involvement Scale, which is the only scale that examines the cultural impact of attitudes and involvement together. The SPSS package program was used for statistical analysis.
Results: Fathers were found to have negative attitudes towards breastfeeding and low involvement in breastfeeding. Fathers' attitudes towards breastfeeding were negatively influenced by university or higher education (3.1-fold) and employment (0.4-fold) (p˂.05). Involvement in breastfeeding was positively influenced by working during the day (2.4-fold), having information about breastfeeding (1.7-fold) and attending breastfeeding (3.1-fold) (p˂.05). The prevalence of breastfeeding was 85.6% in among 12-month-old infants
Conclusion: This study highlights that paternal culture may play a role in breastfeeding. In addition, this study it was found that the breastfeeding rate was below the global targets and that role of the father and cultural influence had a significant impact on this rate. Future studies should continue to evaluate fathers’ involvement in breastfeeding longitudinally so that relevant support can be rendered.
References
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Abbass-Dick, J., Brown, H.K., Jackson, K.T., Rempel, L., Dennis, C.L. (2019). Perinatal breastfeeding interventions including fathers/partners: A systematic review of the literature. Midwifery. 75(3), 41-51. https://doi.org/10.1016/j.midw.2019.04.001
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Abu-Abbas, M.W., Kassab, M.I., & Shelash, K.I. (2016). Fathers and breastfeeding process: determining their role and attitudes. European Scientific Journal, 12(18), 327-337. https://doi.org/10.19044/esj. 2016.v12n18p327
-
Bahar, Ş. E. N., & Koçakoğlu, Ş. (2022). Knowledge and attitudes of mothers with 0-24 months old babies on breast milk and breastfeeding in the central districts of Şanlıurfa. Journal of Harran University Medical Faculty, 19(3), 542-550. https://doi.org/ 10.35440/hutfd.1205671
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Baldwin, S., Bick, D., & Spiro A. (2021). Translating fathers’ support for breastfeeding into practice. Primary Health Care Research & Development, 3(22), Article e60. https://doi.org/10.1017/S1463423621000682
-
Çaylan, N., & Yalçın, S.S. (2020). Status of breastfeeding in Turkey and the world: recommendations for the promotion of breastfeeding. Başkan, S. (Eds.). Child Nutrition. 1. Press, Ankara: Türkiye Clinics, p. 4-11. ISBN: 978-625-401-151-1
-
Demontigny, F., Gervais, C., Larivière-Bastien, D., & St-Arneault, K. (2018). The role of fathers during breastfeeding. Midwifery, Mar(58), 6-12. https://doi.org/10.1016/j.midw.2017.12.001.
-
Davidson, E.L., & Ollerton, R.L. (2020). Partner behaviours improving breastfeeding outcomes: An integrative review. Women Birth. 33(1), 15-23. https://doi.org/ 10.1016/j.wombi.2019.05.010.
-
Evgin, D., & Özdil, K. (2022). The effect of fathers' support for breastfeeding process on mothers' breastfeeding self-efficacy and father-baby attachment: A Cross-Sectional and Correlational Study. Turkiye Klinikleri Journal of Nursing, 14(3), 659-671. https://doi.org/ 10.5336/nurses.2021-86698
-
Ghaferi, A.A., Schwartz, T.A., & Pawlik, T.M. (2021). STROBE Reporting Guidelines for Observational Studies. JAMA Surgery, 156(6), 577-578. https://doi.org/ 10.1001/jamasurg.2021.0528. PMID: 33825815.
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Gültekin, S. (2021). Babalarin Emzirmeye İlişkin Tutumlari, Emzirme Sürecine Katilimlari Ve Bunlari Etkileyen Faktörler. (Yayınlanmamış Yüksek Lisans Tezi). Adnan Menderes Üniversitesi
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Gutierrez-de-Terán-Moreno, G., Ruiz-Litago, F., Ariz, U., Fernández-Atutxa, A., Mulas-Martín, M.J., Benito-Fernández, E., & Sanz, B. (2022). Successful breastfeeding among women with intention to breastfeed: From physiology to socio-cultural factors. Early Human Development, Jan (164), Article 105518. https://doi.org/ 10.1016/j.earlhumdev.2021.105518.
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Kartal, Y.A., & Erişen, B. (2020). Fathers' attachment to their infants between 6-12 months of age and related factor. Mehmet Akif Ersoy university Journal of Health Sciences Institute. 8(2), 44-49. https://doi.org/ 10.24998/maeusabed.714408.
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Koruk, İ., & Beyazgül, B. (2021). Multi-dimensional evaluation of primary health care services in Şanlıurfa. Mersin Universitesi Sağlık Bilim Dergisi, 14(3), 557-569. https://doi.org/ 10.26559/mersinsbd.892481
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Koruk, İ., Gökçeoğlu, S., Allahverdi, Ş., & Kuzan, R. (2019). Level of exclusive breastfeeding for the first 6 months in 0-24 month infants and children in a family health center in Şanlıurfa and the factors affecting it. Journal of Health Science Research, 4(1), 1-11. https://doi.org/ 10.18311/jhsr/2019/23330
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Küçük, A. (2020). Toplumsal Cinsiyet Açisindan Siyasal Kültür: Şanliurfa Örneği. (Yayınlanmamış Yüksek Lisans Tezi). Harran Üniversitesi Sosyal
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Leng, R.N.W., Shorey, S., Yin, S.L.K., Chan, C.P.P., & He, H.G. (2019). Fathers’ involvement in their wives’/partners’ breastfeeding: A descriptive correlational study. Journal of Human Lactation, 35(4), 801-812. https://doi.org/ 10.1177/089033441983098
-
Mat Nawi, N.I., & Abdul Hamid, S.B. (2021). Determinants of fathers' involvement in breastfeeding practices in Kuala Selangor. Malaysian Journal of Nutrition, 27(1), 15-26. https://doi.org/10.31246/mjn-2020-0070
-
Mercan, Z., & Şahin, F.T. (2017). The father’s role and the father’s role perception in different cultures. International Journal of Early Childhood Education Studies, 2(2), 1-10
-
Ngoenthong, P., Sansiriphun, N., Fongkaew, W., & Chaloumsuk, N. (2020). Integrative review of fathers' perspectives on breastfeeding support. Journal of Obstetric, Gynecologic & Neonatal Nursing: Home, 49(1), 16-26. https://doi.org/ 10.1016/j.jogn.2019.09.005.
-
Ozilice, O., & Günay, T. (2018). Breastfeeding and sustainable development. Journal of Dr. Behcet Uz Children's Hospital, 8(1), 1-7. https://doi.org/ 10.5222/buchd.2018.001
-
Pithia, N., Dong, A., Grogan, T., Govardhan, S., & Calkins, K.L. (2021). Race and ethnicity and exclusive breastfeeding success. Breastfeed Medicine, 16(5), 402-406. https://doi.org/ 10.1089/bfm.2020.0333.
-
Rempel, L.A., Rempel, J.K., Moore, K.C.J. (2017). Relationships between types of father breastfeeding support and breastfeeding outcomes. Maternal & Child Nutrition. 13(3), “article.e12337”. https://doi.org/ 10.1111/mcn.12337
-
Şanli, D., & Öztürk, C. (2015). The effect of culture on parents' child-rearing attitudes and attitudes. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 8 (4), 240-246.
-
Timurturkan, M. (2020). Biopower, nutrition, and motherhood: the cultural and political appearances of breastfeeding. İstanbul University Journal of Sociology, 40(1), 219-248. https://doi.org/ 10.26650/SJ.2020.40.1.0034
-
Toledo, C., Cianelli, R., Villegas Rodriguez, N., De Oliveira, G., Gattamorta, K., Wojnar, D., & Ojukwu, E. (2022). The significance of breastfeeding practices on postpartum depression risk. Public Health Nursing, 39(1), 15-23. https://doi.org/ 10.1111/phn.12969
-
TUİK (Turkish Statistical Institute). (2019). Health Statistics. https://www.tuik.gov.tr/Home/Index
-
TÜİK (Turkish Statistical Institute). (2021). Birth Statistics. https://data.tuik.gov.tr/Bulten/Index?p=Birth-Statistics-2019-33706
-
United Nations Children’s Fund. (2022). Infant and young child feeding: Exclusive breastfeeding, New York. https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/
-
United Nations International Children's Emergency Fund [UNICEF]. (2021). Breastfeeding. https://data.unicef.org/topic/nutrition/breastfeeding/
-
United States Centers for Disease Control and Prevention. (2021). 2020–2021 national immunization survey. National Center for Chronic Disease Prevention and Health Promotion. https://www.cdc.gov/breastfeeding/data/nis_data/results.html
-
Tanrıverdi, G. (2020). Cultural Diversity and Traditional Health Practices in Turkey. Çanakkale: Rating Academy Ar-Ge Yazılım Yayıncılık Eğitim Danışmanlık, pp.452
-
TÜİK. (2022). Household Information Technologies. https://data. tuik.gov.tr/Bulten/Index?p= Hanehalki-Bilisim-Teknolojileri-(IT)-Kullanlanim-Arastirmasi-2022-45587
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WHO, (2022). Global breastfeeding scorecard 2022. https://www.who.int/publications/i/item/WHO-HEP-NFS-22.6. (Accessed 02 Januvary 2024)
-
Wynter, K, Di Manno, L., Watkins, V., Rasmussen, B., & Macdonald, J.A. (2021). Midwives’ experiences of father participation in maternity care at a large metropolitan health service in Australia. Midwifery, (101), “article.103046”. https://doi.org/10.1016/j.midw.2021.103046
-
Yıdız, G. (2019). The transformed femininity perception of men in traditional contexs: the case study of Şanliurfa Province. Jourmal of Social and Cultural Studies. 3, 1-29.
Geleneksel Kültür Yapısına Sahip Toplumlarda Bebeklerin Doğumdan Bir Yaşına Kadar Emzirme Durumu ve Babaların Etkisi̇, Türkiye
Year 2025,
Volume: 7 Issue: 2, 77 - 86, 22.08.2025
Selma Kahraman
,
Zeynep Yaztürk
,
Suzan Havlioğlu
Abstract
Amaç: Bu çalışmanın amacı emzirmede babaya odaklanmak, farklı etnik gruplardan oluşan geleneksel kültüre sahip bir toplumda babaların emzirmedeki etkisini belirlemek ve babaların beyanlarıyla 0-1 yaş arası emzirme yaygınlığını tespit etmektir.
Yöntem: Bu kesitsel çalışmanın örneklemini 0-1 yaş arası 410 bebek ve babaları oluşturmuştur. Veriler sosyo-demografik özellikleri içeren bir anket formu ve tutum ve katılımın kültürel etkisini birlikte inceleyen tek ölçek olan Emzirme Tutumu ve Katılımı Ölçeği kullanılarak toplanmıştır. İstatistiksel analiz için SPSS paket programı kullanılmıştır.
Bulgular: Babaların emzirmeye yönelik tutumlarının olumsuz ve emzirmeye katılımlarının düşük olduğu bulunmuştur. Babaların emzirmeye yönelik tutumları üniversite veya yüksek öğrenim (3,1 kat) ve çalışma durumundan (0,4 kat) olumsuz etkilenmiştir (p˂.05). Emzirmeye katılımı gündüz çalışma (2,4 kat), emzirme hakkında bilgi sahibi olma (1,7 kat) ve emzirmeye katılma olumlu yönde etkilemiştir.
Sonuç: Bu çalışma, baba kültürünün emzirme üzerinde rol oynayabileceğini vurgulamaktadır. Ayrıca, bu çalışmada emzirme oranının küresel hedeflerin altında olduğu ve babanın rolü ve kültürel etkinin bu oran üzerinde önemli bir etkiye sahip olduğu bulunmuştur. Gelecekteki çalışmalar babaların emzirmeye katılımını boylamsal olarak değerlendirmeye devam etmelidir, böylece ilgili destek sağlanabilir.
References
-
Abbass-Dick, J., Brown, H.K., Jackson, K.T., Rempel, L., Dennis, C.L. (2019). Perinatal breastfeeding interventions including fathers/partners: A systematic review of the literature. Midwifery. 75(3), 41-51. https://doi.org/10.1016/j.midw.2019.04.001
-
Abu-Abbas, M.W., Kassab, M.I., & Shelash, K.I. (2016). Fathers and breastfeeding process: determining their role and attitudes. European Scientific Journal, 12(18), 327-337. https://doi.org/10.19044/esj. 2016.v12n18p327
-
Bahar, Ş. E. N., & Koçakoğlu, Ş. (2022). Knowledge and attitudes of mothers with 0-24 months old babies on breast milk and breastfeeding in the central districts of Şanlıurfa. Journal of Harran University Medical Faculty, 19(3), 542-550. https://doi.org/ 10.35440/hutfd.1205671
-
Baldwin, S., Bick, D., & Spiro A. (2021). Translating fathers’ support for breastfeeding into practice. Primary Health Care Research & Development, 3(22), Article e60. https://doi.org/10.1017/S1463423621000682
-
Çaylan, N., & Yalçın, S.S. (2020). Status of breastfeeding in Turkey and the world: recommendations for the promotion of breastfeeding. Başkan, S. (Eds.). Child Nutrition. 1. Press, Ankara: Türkiye Clinics, p. 4-11. ISBN: 978-625-401-151-1
-
Demontigny, F., Gervais, C., Larivière-Bastien, D., & St-Arneault, K. (2018). The role of fathers during breastfeeding. Midwifery, Mar(58), 6-12. https://doi.org/10.1016/j.midw.2017.12.001.
-
Davidson, E.L., & Ollerton, R.L. (2020). Partner behaviours improving breastfeeding outcomes: An integrative review. Women Birth. 33(1), 15-23. https://doi.org/ 10.1016/j.wombi.2019.05.010.
-
Evgin, D., & Özdil, K. (2022). The effect of fathers' support for breastfeeding process on mothers' breastfeeding self-efficacy and father-baby attachment: A Cross-Sectional and Correlational Study. Turkiye Klinikleri Journal of Nursing, 14(3), 659-671. https://doi.org/ 10.5336/nurses.2021-86698
-
Ghaferi, A.A., Schwartz, T.A., & Pawlik, T.M. (2021). STROBE Reporting Guidelines for Observational Studies. JAMA Surgery, 156(6), 577-578. https://doi.org/ 10.1001/jamasurg.2021.0528. PMID: 33825815.
-
Gültekin, S. (2021). Babalarin Emzirmeye İlişkin Tutumlari, Emzirme Sürecine Katilimlari Ve Bunlari Etkileyen Faktörler. (Yayınlanmamış Yüksek Lisans Tezi). Adnan Menderes Üniversitesi
-
Gutierrez-de-Terán-Moreno, G., Ruiz-Litago, F., Ariz, U., Fernández-Atutxa, A., Mulas-Martín, M.J., Benito-Fernández, E., & Sanz, B. (2022). Successful breastfeeding among women with intention to breastfeed: From physiology to socio-cultural factors. Early Human Development, Jan (164), Article 105518. https://doi.org/ 10.1016/j.earlhumdev.2021.105518.
-
Hacettepe University Institute of Population Studies (TNSA). (2019). 2018 Turkey Population and Health Research. Hacettepe University Institute of Population Studies Ankara, Turkey. https://hips.hacettepe.edu.tr/en/2018_turkey_demographic_and_health_survey-198
-
Kartal, Y.A., & Erişen, B. (2020). Fathers' attachment to their infants between 6-12 months of age and related factor. Mehmet Akif Ersoy university Journal of Health Sciences Institute. 8(2), 44-49. https://doi.org/ 10.24998/maeusabed.714408.
-
Koruk, İ., & Beyazgül, B. (2021). Multi-dimensional evaluation of primary health care services in Şanlıurfa. Mersin Universitesi Sağlık Bilim Dergisi, 14(3), 557-569. https://doi.org/ 10.26559/mersinsbd.892481
-
Koruk, İ., Gökçeoğlu, S., Allahverdi, Ş., & Kuzan, R. (2019). Level of exclusive breastfeeding for the first 6 months in 0-24 month infants and children in a family health center in Şanlıurfa and the factors affecting it. Journal of Health Science Research, 4(1), 1-11. https://doi.org/ 10.18311/jhsr/2019/23330
-
Küçük, A. (2020). Toplumsal Cinsiyet Açisindan Siyasal Kültür: Şanliurfa Örneği. (Yayınlanmamış Yüksek Lisans Tezi). Harran Üniversitesi Sosyal
-
Leng, R.N.W., Shorey, S., Yin, S.L.K., Chan, C.P.P., & He, H.G. (2019). Fathers’ involvement in their wives’/partners’ breastfeeding: A descriptive correlational study. Journal of Human Lactation, 35(4), 801-812. https://doi.org/ 10.1177/089033441983098
-
Mat Nawi, N.I., & Abdul Hamid, S.B. (2021). Determinants of fathers' involvement in breastfeeding practices in Kuala Selangor. Malaysian Journal of Nutrition, 27(1), 15-26. https://doi.org/10.31246/mjn-2020-0070
-
Mercan, Z., & Şahin, F.T. (2017). The father’s role and the father’s role perception in different cultures. International Journal of Early Childhood Education Studies, 2(2), 1-10
-
Ngoenthong, P., Sansiriphun, N., Fongkaew, W., & Chaloumsuk, N. (2020). Integrative review of fathers' perspectives on breastfeeding support. Journal of Obstetric, Gynecologic & Neonatal Nursing: Home, 49(1), 16-26. https://doi.org/ 10.1016/j.jogn.2019.09.005.
-
Ozilice, O., & Günay, T. (2018). Breastfeeding and sustainable development. Journal of Dr. Behcet Uz Children's Hospital, 8(1), 1-7. https://doi.org/ 10.5222/buchd.2018.001
-
Pithia, N., Dong, A., Grogan, T., Govardhan, S., & Calkins, K.L. (2021). Race and ethnicity and exclusive breastfeeding success. Breastfeed Medicine, 16(5), 402-406. https://doi.org/ 10.1089/bfm.2020.0333.
-
Rempel, L.A., Rempel, J.K., Moore, K.C.J. (2017). Relationships between types of father breastfeeding support and breastfeeding outcomes. Maternal & Child Nutrition. 13(3), “article.e12337”. https://doi.org/ 10.1111/mcn.12337
-
Şanli, D., & Öztürk, C. (2015). The effect of culture on parents' child-rearing attitudes and attitudes. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 8 (4), 240-246.
-
Timurturkan, M. (2020). Biopower, nutrition, and motherhood: the cultural and political appearances of breastfeeding. İstanbul University Journal of Sociology, 40(1), 219-248. https://doi.org/ 10.26650/SJ.2020.40.1.0034
-
Toledo, C., Cianelli, R., Villegas Rodriguez, N., De Oliveira, G., Gattamorta, K., Wojnar, D., & Ojukwu, E. (2022). The significance of breastfeeding practices on postpartum depression risk. Public Health Nursing, 39(1), 15-23. https://doi.org/ 10.1111/phn.12969
-
TUİK (Turkish Statistical Institute). (2019). Health Statistics. https://www.tuik.gov.tr/Home/Index
-
TÜİK (Turkish Statistical Institute). (2021). Birth Statistics. https://data.tuik.gov.tr/Bulten/Index?p=Birth-Statistics-2019-33706
-
United Nations Children’s Fund. (2022). Infant and young child feeding: Exclusive breastfeeding, New York. https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/
-
United Nations International Children's Emergency Fund [UNICEF]. (2021). Breastfeeding. https://data.unicef.org/topic/nutrition/breastfeeding/
-
United States Centers for Disease Control and Prevention. (2021). 2020–2021 national immunization survey. National Center for Chronic Disease Prevention and Health Promotion. https://www.cdc.gov/breastfeeding/data/nis_data/results.html
-
Tanrıverdi, G. (2020). Cultural Diversity and Traditional Health Practices in Turkey. Çanakkale: Rating Academy Ar-Ge Yazılım Yayıncılık Eğitim Danışmanlık, pp.452
-
TÜİK. (2022). Household Information Technologies. https://data. tuik.gov.tr/Bulten/Index?p= Hanehalki-Bilisim-Teknolojileri-(IT)-Kullanlanim-Arastirmasi-2022-45587
-
WHO, (2022). Global breastfeeding scorecard 2022. https://www.who.int/publications/i/item/WHO-HEP-NFS-22.6. (Accessed 02 Januvary 2024)
-
Wynter, K, Di Manno, L., Watkins, V., Rasmussen, B., & Macdonald, J.A. (2021). Midwives’ experiences of father participation in maternity care at a large metropolitan health service in Australia. Midwifery, (101), “article.103046”. https://doi.org/10.1016/j.midw.2021.103046
-
Yıdız, G. (2019). The transformed femininity perception of men in traditional contexs: the case study of Şanliurfa Province. Jourmal of Social and Cultural Studies. 3, 1-29.