Faktor yang Memengaruhi Dukungan Suami terhadap Pemberian ASI Eksklusif Berdasarkan Theory of Planned Behavior (TPB)

Factors Affecting Husband's Support for Exclusive Breastfeeding Based on Theory of Planned Behavior (TPB)

  • Fenti Yulianti poltekkes kemenkes bandung
  • Fedri Ruluwedrata Rinawan
  • Panji Fortuna Hadisoemarto
Keywords: ASI eksklusif, dukungan suami, theory of planned behavior (TPB), exclusive breastfeeding, husband’s support

Abstract

The coverage of exclusive breastfeeding has not yet reached the target both in Indonesia and other countries. One of the factors that influence husband’s support. Husband’s support for exclusive breastfeeding will be influenced by his intention. A person’s planned behavior or intentions can be predicted through their attitudes as described in Theory of Planned Behavior (TPB), which states that a person’s intention is influenced by behavior belief, outcome evaluation and perceived power. The research aims was to analyze which factors most influenced husband’s support for exclusive breastfeeding based on TPB. The study is a quantitative research using survey method. The sampling technique used multistage sampling to get respondents as many as 90 husbands who have babies aged 0-6 months in Bandung. The instrument used the Partner Breastfeeding Influence Scale (PBIS) and the TPB questionnaire, while the statistical analysis used the Multiple Linear Regression Test. The results of the analysis showed that the husband’s support for exclusive breastfeeding can be categorized as sufficient. Whereas the factors that most influenced the husband’s support for exclusive breastfeeding based on TPB were behavior beliefs (β = 1.8; p = 0.01). These results provide information that a health promotion program design is needed to improve attitudes and support for husband in exclusive breastfeeding.

Abstrak

Cakupan pemberian Air Susu Ibu (ASI) eksklusif masih belum mencapai target baik di Indonesia maupun di negara lain. Salah satu faktor yang memengaruhinya adalah dukungan suami. Dukungan suami terhadap pemberian ASI eksklusif akan dipengaruhi oleh intensinya. Perilaku terencana atau intensi seseorang dapat diprediksi melalui sikap yang dimilikinya seperti yang dijelaskan dalam Theory of Planned Behavior (TPB) bahwa intensi seseorang dipengaruhi oleh behavior belief, outcome evaluation dan perceive power. Tujuan penelitian yaitu untuk menganalisis faktor mana yang paling memengaruhi dukungan suami terhadap pemberian ASI eksklusif berdasarkan TPB. Penelitian ini merupakan penelitian kuantitatif dengan metode survei. Teknis pengambilan sampel menggunakan multistage sampling untuk mendapatkan responden sebanyak 90 orang suami yang memiliki bayi usia 0-6 bulan di Kota Bandung. Instrumen penelitian menggunakan Partner Breastfeeding Influence Scale (PBIS) dan kuesioner TPB sedangkan analisis statistik menggunakan uji regresi linear berganda. Hasil analisis diperoleh besar dukungan suami terhadap pemberian ASI eksklusif dapat dikategorikan cukup, sedangkan faktor yang paling memengaruhi dukungan suami terhadap pemberian ASI eksklusif berdasarkan TPB adalah behavior beliefs (β=1,8; p=0,01). Hasil ini memberikan informasi bahwa diperlukan suatu rancangan program promosi kesehatan untuk meningkatkan sikap serta dukungan suami dalam pemberian ASI eksklusif.

 

References

Maycock BR, Scott JA, Hauck YL, Burns SK, Robinson S, Giglia R, et al. A study to prolong breastfeeding duration: design and rationale of the Parent Infant Feeding Initiative (PIFI) randomised controlled trial. BMC pregnancy and childbirth. 2015 Aug 1;15:159.

Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. 2016;387(10017):475- 90.

Dieterich CM, Felice JP, O’Sullivan E, Rasmussen KM. Breastfeeding and health outcomes for the mother-infant dyad. Pediatric clinics of North America. 2013 Feb;60(1):31-48.

Ortega-Garcia JA, Kloosterman N, Alvarez L, Tobarra-Sanchez E, Carceles-Alvarez A, Pastor- Valero R, et al. Full breastfeeding and obesity in children: a prospective study from birth to 6 years. Childhood obesity. 2018 Jul;14(5):327-37.

Kumar A, Singh VK. A study of exclusive breastfeeding and its impact on nutritional status of child in EAG States. Journal of Statistics Applications & Probability. 2015;3:435-45.

Sumiaty AVP, Sundari, Relationship of mother factors, breastfeeding and stunting pattern in Central Sulawesi. International Journal of Sciences: Basic and Applied Research (IJSBAR). 2017; 35, No 3:413-20.

Michael S, Kramer RK. The optimal of duration breastfeeding, a systematic review Switzerland: World Health Organization; 2002.

Indonesia. Peraturan pemerintah no. 33 tahun 2012 tentang pemberian ASI eksklusif. Jakarta: Kementerian Hukum dan Hak Asasi Manusia; 202.

WHO. Global Nutrition Targets 2025: Breastfeeding Policy Brief. Geneva: WHO; 2014

Kementerian Kesehatan. Data dan informasi: profil kesehatan Indonesia 2017. Jakarta: Kementerian kesehatan RI; 2018.

Dinas Kesehatan Bandung. Profil kesehatan kota Bandung tahun 2016. Bandung: Dinas Kesehatan kota Bandung; 2016.

Abu-Abbas MW, Kassab MI, Shelash KI. Fathers and breastfeeding process: determining their role and attitudes. European Scientific Journal. 2016;12(18).

Nuzrina R, RoshitaA, Basuki DN. Factors affecting breastfeeding intention and its continuation among urban mothers in West Jakarta: a follow- up qualitative study using critical point contact for breastfeeding. Asia Pacific journal of clinical nutrition. 2016 Dec;25(Suppl 1):S43-S51.

Bich TH, Hoa DT, Ha NT, Vui le T, Nghia DT, Malqvist M. Father’s involvement and its effect on early breastfeeding practices in Viet Nam. Maternal & child nutrition. 2016 Oct;12(4):768- 77.

Abbass-Dick J, Stern SB, Nelson LE, Watson W, Dennis CL. Coparenting breastfeeding support and exclusive breastfeeding: a randomized controlled trial. Pediatrics. 2015 Jan;135(1):102- 10.

Lynn A. Rempel JKR, Katrina C. J. Moore. Relationships between types of father breastfeeding support and breastfeeding outcomes. Maternal and child nutrition. 2016;

Karen Glanz BKR, K. Viswanath. Health behavior and education: theory, research and practice. Orleans CT, editor. San Fransisco: Jossey-Bass A Wiley Imprint; 2008.

Perry AR, Langley C. Even with the best of intentions: paternal involvement and the theory of planned behavior. Family Process. 2013 Jun;52(2):179-92.

Shepherd L, Walbey C, Lovell B. The role of social-cognitive and emotional factors on exclusive breastfeeding duration. Journal of human lactation. 2017 Aug;33(3):606-13.

Falceto OG, Giugliani ER, Fernandes CL. Couples’ relationships and breastfeeding: is there an association?. J Hum Lact. 2004 Feb;20(1):46- 55.

de Montigny F, Larivière-Bastien D, Gervais C, St-Arneault K, Dubeau D, Devault A. Fathers’ Perspectives on their relationship with their infant in the context of breastfeeding. Journal of Family Issues. 2016;39(2):478-502.

Zvara BJ, Schoppe-Sullivan SJ, Dush CM. Fathers’ involvement in child health care: associations with prenatal involvement, parents’ beliefs, and maternal gatekeeping. Family Relations. 2013 Oct;62(4):649-61.

Abhinaya K, Arunprasath TS, Padmasani L.N. Father’s knowledge and attitude towards breast feeding. International Journal of Medical Research and Review. 2016;4(10):1778-85.

Mitchell-Box K, Braun KL, Hurwitz EL, Hayes DK. Breastfeeding attitudes: association between maternal and male partner attitudes and breastfeeding intent. Breastfeeding Medicine: The Official Journal of the Academy of Breastfeeding Medicine. 2013 Aug;8(4):368-73.

Emmott EH, Mace R. Practical support from fathers and grandmothers is associated with lower levels of breastfeeding in the UK millennium cohort study. PLoS One. 2015;10(7):e0133547.

Kementerian Pemberdayaan Perempuan dan Perlindungan Anak. Statistik gender tematik: profil generasi milenial indonesia. Jakarta: Kementerian Pemberdayaan Perempuan dan Perlindungan Anak; 2018.

Ajzen I. Perceived behavioral control, self- efficacy, locus of control, and the theory of planned behavior. Journal of Applied Social Psychology. 2002;32,4:665-83.

Ajzen I. The theory of planned behavior. Organizational Behavior And Human Decision Precesses. 1991;50(2):179-211.

Published
2020-12-31
Section
Articles