Knowledge, attitude, and perception of 6-month exclusive breastfeeding supporting behaviors of husband in the northeast region: A study in tertiary hospitals


  • Thiwawan Thepha PhD, RN


knowledge, attitude, behavior, exclusive breastfeeding, husband


Breastfeeding benefits mothers and babies. The husband's level of knowledge, attitude and behavior influenced. Husband's level of knowledge, attitude, and behaviors influence 6-month exclusive breastfeeding. This cross-sectional descriptive research aimed to study levels and correlations of knowledge, attitude, and perception of 6-month exclusive breastfeeding supporting behaviors among husbands of wife giving birth at government tertiary hospitals in Khon Kaen Province. The research instruments were 4 questionnaires (a demographic questionnaire, a husband breastfeeding knowledge questionnaire, a husband breastfeeding attitude questionnaire, a husband’s perception of breastfeeding supporting behaviors questionnaire). Sample were husband of wife giving birth at Khon Kaen Hospital and Srinagarin between October 2020 – March 2021. Data were analyzed for frequency, percentage, mean, standard deviation, and Pearson correlation coefficient. Results revealed that 185 men were participated. Most of the participants were aged between 19-29 years (46.49%). One third of the participants had a high school/vocational level education (31.35%) and have income of 10,001-20,000 baht per month (37.84%). More than half of the participants had children (51.59%) and experienced breastfeeding (53.51%). Most had moderate level of husband’s knowledge (mean=19.32, SD=4.82) and moderate level of husbands’ attitude (mean=68.58, SD=10.24). Number of husbands who had moderate level was equal to those who had high level of perception of breastfeeding supporting behaviors (mean=108.81, SD=20.39). Knowledge was statistically significant positive correlated with attitude and perception of behavior (r=0.478 and 0.342, respectively).  In addition, attitude had statistically significant positive correlation with behavior (r=0.553). These results can be further utilized as primary information to promote 6-month exclusive breastfeeding supporting behavior among husbands, as well as to develop education programs and promote husbands’ proper behaviors.


Download data is not yet available.


Couto RG, Dias V, Oliveira LI. Benefits of exclusive breastfeeding: An integrative review. Nursing Practice Today 2020; 7(4): 245-54.

Thophothai T, Thaijinda C, Seartgaikul N, Phuthasri V, Bunthumchareung K, Prakrongsai, P, et al. The study of perception of exclusive breastfeeding promotion and powdered advertisement with knowledge, attitude and decision of mother and relative. Thailand: International health policy program, Ministry of Public Health; 2013. (in Thai)

Semrau K, Kuhn L, Brooks RD, Cabral H, Sinkala M, Kankasa C, et al. Exclusive breastfeeding, maternal HIV disease, and the risk of clinical breast pathology in HIV-infected, breastfeeding women. Am J Obstet Gynecol 2011; 205(344): e1-8.

Tamiru D, Belachew T, Loha E, Mohammed S. Sub-optimal breastfeeding of infants during the first six months and associated factors in rural communities of Jimma Arjo Woreda, southwest Ethiopia. BioMed Central Public Health 2012; v12(363).

WHO. Exclusive breastfeeding. [Database on internet]; 2017 [cited 2019 Nov 28]. Available from: /nutrition/ breastfeeding/en/

Officeof the National Economic andSocial Development Board. [Database on internet]; 2021 [cited 2021 Sep 20]. 12th national economic andsocialdevelopmentplanof Thailand 2017-2021. Bangkok: Office of the Prime Minister.

Available from:

National Statistical Office Thailand (NSO). Multiple indicator cluster survey: MICS4. Bangkok: Statistical forecasting bureau; 2013.

National Statistical Office Thailand (NSO). Thailand multiple indicator cluster survey 2015-2016: Bangkok: Statistical forecasting bureau; 2016.

Thepha T, Marais D, Bell J, Muangpin S. Facilitators and barriers to exclusive breastfeeding in Thailand: A narrative review. Journal of Community and Public Health Nursing 2017; 3(1): 1000160. (in Thai)

Mahesh PKB, Gunathunga MW, Arnold SM, Jayasinghe C, Pathirana S, Makarim MF, et al. Effectiveness of targeting fathers for breastfeeding promotion: systematic review and meta-analysis. BMC Public Health 2018; 18: 1140. Available from: /s12889-018-6037-x

Jama A, Gebreyesus H, Wubayehu T, Gebregyorgis T, Teweldemedhin M, Berhe T, et al. Exclusive breastfeeding for the first six months of life and its associated factors among children age 6-24 months in Burao district, Somaliland. International Breastfeeding Journal 2020; 15(5): 1-8.

Merida Y, Ernawati D. Husband support on working mothers in giving exclusive breastfeeding. Proceedings of the 5th University as Ahmad Dahlan Public Health Conference. Advances in Health Sciences Research 2019; 24: 206-10.

Ouyang YQ, Nasrin L. Father’s knowledge, attitude and support to mother’s exclusive breastfeeding practices in Bangladesh: A multi-group structural equations model analysis. Healthcare 2021; 9(3): 276. Available from:

Kaewjanta N, Rungreangkulki S. Working-age northeastern Thai males’ perception of

causes of depression. Thai Journal of Nursing Council 2020; 35(4): 18-34. (in Thai)

Bano R, AlShammari E, Fatima BS, Al-Shammari AN. A comparative study of knowledge, attitude, practice of nutrition and non-nutrition student towards a balanced diet in Hail University. Journal of Nursing and Health Science 2013; 2(3): 29-36.

Wang R, Yang Y, Chen R, Kan H, Wu J, Wang K, et al. Knowledge, attitudes, and practices (KAP) of the relationship between air pollution and children’s respiratory health in Shanghai, China. International Journal of Environmental Research and Public Health 2015; 12: 1834-48.

Panbangpra S, Sangperm P. Knowledge, attitude, and practice of breastfeeding promotion among nurse in private hospitals. Nursing Science Journal of Thailand 2013; 31(1): 70-9. (in Thai)

Kieser M. Methods and applications of sample size calculation and recalculation in clinical trials. Institute of medical biometry and informatics. German: Springer; 2020.

Bich HT, Coung MN. Changes in knowledge, attitude and involvement of fathers in supporting exclusive breastfeeding: A community-based intervention study in a rural area of Vietnam. International Journal of Public Health 2017; 62 Suppl 1: 17-26.

Bich T. Changes in paternal knowledge, attitudes and practice in supporting the first 6 months’ exclusive breastfeeding: Results of a community-based intervention applied social cognitive theory. Journal of Public Health and Development 2017; 1(2): 19–28.

LaMorte WW. Module 9 - Correlation and Regression Evaluating Association Between Two Continuous Variables [Database on internet]; 2021 [cited 2021 Sep 19]. USA: Boston University School of Public Health. Available from: otlt/MPH-Modules/PH717-QuantCore/ PH717-Module9-Correlation-Regression/ PH717-Module9-Correlation-Regression4. html

Jasny E, Amor H, Baali A. Mothers’ knowledge and intentions of breastfeeding in Marrakech, Morocco. Archives de Pédiatrie 2019; 26(5): 285-9.

Binti Ramzaa WIA, Sugumar MAP, Ahmad NB, Lim PY. Factors associated with knowledge and attitude of breastfeeding among staff of faculty of Medicine and Health sciences, Universiti putra Malaysia. Malaysian Journal Of Medicine And Health Sciences 2019; 15: 51–7.

Flacking R, Nyqvist KH, Ewald U. Effects of socioeconomic status on breastfeeding duration in mothers of preterm and term infants. European Journal of Public Health 2007; 17(6): 579–84.

Brown A, Davies R. Fathers’ experiences of supporting breastfeeding: challenges for breastfeeding promotion and education. Maternal and Child Nutrition 2014; 10: 510-26.

Bich HT, Hoa PTD, Ha HT, Vui TL, Nghia TD, Malqvist M. Father’s involvement and its effect on early breastfeeding practices in Viet Nam. Maternal and Child Nutrition 2016; 12(4): 768–77.

Ng RWL, Shorey S, He HG. Integrative review of the factors that influence fathers’ involvement in the breastfeeding of their infants. Journal of Obstetric, Gynecologic & Neonatal Nursing 2019; 48(1): 16–26.

Tadesse K, Zelenko O, Mulugeta A, Gallegos D. Effectiveness of breastfeeding interventions delivered to fathers in low- and middle-income countries: A systematic review. Maternal and Child Nutrition 2018; 14(4): e12612. doi: 10.1111/mcn.12612.

Kaewpoung S, Deoisres W SW. Influencing of perception of pregnancy risk, knowledge, and attitude on preconception health behaviours among pregnant women. The Journal of Faculty of Nursing Burapha University 2018; 26(2): 57-66. (in Thai)



How to Cite

Thepha T. Knowledge, attitude, and perception of 6-month exclusive breastfeeding supporting behaviors of husband in the northeast region: A study in tertiary hospitals. JNSH [Internet]. 2021 Sep. 30 [cited 2022 Dec. 3];44(3):17-33. Available from:



Research Article