The aim of this study was to compare the health-related quality of life of fathers under different infant feeding type scenarios. The Medical Outcomes Study 36-item Short-Form was used to measure the health-related quality of life of 1,699 fathers, and the scores were used to look for associations with different infant feeding methods. Multivariable linear regression analysis was used to explore the contribution of the other potential related factors on fathers’ quality of life. After controlling for confounding factors, fathers whose infants were ever being breast-fed reported lower scores than fathers whose infants were bottle-fed. Except for the infant feeding pattern, having a job, higher family income, and being the major caregiver were positively related to the father’s quality of life. Fathers may not benefit during breast-feeding process. Because fathers’ involvement plays an important role in the success of breast-feeding, the development of interventions that enable fathers to support their breast-feeding partner is very important.
Alonso, J., Ferrer, M., Gandek, B., Ware, J.E., Jr., Aaronson, N.K., Mosconi, P., et al. (2004). Health-related quality of life associated with chronic conditions in eight countries: Results from the International Quality of Life Assessment (IQOLA) Project. Quality of Life Research, 13, 283-298.
2.
Bar-Yam, N.B., & Darby, L. ( 1997). Fathers and breastfeeding: A review of the literature . Journal of Human Lactation, 13, 45-50.
3.
Chen, Y.C., Chie, W.C., Kuo, S.C., Lin, Y.H., Lin, S.J., & Chen, P.C. ( 2007). The association between infant feeding pattern and mother’s quality of life in Taiwan. Quality of Life Research, 16, 1281-1288.
4.
Chuang, C.H., Chang, P.J., Hsieh, W.S., Guo, Y.L., Lin, S.H., Lin, S.J., et al. (2007). The combined effect of employment status and transcultural marriage on breast feeding: A population-based survey in Taiwan. Paediatric and Perinatal Epidemiology, 21, 319-329.
5.
Chuang, C.H., Hsieh, W.S., Guo, Y.L., Tsai, Y.J., Chang, P.J., Lin, S.J., et al. (2007). Chinese herbal medicines used in pregnancy: A population-based survey in Taiwan. Pharmacoepidemiology and Drug Safety, 16, 464-468.
6.
Coleman, W.L., & Garfield, C. ( 2004). Fathers and pediatricians: Enhancing men’s roles in the care and development of their children. Pediatrics , 113, 1406-1411.
7.
Condon, J.T., Boyce, P., & Corkindale, C.J. (2004). The first-time fathers study: A prospective study of the mental health and wellbeing of men during the transition to parenthood. Australian and New Zealand Journal of Psychiatry, 38, 56-64.
8.
Directorate General of Budget, Accounting and Statistics. ( 2004). 2004 Survey of Family Income and Expenditure in Taiwan Area. Taipei, Taiwan: Author.
9.
Dubowitz, H., Black, M.M., Cox, C.E., Kerr, M.A., Litrownik, A.J., Radhakrishna, A., et al. (2001). Father involvement and children’s functioning at age 6 years: A multisite study. Child Maltreatment , 6, 300-309.
10.
Earle, S. ( 2002). Factors affecting the initiation of breastfeeding: Implications for breastfeeding promotion. Health Promotion International , 17, 205-214.
11.
Fagerskiold, A. ( 2006). Support of fathers of infants by the child health nurse . Scandinavian Journal of Caring Sciences, 20, 79-85.
Gamble, D., & Morse, J.M. ( 1993). Fathers of breastfed infants: Postponing and types of involvement. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 22, 358-365.
14.
Garfield, C.F., Clark-Kauffman, E., & Davis, M.M. ( 2006). Fatherhood as a component of men’s health. Journal of the American Medical Association, 296, 2365-2368.
15.
Garfield, C.F., & Isacco, A. ( 2006). Fathers and the well-child visit. Pediatrics , 117, e637-e645.
16.
Gartner, L.M., Morton, J., Lawrence, R.A., Naylor, A.J., O’Hare, D., Schanler, R.J., et al. (2005). Breastfeeding and the use of human milk . Pediatrics, 115, 496-506.
17.
Giugliani, E.R., Bronner, Y., Caiaffa, W.T., Vogelhut, J., Witter, F.R., & Perman, J.A. ( 1994). Are fathers prepared to encourage their partners to breast feed? A study about fathers’ knowledge of breast feeding. Acta Paediatrica, 83, 1127-1131.
18.
Hedov, G., Anneren, G., & Wikblad, K. ( 2000). Self-perceived health in Swedish parents of children with Down’s syndrome. Quality of Life Research, 9, 415-422.
19.
Huang, I.C., Wu, A.W., & Frangakis, C. ( 2006). Do the SF-36 and WHOQOL-BREF measure the same constructs? Evidence from the Taiwan population. Quality of Life Research , 15, 15-24.
20.
Ingram, J., Johnson, D., & Greenwood, R. ( 2002). Breastfeeding in Bristol: Teaching good positioning, and support from fathers and families. Midwifery, 18, 87-101.
21.
Jordan, P.L. ( 1986). Breastfeeding as a risk factor for fathers. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 15, 94-97.
22.
Jordan, P.L., & Wall, V.R. ( 1990). Breastfeeding and fathers: Illuminating the darker side . Birth, 17, 210-213.
23.
Jordan, P.L., & Wall, V.R. ( 1993). Supporting the father when an infant is breastfed. Journal of Human Lactation, 9, 31-34.
24.
Levy-Shiff, R., Hoffman, M.A., Mogilner, S., Levinger, S., & Mogilner, M.B. (1990). Fathers’ hospital visits to their preterm infants as a predictor of father-infant relationship and infant development. Pediatrics, 86, 289-293.
25.
Morrell, C.J., Spiby, H., Stewart, P., Walters, S., & Morgan, A. ( 2000). Costs and effectiveness of community postnatal support workers: Randomised controlled trial. British Medical Journal , 321, 593-598.
26.
Pisacane, A., Continisio, G.I., Aldinucci, M., D’Amora, S., & Continisio, P. (2005). A controlled trial of the father’s role in breastfeeding promotion. Pediatrics , 116, e494-498.
27.
Pleck, E.H., & Pleck, J.H. ( 1997). Fatherhood Ideals in the United States: Historical Dimensions . In M. E. Lamb (Ed.), The role of the father in child development (pp. 33-48). New York: Wiley.
28.
Pontes, C.M., Alexandrino, A.C., & Osorio, M.M. ( 2008). The participation of fathers in the breastfeeding process: Experiences, knowledge, behaviors and emotions. Journal of Pediatrics, 84, 357-364.
29.
Sears, W. ( 1992). The father’s role in breastfeeding. NAACOGS: Clinical Issues in Perinatal & Women’s Health Nursing, 3, 713-716.
30.
Sharma, M., & Petosa, R. ( 1997). Impact of expectant fathers in breast-feeding decisions . Journal of the American Dietetic Association, 97, 1311-1313.
31.
Shepherd, C.K., Power, K.G., & Carter, H. ( 2000). Examining the correspondence of breastfeeding and bottle-feeding couples’ infant feeding attitudes. Journal of Advanced Nursing, 31, 651-660.
32.
Tseng, H., Lu, J., & Tasi, Y. ( 2003a). Assessment of health-related quality of life in Taiwan (I): Development and Psychometric Testing of SF-36 Taiwan Version. Taiwan Journal of Public Health, 22, 501-511.
33.
Tseng, H., Lu, J., & Tasi, Y. ( 2003b). Assessment of health-related quality of life in Taiwan (Π): Norming and validation of SF-36 Taiwan version. Taiwan Journal of Public Health, 22, 512-518.
34.
Voss, S., Finnis, L., & Manners, J. ( 1993). Fathers and breast feeding: A pilot observational study . Journal of the Royal Society of Health, 113, 176-180.
35.
Ware, J.E. Jr, & Sherbourene, C.D. (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care, 30, 473-483.
36.
Ware, J.E. Jr, Snow, K.K., Konsinski, M., & Gandek, B. ( 1993) SF-36 Health Survey: Manual and Interpretation Guide. Boston, Mass: The Health Institute, New England Medical Center.
37.
Whelan, A., & Lupton, P. ( 1998). Promoting successful breast feeding among women with a low income. Midwifery, 14, 94-100.
38.
Whelan, T.A., & Lally, C.M.E. ( 2002). Paternal Commitment and father’s quality of life . Journal of Family Studies, 8, 181-196.
39.
World Health Organization. (2005). The World health report: 2005: Make every mother and child count. Washington, DC: Author.
40.
Wolfberg, A.J., Michels, K.B., Shields, W., O’Campo, P., Bronner, Y., & Bienstock, J. ( 2004). Dads as breastfeeding advocates: Results from a randomized controlled trial of an educational intervention. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 191, 708-712.
41.
Yamazaki, S., Sokejima, S., Mizoue, T., Eboshida, A., & Fukuhara, S. ( 2005). Health-related quality of life of mothers of children with leukemia in Japan. Quality of Life Research, 14, 1079-1085.
42.
Yogman, M.W., Kindlon, D., & Earls, F. ( 1995). Father involvement and cognitive/behavioral outcomes of preterm infants. Journal of the American Academy of Child & Adolescent Psychiatry, 34, 58-66.
