Aslam Henna, Kemp Lynn, Harris Elizabeth, Gilbert Emilee
Centre for Health Equity Training Research and Evaluation (CHETRE), part of the Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of NSW, Liverpool Hospital, Liverpool BC, New South Wales 1871, Australia.
J Paediatr Child Health. 2009 Nov;45(11):670-5. doi: 10.1111/j.1440-1754.2009.01593.x. Epub 2009 Oct 19.
To explore socio-cultural influences on migrant mother decisions and beliefs regarding co-sleeping as a risk factor for sudden infant death syndrome (SIDS).
Semi-structured interviews with five Indian-born women in a socio-economically disadvantaged suburb in the south-west of Sydney were conducted between September and December 2007. Transcripts were analysed using principles of discourse analysis.
Discourse analysis revealed that SIDS-related decisions and beliefs about co-sleeping as a risk factor for SIDS are constructed amid competing discourses of motherhood and child health. Mothers are either actively or unconsciously deciding how they negotiate or resist dominant Western discourses of motherhood and child health to make 'the best' health-related decisions for their children. Participants resisted acknowledging child sleep practices recommended by health practitioners, particularly recommendations to put to sleep the baby in its own cot. This resistance was expressed by constructing messages as 'inapplicable' and 'inappropriate'. Co-sleeping was constructed as a highly valued practice for its physical and social benefits to the child, mother and family by facilitating child security, breastfeeding, bonding and family connectedness.
This study illustrates how decisions and behaviour are shaped by socio-cultural influences embedded in discourses and context. It also shows that in-depth investigation through a social constructivist lens is particularly useful for investigating influences on knowledge acquisition, interpretation and implementation among migrant groups. A greater appreciation of the social meanings and ideologies attached to behaviours can help to ensure that the correct messages reach the correct populations, and that child health outcomes can be achieved and maintained both for overseas and Australian-born populations.
探讨社会文化因素对移民母亲关于同睡作为婴儿猝死综合征（SIDS）风险因素的决策和信念的影响。
2007年9月至12月期间，对悉尼西南部一个社会经济地位不利郊区的五名印度出生的女性进行了半结构化访谈。使用话语分析原则对访谈记录进行了分析。
话语分析表明，与SIDS相关的关于同睡作为SIDS风险因素的决策和信念是在母性和儿童健康的相互竞争的话语中构建的。母亲们要么积极地要么无意识地决定如何协商或抵制西方占主导地位的母性和儿童健康话语，以便为孩子做出“最佳”的与健康相关的决策。参与者拒绝承认健康从业者推荐的儿童睡眠习惯，特别是将婴儿放在自己婴儿床睡觉的建议。这种抵制通过将信息构建为“不适用”和“不合适”来表达。同睡因其对儿童、母亲和家庭的身体和社会效益而被构建为一种高度重视的做法，它有助于保障儿童安全、母乳喂养、建立亲密关系和家庭联系。
本研究说明了决策和行为是如何受到话语和背景中所蕴含的社会文化影响的塑造。它还表明，通过社会建构主义视角进行深入调查对于研究移民群体中知识获取、解释和实施的影响特别有用。更深入地理解与行为相关的社会意义和意识形态有助于确保正确的信息传达给正确的人群，并确保海外出生和澳大利亚出生的人群都能实现并维持良好的儿童健康结果。
