加拿大安大略省非洲、加勒比和黑人HIV阳性母亲做出婴儿喂养选择的经历。
The experiences of making infant feeding choices by African, Caribbean and Black HIV-positive mothers in Ontario, Canada.
作者信息
Kapiriri Lydia, Tharao Wangari Esther, Muchenje Marvelous, Masinde Khatundi Irene, Siegel Sandi, Ongoiba Fanta
机构信息
Department of Health, Aging and Society, McMaster University, Hamilton, Ontario, Canada.
Research coordinator, Women's Health in Women's Hands, Toronto, Ontario, Canada.
出版信息
World Health Popul. 2014;15(2):14-22. doi: 10.12927/whp.2014.23860.
UNLABELLED
Mothers in HIV-endemic countries are advised to exclusively breastfeed their babies until six months because of lack of resources and better chances for child survival, while in developed countries, replacement feeding is advised. What are the experiences of HIV-positive women who migrate from HIV-endemic countries to developed countries, when making infant feeding choices?
METHODS
In-depth interviews and focus group discussions with a total of 25 women living with HIV in Toronto and Hamilton, Ontario.
RESULTS
Free infant formula alleviates the practical constraints in making infant feeding choices. However, cultural beliefs and social expectations constrain HIV-positive mothers' decision not to breastfeed. This is further complicated by the different policies. Service providers should understand the psychological and emotional experiences of the mothers in order to provide the appropriate support. Peers could be potential sources of support. The differences in policies are issues of global justice that need to be addressed.
未标注
由于资源匮乏以及孩子生存几率更高，艾滋病流行国家的母亲被建议纯母乳喂养婴儿至六个月，而在发达国家，则建议采用替代喂养。从艾滋病流行国家移民到发达国家的艾滋病毒呈阳性的女性在做出婴儿喂养选择时会有怎样的经历呢？
方法
对安大略省多伦多市和汉密尔顿市的25名感染艾滋病毒的女性进行深入访谈和焦点小组讨论。
结果
免费婴儿配方奶粉缓解了做出婴儿喂养选择时的实际限制。然而，文化信仰和社会期望限制了艾滋病毒呈阳性母亲不进行母乳喂养的决定。不同的政策使情况更加复杂。服务提供者应了解母亲们的心理和情感经历，以便提供适当的支持。同龄人可能是潜在的支持来源。政策差异是需要解决的全球公平问题。
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