Rayment Juliet, McCourt Christine, Vaughan Lisa, Christie Janice, Trenchard-Mabere Esther
Centre for Maternal and Child Health Research, City University London, London, EC1V 0HB, UK.
University of Queensland, Brisbane, Queensland, 4072, Australia.
Matern Child Nutr. 2016 Jul;12(3):484-99. doi: 10.1111/mcn.12169. Epub 2015 Feb 16.
This study examined the main factors that influence Bangladeshi women living in London's decisions to partially breastfeed their children, including the influence of older women within the community. Fifty-seven women of Bangladeshi origin living in the London Borough of Tower Hamlets took part in seven discussion groups between April and June 2013. Five groups were held with women of child-bearing age and two groups with older women in the community. A further eight younger women and three older women took part in one-on-one interviews. Interviews were also carried out with eight local health care workers, including public health specialists, peer support workers, breastfeeding coordinators and a health visitor. The influences on women's infant feeding choices can be understood through a 'socio-ecological model', including public health policy; diverse cultural influences from Bangladesh, London and the Bangladeshi community in London; and the impacts of migration and religious and family beliefs. The women's commitment to breastfeeding was mediated through the complexity of their everyday lives. The tension between what was 'best' and what was 'possible' leads them not only to partially breastfeed but also to sustain partial breastfeeding in a way not seen in other socio-cultural groups in the United Kingdom.
本研究调查了影响居住在伦敦的孟加拉裔女性选择部分母乳喂养其子女的主要因素，包括社区中年长女性的影响。2013年4月至6月期间，57名居住在伦敦塔哈姆雷区的孟加拉裔女性参加了7个讨论小组。其中5个小组由育龄女性组成，2个小组由社区中的年长女性组成。另有8名年轻女性和3名年长女性参与了一对一访谈。同时还对8名当地医护人员进行了访谈，包括公共卫生专家、同伴支持工作者、母乳喂养协调员和一名健康访视员。对女性婴儿喂养选择的影响可以通过“社会生态模型”来理解，包括公共卫生政策；来自孟加拉国、伦敦以及伦敦孟加拉裔社区的多元文化影响；以及移民、宗教和家庭信仰的影响。女性对母乳喂养的坚持受到她们日常生活复杂性的调节。“最佳选择”与“可行选择”之间的矛盾不仅导致她们选择部分母乳喂养，还使得她们以一种在英国其他社会文化群体中未见的方式维持部分母乳喂养。
