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超重或肥胖、低收入、西班牙裔产后 1 个月妇女的文化适应、文化价值观与母乳喂养。

Acculturation, Cultural Values, and Breastfeeding in Overweight or Obese, Low-Income, Hispanic Women at 1 Month Postpartum.

机构信息

1 College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA.

2 School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.

出版信息

J Hum Lact. 2018 May;34(2):358-364. doi: 10.1177/0890334417753942. Epub 2018 Mar 15.

DOI:10.1177/0890334417753942
PMID:29543552
Abstract

BACKGROUND

Most Hispanic infants are fed formula during the first 6 weeks, and although 80% of Hispanic women initiate breastfeeding, rates of exclusive breastfeeding are much lower. Research aim: The purpose was to examine the influence of acculturation and cultural values on the breastfeeding practices of pregnant women of Mexican descent participating in the Special Supplemental Nutrition Program for Women, Infants, and Children who were enrolled in a prospective randomized clinical trial that aimed to reduce child obesity. The data were abstracted from a larger randomized clinical trial focused on prevention of child obesity.

METHODS

The sample consisted of 150 women of Mexican origin who were enrolled at the time of these analyses from the randomized clinical trial and had a prepregnancy body mass index of ≥ 25 and spoke English and/or Spanish. All breastfeeding data for this report came from data collection at 1 month postpartum.

RESULTS

A higher score on the Anglo orientation scale of the Acculturation Rating Scale for Mexican Americans was associated with less breastfeeding at 1 month postpartum and less exclusive breastfeeding.

CONCLUSION

Acculturation plays a role in breastfeeding practice. Exploring acculturation associated with breastfeeding can guide us to design culturally relevant interventions to promote breastfeeding exclusivity among immigrant mothers.

摘要

背景

大多数西班牙裔婴儿在出生后的前 6 周内接受配方奶粉喂养,尽管 80%的西班牙裔妇女开始母乳喂养,但纯母乳喂养的比例要低得多。

研究目的

本研究旨在探讨文化适应和文化价值观对参加妇女、婴儿和儿童特别补充营养计划的墨西哥裔孕妇母乳喂养行为的影响,这些孕妇参与了一项旨在减少儿童肥胖的前瞻性随机临床试验。本研究的数据是从一项关注预防儿童肥胖的更大规模随机临床试验中提取的。

方法

本样本由 150 名在这些分析时参加随机临床试验的墨西哥裔妇女组成,这些妇女在妊娠前的体重指数≥25,并且会说英语和/或西班牙语。本报告中的所有母乳喂养数据均来自产后 1 个月的收集。

结果

墨西哥裔美国人文化适应评定量表的盎格鲁取向量表得分较高与产后 1 个月母乳喂养较少和纯母乳喂养较少有关。

结论

文化适应在母乳喂养实践中起作用。探讨与母乳喂养相关的文化适应可以指导我们设计具有文化相关性的干预措施,以促进移民母亲的纯母乳喂养。

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