采用社会生态方法对拉丁裔母亲母乳喂养情况的研究：一项探索性研究
Context of Breastfeeding among Latina Mothers using a Social-ecological Approach: An Exploratory Study.
作者信息
Ma Alice, Merçon-Vargas Elisa A, Chambers Brittany D, Nyambe Monde, Williams Tiffany A
机构信息
Department of Applied Health, Southern Illinois University Edwardsville, Edwardsville, IL, 62025-1126, USA.
Department of Social and Developmental Psychology, Federal University of Espírito Santo, Vitória, Espírito Santo, 29075-073, Brazil.
出版信息
J Public Health Issues Pract. 2018;2. Epub 2018 Nov 23.
BACKGROUND
Emerging research has begun to examine the breastfeeding experiences among racial/ethnic minority women. However, limited research to date has explored the potential factors that impact Latina mothers' breastfeeding through a multi-level lens. We examined the context of breastfeeding among Latina mothers in an exploratory study.
METHODS
We conducted semi-structured interviews with a convenience sample of 9 Latina mothers. Guided by the social-ecological model, thematic content analysis was used.
RESULTS
Latina mothers described individual- (e.g., knowledge of breastfeeding), interpersonal- (e.g., social support and norms), institutional- (e.g., healthcare system), and community-level (e.g., cultural norms) influences on their breastfeeding. Mothers recommended provision of bilingual and bicultural health professionals, information on US breastfeeding norms, and Latino-friendly informational materials in other languages.
CONCLUSIONS
Considering the multi-level factors that shape Latina mothers' breastfeeding is essential to develop and implement culturally tailored initiatives and facilitate access to breastfeeding support to improve maternal and infant health.
背景
新兴研究已开始审视少数族裔女性的母乳喂养经历。然而，迄今为止，通过多层次视角探究影响拉丁裔母亲母乳喂养的潜在因素的研究有限。我们在一项探索性研究中考察了拉丁裔母亲的母乳喂养情况。
方法
我们对9名拉丁裔母亲的便利样本进行了半结构化访谈。以社会生态模型为指导，采用了主题内容分析法。
结果
拉丁裔母亲描述了个人层面（如母乳喂养知识）、人际层面（如社会支持和规范）、机构层面（如医疗保健系统）和社区层面（如文化规范）对其母乳喂养的影响。母亲们建议提供双语和双文化的健康专业人员、关于美国母乳喂养规范的信息以及其他语言的适合拉丁裔的宣传材料。
结论
考虑塑造拉丁裔母亲母乳喂养的多层次因素对于制定和实施符合文化特点的举措以及促进获得母乳喂养支持以改善母婴健康至关重要。
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