School of Medicine, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, 2522, Australia.
School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, 2522, Australia.
Women Birth. 2021 Jul;34(4):309-315. doi: 10.1016/j.wombi.2020.06.012. Epub 2020 Jul 9.
Breastfeeding provides the healthiest start to life, but breastfeeding rates amongst Aboriginal and Torres Strait Islanders is lower than non-Indigenous women.
To assess the accuracy, quality and appropriate presentation of online breastfeeding information for Aboriginal and Torres Strait Islander women in Australia.
An online search conducted in Google, Bing and Yahoo search engines to identify any breastfeeding websites that provided information for Aboriginal and Torres Strait Islander women. Relevant websites were evaluated against: a) National Health and Medical Research Council clinical guidelines, b) the quality of health information on the Internet by using DISCERN instrument, and c) appropriate key design features for Aboriginal and Torres Strait Islander women.
The search located 348 sites with 31 being eligible for inclusion. Websites from governmental organizations had the highest accuracy while YouTube videos had the lowest accuracy. Three quarters (74%, n=23) of sites incorporated the national clinical guidelines adequately, and most of the sites (77.8%, n=24) were considered high quality. Only 23% (n=7) of sites had sufficient key design features appropriate for Aboriginal and Torres Strait Islander women. Four websites were considered exemplary for their accuracy, quality and cultural appropriateness of information for Aboriginal and Torres Strait Islander women.
Some websites are tailored to provide breastfeeding information and support to Aboriginal and Torres Strait Islander women. However, only a few contain culturally appropriate key design features. Further participatory action research is required to design online platforms for women from different cultural backgrounds that take into account cultural principles, beliefs and values.
母乳喂养为生命提供了最健康的开端，但原住民和托雷斯海峡岛民的母乳喂养率低于非原住民女性。
评估澳大利亚原住民和托雷斯海峡岛民妇女的在线母乳喂养信息的准确性、质量和适当呈现。
在 Google、Bing 和 Yahoo 搜索引擎中进行在线搜索，以确定为原住民和托雷斯海峡岛民妇女提供信息的任何母乳喂养网站。根据以下标准评估相关网站：a）国家健康和医学研究委员会临床指南，b）使用 DISCERN 工具评估互联网健康信息的质量，以及 c）为原住民和托雷斯海峡岛民妇女提供适当的关键设计特征。
搜索共找到 348 个网站，其中 31 个符合纳入标准。政府组织的网站准确性最高，而 YouTube 视频的准确性最低。四分之三（74%，n=23）的网站充分纳入了国家临床指南，大多数网站（77.8%，n=24）被认为是高质量的。只有 23%（n=7）的网站具有足够的关键设计特征，适合原住民和托雷斯海峡岛民妇女。有四个网站因其为原住民和托雷斯海峡岛民妇女提供信息的准确性、质量和文化适宜性而被认为是典范。
一些网站专门为原住民和托雷斯海峡岛民妇女提供母乳喂养信息和支持。然而，只有少数网站包含文化适宜的关键设计特征。需要进一步进行参与式行动研究，以设计适合不同文化背景的妇女的在线平台，同时考虑到文化原则、信仰和价值观。
