Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Anthropology, University of Toronto, Mississauga, Ontario, Canada.
BMJ Open. 2021 Jan 29;11(1):e043476. doi: 10.1136/bmjopen-2020-043476.
Prudent infant nutrition, including exclusive breastfeeding to 6 months, is essential for optimal short-term and long-term health. Quantitative research to date has documented that many Indigenous communities have lower breastfeeding rates than the general population and that this gap in breastfeeding initiation and maintenance may have an important impact on chronic disease risk later in life. However, there are critical knowledge gaps in the literature regarding factors that influence infant feeding decisions. Qualitative research on infant feeding experiences provides a broader understanding of the challenges that Indigenous caregivers encounter, and insights provided by this approach are essential to identify research gaps, community engagement strategies, and programme and policy development. The objective of this review is to summarise the qualitative literature that describes breastfeeding and other infant feeding experiences of Indigenous caregivers.
This scoping review will follow guidelines from Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews, the Joanna Briggs Institute and the methodological framework from Arksey and O'Malley. In October 2020, we will conduct an electronic database search using Medline, Embase, The Cumulative Index to Nursing & Allied Health Literature (CINAHL), PsycINFO, and Scopus, and will focus on qualitative studies. Publications that have a focus on infant feeding in Canada, the USA, Australia and New Zealand, and the Indigenous caregiver experience from the caregiver perspective, will be included. We will conduct a grey literature search using Indigenous Studies Portal, country-specific browser searches, and known government, association, and community websites/reports. We will map themes and concepts of the publications, including study results and methodologies, to identify research gaps, future directions, challenges and best practices in this topic area.
Ethical approval is not required for this review as no unpublished primary data will be included. The results of this review will be shared through peer-reviewed publications and conference presentations. This protocol is registered through the Open Science Framework (osf.io/4su79).
谨慎的婴儿营养，包括 6 个月的纯母乳喂养，对短期和长期健康至关重要。迄今为止的定量研究记录表明，许多土著社区的母乳喂养率低于一般人群，而母乳喂养的开始和维持方面的差距可能对以后生活中的慢性疾病风险产生重要影响。然而，文献中关于影响婴儿喂养决策的因素存在重大知识差距。关于婴儿喂养经验的定性研究提供了对土著照顾者所面临挑战的更广泛理解，这种方法提供的见解对于确定研究差距、社区参与策略以及方案和政策制定至关重要。本综述的目的是总结描述土著照顾者母乳喂养和其他婴儿喂养经验的定性文献。
本范围综述将遵循系统评价和元分析扩展的首选报告项目、乔安娜·布里格斯研究所以及阿凯和奥马利方法框架的指南。2020 年 10 月，我们将使用 Medline、Embase、护理与联合健康文献累积索引（CINAHL）、PsycINFO 和 Scopus 进行电子数据库搜索，并将重点放在定性研究上。出版物的重点是在加拿大、美国、澳大利亚和新西兰的婴儿喂养，以及从照顾者角度看待的土著照顾者经验，将被包括在内。我们将使用土著研究门户、国家特定的浏览器搜索以及已知的政府、协会和社区网站/报告进行灰色文献搜索。我们将对出版物的主题和概念进行映射，包括研究结果和方法，以确定该主题领域的研究差距、未来方向、挑战和最佳实践。
由于本综述不包括未发表的原始数据，因此不需要伦理批准。本综述的结果将通过同行评议的出版物和会议演讲来分享。本方案在开放科学框架（osf.io/4su79）上注册。
