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谦逊与安全感:与舒适感及参与远程哺乳意愿相关的特质。

Modesty and Security: Attributes Associated with Comfort and Willingness to Engage in Telelactation.

作者信息

Louis-Jacques Adetola F, Schafer Ellen J, Livingston Taylor A, Logan Rachel G, Marhefka Stephanie L

机构信息

Department of Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, Tampa, FL 33606, USA.

College of Nursing, University of South Florida, Tampa, FL 33612, USA.

出版信息

Children (Basel). 2021 Apr 1;8(4):271. doi: 10.3390/children8040271.

Abstract

The objectives were to identify conditions under which mothers may be willing to use telelactation and explore associations between participant characteristics, willingness, and beliefs regarding telelactation use. Mothers 2-8 weeks postpartum were recruited from two Florida maternal care sites and surveyed to assess demographics, breastfeeding initiation, and potential telelactation use. Analyses included descriptive statistics and logistic regression models. Of the 88 participants, most were white, married, earned less than USD 50,000 per year, had access to technology, and were willing to use telelactation if it was free (80.7%) or over a secure server (63.6%). Fifty-six percent were willing to use telelactation if it involved feeding the baby without a cover, but only 45.5% were willing if their nipples may be seen. Those with higher odds of willingness to use telelactation under these modesty conditions were experienced using videochat, white, married, and of higher income. Mothers with security concerns had six times the odds of being uncomfortable with telelactation compared to mothers without concerns. While telelactation can improve access to critical services, willingness to use telelactation may depend on conditions of use and sociodemographics. During the COVID-19 pandemic and beyond, these findings offer important insights for lactation professionals implementing virtual consultations.

摘要

研究目的是确定母亲可能愿意使用远程哺乳的条件,并探讨参与者特征、意愿以及对远程哺乳使用的信念之间的关联。从佛罗里达州的两个孕产妇护理场所招募产后2至8周的母亲,并对其进行调查,以评估人口统计学特征、母乳喂养开始情况以及潜在的远程哺乳使用情况。分析包括描述性统计和逻辑回归模型。在88名参与者中,大多数是白人、已婚,年收入低于5万美元,能够使用技术,并且如果远程哺乳免费(80.7%)或通过安全服务器进行(63.6%),他们愿意使用。如果远程哺乳涉及不遮盖喂养婴儿,56%的人愿意使用,但如果乳头可能被看到,只有45.5%的人愿意。在这些注重隐私的条件下,愿意使用远程哺乳可能性较高的人是有视频聊天经验的、白人、已婚且收入较高的人。与没有安全担忧的母亲相比,有安全担忧的母亲对远程哺乳感到不舒服的几率高出六倍。虽然远程哺乳可以改善关键服务的可及性,但使用远程哺乳的意愿可能取决于使用条件和社会人口统计学特征。在新冠疫情期间及之后,这些发现为实施虚拟咨询的哺乳专业人员提供了重要见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03f8/8066511/d1b72db3ca45/children-08-00271-g001.jpg

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