Department of Rehabilitation, Exercise, and Nutrition Science, College of Allied Health Science, University of Cincinnati, Cincinnati, Ohio, USA.
Division of General and Community Pediatrics, Department of Pediatrics, Center for Breastfeeding Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Breastfeed Med. 2021 Jun;16(6):487-492. doi: 10.1089/bfm.2020.0328. Epub 2021 May 12.
Data from the Ohio Department of Health for Hamilton County reveal that the rate of breastfeeding steadily increased for non-Hispanic white babies from 72% initiation in 2006 to 79.8% initiation in 2018. Over the same time period, the rate of breastfeeding initiation increased from 52% to 65.7% for African American babies. Despite positive gains in breastfeeding for the African American community, significant disparities remain. Our aim was to gain insight into the breastfeeding experiences of African American women and professionals working primarily with African American women to promote and support breastfeeding. In this study, a critical race theory approach was used to explore the lived experiences of African American women and health care providers who serve African American communities through the analysis of breakout conference sessions. Breakout sessions were semistructured, with questions developed in a strengths, weaknesses, opportunities, and threats analysis format aimed at obtaining information related to sociocultural factors impacting breastfeeding initiation and duration, with the goal of developing actionable community objectives to address breastfeeding disparities for African American women. Three themes emerged stereotypes and microaggressions, representation, and provider support. Qualitative analysis of the conference proceedings reveals insights that can be developed into an action plan to address breastfeeding disparities in Hamilton County.
俄亥俄州汉密尔顿县卫生部门的数据显示，非西班牙裔白人群体的母乳喂养率稳步上升，从 2006 年的 72%上升到 2018 年的 79.8%。在此期间，非裔美国人婴儿的母乳喂养率从 52%上升到 65.7%。尽管非裔美国人社区的母乳喂养率有了显著提高，但仍存在显著差距。我们的目的是深入了解非裔美国妇女和主要为非裔美国妇女服务的专业人员的母乳喂养经历，以促进和支持母乳喂养。在这项研究中，采用了批判种族理论方法，通过对分组会议的分析，探讨了非裔美国妇女和非裔美国社区服务的医疗保健提供者的生活经历。分组会议采用半结构化方式，问题以优势、劣势、机会和威胁分析的格式制定，旨在获取与影响母乳喂养开始和持续时间的社会文化因素相关的信息，目的是制定可行的社区目标，以解决非裔美国妇女的母乳喂养差距问题。三个主题出现了刻板印象和微侵犯、代表性和提供者支持。会议记录的定性分析揭示了可以制定成行动计划的见解，以解决汉密尔顿县的母乳喂养差距问题。
