School of Nursing, University of Connecticut, Storrs (Drs Gyamfi, Lucas, O'Neill, and Henderson); University of Pennsylvania School of Nursing, Philadelphia (Dr Spatz); and Rush University College of Nursing, Chicago, Illinois (Dr Jefferson).
Adv Neonatal Care. 2023 Feb 1;23(1):72-80. doi: 10.1097/ANC.0000000000001021. Epub 2022 Aug 1.
In the United States, there are racial disparities in 6 months of exclusive breastfeeding. Only, 25.8% of American infants were breastfed for the first 180 days of life, with African American infants least (19.8%) exclusively breastfed in 2018.
The meta-ethnography explored the breastfeeding support for African American women in the United States.
The online databases of American Psychological Association, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, PubMed, and Scopus were searched with key words, and the search was not limited by the year of publication.
The inclusion criteria for the study selection entailed all qualitative studies conducted on breastfeeding support among self-identified African American women in the United States, written in English language, peer reviewed, or dissertation. The initial search produced 905 articles of which 8 met the eligibility criteria.
Data extraction and analysis were guided by Noblit and Hare's (1988) meta-ethnography approach. The analysis process was completed by a team of researchers, inclusive of breastfeeding experts.
Five overarching themes emerged including trustworthy information; early postpartum support by key influencers; maternal culture; tangible resources, and Black mothers' empowerment.
Social support is a major determinant for the initiation and continuation of breastfeeding among African American women in the United States. Future longitudinal studies are warranted to explore the social support of breastfeeding among African American women in the United States.
在美国，6 个月的纯母乳喂养存在种族差异。只有 25.8%的美国婴儿在生命的前 180 天内进行母乳喂养，而非洲裔美国婴儿的母乳喂养率最低（19.8%），这一数据来自 2018 年的统计。
本元分析旨在探讨美国非洲裔妇女的母乳喂养支持情况。
使用关键词在美国心理协会、PsycINFO、护理学和联合健康文献累积索引、PubMed 和 Scopus 的在线数据库中进行了搜索，且未对搜索的年份进行限制。
研究选择的纳入标准包括在美国进行的所有关于自我认同的非洲裔美国妇女母乳喂养支持的定性研究，以英文撰写，经过同行评审或博士论文。最初的搜索产生了 905 篇文章，其中 8 篇符合资格标准。
数据提取和分析遵循 Noblit 和 Hare（1988）的元分析方法。分析过程由一个研究团队完成，其中包括母乳喂养专家。
出现了五个总体主题，包括可信赖的信息；关键影响者的产后早期支持；产妇文化；有形资源和黑人母亲的赋权。
社会支持是美国非洲裔妇女开始和继续母乳喂养的主要决定因素。未来需要进行纵向研究，以探索美国非洲裔妇女母乳喂养的社会支持情况。
