Etowa Josephine, Nare Hilary, Dubula-Majola Vuyiseka, Edet Olaide, John Mildred, Nkwocha Chioma Rose, Stephens Colleen, Mbewu Nokwanele, Hannan Jean, Etowa Egbe
School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1H 8M5, Canada.
Africa Centre for HIV and AIDS Management, Faculty of Economic and Management Sciences, Stellenbosch University, Private bag XI, Matieland 7602, South Africa.
Healthcare (Basel). 2022 Nov 10;10(11):2254. doi: 10.3390/healthcare10112254.
Currently, mothers living with HIV (LWH) are challenged with different infant feeding guidelines depending on the country they are living in. This may contribute to confusion, stress, and mental health issues related to decision-making about infant feeding as a mother LWH. Yet, their male partners as their closest social capital have important roles to play in reducing or aggravating this psychosocial distress. Hence, we describe the role of male partners in supporting mothers who are living with HIV in the context of infant feeding. It is based on the results of a recent study of the socio-cultural context of infant feeding among Black mothers LWH in three countries; Canada, the USA, and Nigeria. The study was a tri-national, mixed-methods, community-based participatory research (CBPR) project, informed by postcolonialism and intersectionality theories. This paper is based on the qualitative component of the study. It was a focused ethnography (FE) involving 61 in-depth individual interviews (IDIs) with Black- mothers LWH. Thematic analysis guided the interpretation of these data, and trustworthiness was established through member-checking. Black mothers LWH acknowledged the various support roles that their male partners play in easing the practical and emotional burdens of infant feeding in the context of HIV. Male partners' roles were captured under three sub-themes: (1) Practical help, (2) Protection of the family, and (3) Emotional support and sounding board. These findings have explicated the evolving ways in which male partners support ACB mothers LWH to promote positive infant feeding outcomes, as well as enhance the emotional and physical well-being of both mother and infant. Our study has explicated the evolving ways in which male partners support Black mothers LWH to promote positive infant feeding outcomes, as well as enhance the emotional and physical well-being of both mother and infant.
目前，感染艾滋病毒的母亲（LWH）因所在国家不同而面临不同的婴儿喂养指南。这可能会导致困惑、压力以及与作为感染艾滋病毒母亲的婴儿喂养决策相关的心理健康问题。然而，作为她们最亲密社会资本的男性伴侣，在减轻或加剧这种社会心理困扰方面起着重要作用。因此，我们描述了男性伴侣在婴儿喂养背景下支持感染艾滋病毒母亲的作用。这是基于最近一项对加拿大、美国和尼日利亚三个国家感染艾滋病毒的黑人母亲婴儿喂养社会文化背景的研究结果。该研究是一个三国混合方法的基于社区的参与性研究（CBPR）项目，以后殖民主义和交叉性理论为依据。本文基于该研究的定性部分。这是一项聚焦民族志（FE），涉及对61名感染艾滋病毒的黑人母亲进行深入的个人访谈（IDI）。主题分析指导了这些数据的解读，并通过成员核对建立了可信度。感染艾滋病毒的黑人母亲承认她们的男性伴侣在减轻艾滋病毒背景下婴儿喂养的实际和情感负担方面发挥了各种支持作用。男性伴侣的角色被归纳为三个子主题：（1）实际帮助，（2）家庭保护，（3）情感支持和倾听对象。这些发现阐明了男性伴侣支持感染艾滋病毒的非洲裔加勒比黑人母亲促进积极婴儿喂养结果以及增强母婴情感和身体健康的不断演变的方式。我们的研究阐明了男性伴侣支持黑人感染艾滋病毒母亲促进积极婴儿喂养结果以及增强母婴情感和身体健康的不断演变的方式。
