社区婴儿安全睡眠和母乳养促进和人口水平结果:混合方法研究
Rebecca Huber1, Meera Menon1, Rebecca B Russell1
1The National Institute for Children's Health Quality (NICHQ), 308 Congress Street, 5th Floor, Boston, MA 02210, USA.
社区倡议可以改善婴儿安全睡眠和母乳养实践,解决婴儿突然意外死亡的差异. 对话式方法和协作是获得更好的结果和减少种族/民族差距的关键.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 健康差异 在健康上的差异
背景情况:
- 由于在床上窒息/窒息而导致的突然意外婴儿死亡 (SUID) 在美国正在上升.
- 哺乳可以预防SUID,但通常与不安全的睡眠习惯有关.
- 种族/民族差异存在于SUID,床上意外窒息/窒息和母乳养率.
研究的目的:
- 调查社区层面的战略与国家层面的婴儿安全睡眠和母乳养成果之间的关系.
- 确定促进婴儿安全睡眠和母乳养的有效方法.
- 解决婴儿安全睡眠和母乳养结果的差异.
主要方法:
- 采用了干预混合方法框架,并采用了探索性的顺序设计.
- 定性组成部分:与社区提供者进行的关键信息人采访的 hermeneutical现象学分析.
- 定量组成部分:从PRAMS和OPAS对婴儿安全睡眠和母乳养指标的描述性分析.
主要成果:
- 在促进婴儿安全睡眠和母乳养的促进和结果中发现了差距.
- 观察到婴儿安全睡眠和母乳养之间的促进和结果的持续差异.
- 发现对话式方法可以增强推广,成果,并减少差异.
结论:
- 社区合作对于克服在促进婴儿安全睡眠和母乳养方面的组织限制至关重要.
- 通过对话式方法和社区合作来定制节目产品,可以改善结果.
- 实施这些策略可以减少婴儿安全睡眠和母乳养结果的相对差异.
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