针对英国母乳养的同行支持和社区干预:对定性证据的系统审查,以确定参与者经验中的不平等
Rhiannon Evans1, Caitlyn Donaldson1, Rabeea'h Aslam1
1DECIPHer, School of Social Sciences, Cardiff University, Cardiff, South Glamorgan, UK.
Maternal & child nutrition
|May 20, 2025
概括
在英国,支持母乳养的干预措施可能会由于社会经济地位和种族等因素造成不平等. 根据不同的社会特征量身定制支持对于公平的母乳养经验和结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 定性研究是指质量研究.
- 健康 公平 卫生 公平
背景情况:
- 在英国,母乳养率仍然很低,人口群体之间存在显著差异.
- 同行支持和社区干预旨在改善母乳养,但可能无意中导致不平等.
- 了解社会特征如何影响干预经验对于公平的健康结果至关重要.
研究的目的:
- 系统地审查与英国母乳养干预参与者的经验相关的社会特征的定性证据.
- 探索不同的社会特征如何塑造参与者在这些干预中的经验.
主要方法:
- 来自英国55项研究的定性证据的系统审查,根据现有审查进行更新.
- 框架综合和GRADE-CERQual用于评估证据的确定性.
- 与妇女和同行支持者进行的利益相关者商为审查范围提供了信息.
主要成果:
- 在干预资格,招聘,出席和考虑各种需求 (社会经济,社会文化,身体,个人旅程) 中发现的不平等.
- 像社区规范这样的结构性障碍阻碍了干预后持续的母乳养行为.
- 不同的干预经验可能会导致不平等的结果,特别是对于少数民族和社会经济群体.
结论:
- 哺乳期的同龄人和社区支持必须根据不同人口的特定社会特征进行调整.
- 未来的研究应该集中在招聘,学和干预后的行为维护上,以解决不平等问题.
- 解决结构性障碍对于实现公平和持续的母乳养实践至关重要.
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