制定文化敏感的母乳养干预框架:一个社区需要评估黑人移民社区的母乳养经验和实践
Temitope Awelewa1, Alexandra Murra2, William T Story3
1Stead Family Department of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA.
黑人移民母亲面临着继续母乳养的障碍. 关键问题包括缺乏哺乳支持,通过WIC提供配方奶粉,以及工作限制,需要文化敏感的干预措施.
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:
- 开始母乳养的比例很高,但在黑人母亲中,继续母乳养的比例较低,这表明公共卫生问题.
- "母乳养爱荷华黑人移民项目"旨在解决爱荷华州低收入黑人移民母亲的母乳养问题.
- 该项目重点是确定影响母乳养的因素,并制定文化敏感的干预措施.
研究的目的:
- 探索影响黑人移民母亲母乳养时间的因素.
- 为这一群体制定文化敏感的母乳养干预措施的框架.
主要方法:
- 一个描述性的,横截面研究,使用融合的,并行混合方法方法.
- 九个焦点小组讨论 (FGDs) 与40名参与者探索母乳养的信仰,经验和实践.
- 对33名参与者进行了一项22项调查.
主要成果:
- 五分之一的母亲无法按计划长时间母乳养.
- 停止的原因包括WIC配方,母亲疾病,婴儿饥饿,婴儿疾病和感知到的低牛奶供应.
- 在FGD中发现的障碍:缺乏哺乳支持,知识差距,感知不足的牛奶供应,牛奶吐的不适以及与工作有关的问题.
结论:
- 社区需求评估确定了文化敏感的母乳养框架的关键要素.
- 需要有针对性的干预措施来解决黑人移民社区中确定的母乳养障碍.
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