在美国拉丁裔人口中共同创建和绘制独家母乳养框架:一个综合框架适应过程和范围审查
Armando Peña1, Zoe Barnsfather2, Alison M Miller1
1Department of Health and Wellness Design, School of Public Health, Indiana University, Bloomington, IN, United States.
在拉丁裔人口中开发一个多层次的专门母乳养框架是减少健康差距的关键. 这项研究共同创建了一个框架,并绘制了现有文献,确定了生物和社会领域的差距.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 孕产妇和儿童的健康
背景情况:
- 在拉丁裔人口中,纯母乳养可以减少健康差异.
- 需要一个全面的,多层次的,多领域的框架,用于专属母乳养的决定因素.
研究的目的:
- 共同创建一个为拉丁裔人群量身定制的独家母乳养决定因素框架.
- 将现有文献映射到这个新开发的框架中.
主要方法:
- 一个社区联盟适应了20个细胞 (4级x5个域) 的框架.
- 一项综合范围审查分析了美国关于拉丁裔独家母乳养干预措施的文献.
- 用演和归纳分析识别和映射了决定因素.
主要成果:
- 确定了111个特定的决定因素,分为53个主题.
- 个人级别的决定因素在各个领域中最常见.
- 发现了差距,特别是在个人层面以外的生物和社会文化领域,以及大多数社会层面的领域.
结论:
- 在拉丁裔人口中增加纯母乳养是复杂的,需要多方面的方法.
- 未来的研究应该集中在未被充分解决的生物,社会文化和社会领域.
- 文化相关的干预措施对于改善母乳养率和减少差异至关重要.
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