Context of Breastfeeding among Latina Mothers using a Social-ecological Approach: An Exploratory Study.

Journal of public health issues and practices Pub Date : 2018-01-01 Epub Date: 2018-11-23
Alice Ma, Elisa A Merçon-Vargas, Brittany D Chambers, Monde Nyambe, Tiffany A Williams
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Abstract

Background: Emerging research has begun to examine the breastfeeding experiences among racial/ethnic minority women. However, limited research to date has explored the potential factors that impact Latina mothers' breastfeeding through a multi-level lens. We examined the context of breastfeeding among Latina mothers in an exploratory study.

Methods: We conducted semi-structured interviews with a convenience sample of 9 Latina mothers. Guided by the social-ecological model, thematic content analysis was used.

Results: Latina mothers described individual- (e.g., knowledge of breastfeeding), interpersonal- (e.g., social support and norms), institutional- (e.g., healthcare system), and community-level (e.g., cultural norms) influences on their breastfeeding. Mothers recommended provision of bilingual and bicultural health professionals, information on US breastfeeding norms, and Latino-friendly informational materials in other languages.

Conclusions: Considering the multi-level factors that shape Latina mothers' breastfeeding is essential to develop and implement culturally tailored initiatives and facilitate access to breastfeeding support to improve maternal and infant health.

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使用社会生态学方法的拉丁裔母亲母乳喂养的背景:一项探索性研究。
背景:新兴的研究已经开始调查种族/少数民族妇女的母乳喂养经历。然而,迄今为止,有限的研究从多层面探讨了影响拉丁裔母亲母乳喂养的潜在因素。我们在一项探索性研究中调查了拉丁裔母亲母乳喂养的情况。方法:我们对9位拉丁裔母亲进行了半结构化访谈。在社会生态学模型的指导下,采用主题内容分析法。结果:拉丁裔母亲描述了个人(如母乳喂养知识)、人际(如社会支持和规范)、机构(如医疗系统)和社区层面(如文化规范)对母乳喂养的影响。母亲们建议提供双语和双文化健康专业人员、美国母乳喂养规范信息以及其他语言的拉丁裔友好信息材料。结论:考虑到影响拉丁裔母亲母乳喂养的多层次因素,对于制定和实施有文化针对性的举措以及促进获得母乳喂养支持以改善母婴健康至关重要。
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