Who knows what: An exploration of the infant feeding message environment and intracultural differences in Port-au-Prince, Haiti
Who knows what: An exploration of the infant feeding message environment and intracultural differences in Port-au-Prince, Haiti
复制标题
DOI：
10.1111/mcn.12537
复制
发表时间：
2018-04-01
影响因子：
3.4
通讯作者：
Pelletier, David L.
中科院分区：
文献类型：
--
作者：
Fox, Elizabeth L.;Pelto, Gretel H.;Pelletier, David L.
在世界范围内，有年幼孩子的母亲会收到许多关于婴儿喂养的信息。有些信息是由卫生服务提供者产生的，有些则是由妇女生活的家庭、社区和社会背景产生的。我们的目标是确定海地城市婴儿喂养信息的范围，并检查这些信息的文化内差异及其与国际指南的一致性。我们在海地太子港的海天感染机会主义者小组中，对13名卫生工作者和15名感染艾滋病毒(HIV)的母亲和15名未感染艾滋病毒的母亲以及0-6个月大的婴儿应用了免费列出的方法。参与者列出了女性收到的所有关于婴儿喂养的信息，特别是关于艾滋病毒和婴儿喂养的信息。信息的突出程度由提及频率和回忆顺序决定；信息根据关键主题进行编码。对于所有群体，世界卫生组织的婴儿喂养建议都很突出，特别是那些与纯母乳喂养有关的建议。所有群体的信息都集中在婴儿健康结果上，对产妇结果的重视较少。文化信仰也被引出，并显示出母亲比卫生工作者更突出，特别是母亲营养不良的后果。卫生工作者的免费名单与母亲的名单相关性较差，而母亲的名单与艾滋病毒状况无关，相关性很高。由于许多突出的信息是在文化上产生的，母亲和卫生工作者之间存在差异，我们的结论是，卫生工作者必须认识到更广泛的婴儿喂养信息环境以及该环境中的差异，以解决母亲收到的信息的成功和失败，因为这可能会对母亲的母乳喂养行为产生影响。
Worldwide, mothers with young children receive many messages about infant feeding. Some messages are generated by health providers and others by the households, communities, and social contexts in which women live. We aimed to determine the scope of infant feeding messages in urban Haiti and to examine intracultural differences in salience of these messages and their alignment with international guidelines. We applied the method of free listing with 13 health workers and 15 human immunodeficiency virus (HIV)-infected and 15 HIV-uninfected mothers with infants 0-6months old at Groupe Haitien d'Etude du Sarcome de Kaposi et des Infections Opportunistes in Port-au-Prince, Haiti. Participants listed all messages women receive about infant feeding and specifically about HIV and infant feeding. Message salience was determined by frequency of mention and recall order; messages were coded for key themes. For all groups, the World Health Organization infant feeding recommendations were salient, especially those related to exclusive breastfeeding. Messages across all groups focused on infant health outcomes, with less emphasis on maternal outcomes. Cultural beliefs were also elicited and showed higher salience for mothers than health workers, particularly for consequences of poor maternal nutrition. Health workers' free lists were poorly correlated to those of mothers, whereas those of mothers were highly correlated, regardless of HIV status. Inasmuch as many salient messages were culturally generated, and differences existed between mothers and health workers, we conclude that it is important for health workers to acknowledge the broader infant feeding message environment, and discrepancies within that environment, to address successes and failures in the messages reaching mothers, given potential consequences for mothers' breastfeeding behaviours.