Infant feeding practices: Perceptions of Native American mothers and health paraprofessionals
Infant feeding practices: Perceptions of Native American mothers and health paraprofessionals
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DOI：
10.1177/0017896911398814
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发表时间：
2012-05-01
影响因子：
1.3
通讯作者：
Carpenter, Amanda
中科院分区：
文献类型：
--
作者：
Horodynski, Mildred A.;Calcatera, Mary;Carpenter, Amanda
目的：为了确定婴儿喂养的做法，并探讨在美国本土印第安人（NAI）的母亲在美国（US）的六个美国本土社区的家庭喂养干预的可行性。设计：定性焦点小组研究。设置：六个美国本土社区在美国的中西部地区。方法：根据半结构化的主题指南，14名NAI健康准专业人员和42名NAI母亲参加了由主持人进行的12个焦点小组。焦点小组数据补充人口data.Results：NAI卫生准专业人员，出现了四个主要主题：（1）产妇喂养的做法，为他们的婴儿;（2）特殊考虑时，与NAI人口;（3）来源的建议，为NAI母亲;（4）量身定制的喂养干预NAI母亲的婴儿。对于NAI母亲来说，出现了四个主要主题：（1）母亲对婴儿的喂养实践;（2）对家庭干预的期望以及如何使其发挥作用;（3）关于婴儿喂养的有用信息;以及（4）家庭的重要性。数据提供了NAI母亲喂养方法的实例，这表明，开发一种有效的干预措施，帮助NAI母亲将婴儿过渡到固体食物，有助于促进婴儿在生命的第一年健康成长。卫生辅助人员需要纳入营养信息，是文化一致的NAI母亲。纳入NAI家庭成员可能会促进婴儿喂养实践的成功改变。
Objective: To ascertain infant feeding practices and to explore the feasibility of an in-home feeding intervention with Native American Indian (NAI) mothers in six Native American communities in the United States (US).Design: Qualitative focus group study.Setting: Six Native American communities in the Midwest region of the United States.Method: Fourteen NAI health paraprofessionals and 42 NAI mothers took part in 12 focus groups that were conducted by a facilitator, according to a semi-structured topic guide. Focus group data were supplemented with demographic data.Results: For the NAI health paraprofessionals, four major themes emerged: (1) maternal feeding practices for their infants; (2) special considerations when working with the NAI population; (3) sources of advice for NAI mothers; and (4) tailoring a feeding intervention to NAI mothers of infants. For the NAI mothers, four major themes emerged: (1) maternal feeding practices for their infants; (2) expectations about an in-home intervention and how to make it work; (3) useful information regarding infant feeding; and (4) importance of family.Conclusion: Data provided examples of NAI mothers' feeding practices, suggesting that development of an effective intervention to assist NAI mothers transition their infants to solid foods can help promote healthy infant growth during their first year of life. Health paraprofessionals need to incorporate nutrition messages that are culturally-congruent for NAI mothers. Inclusion of NAI family members may enhance successful changes in infant feeding practices.