Commonalities and differences in infant feeding attitudes and practices in the context of HIV in sub-Saharan Africa: a metasynthesis.
Commonalities and differences in infant feeding attitudes and practices in the context of HIV in sub-Saharan Africa: a metasynthesis.
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DOI：
10.1080/09540121.2013.813625
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发表时间：
2014-02
期刊：
影响因子：
1.7
通讯作者：
Young S
中科院分区：
文献类型：
--
作者：
Tuthill E;McGrath J;Young S
独家母乳喂养（EBF）已被确定为促进婴儿健康并减少艾滋病毒垂直传播的关键干预措施。尽管知识并增加了促进EBF的资源，但撒哈拉以南非洲（SSA）的实践仍然很低。尽管在整个SSA中都进行了许多定性研究，但尚未系统地考虑对艾滋病毒+母亲发现的婴儿喂养选择的影响和后果。因此，我们的目标是确定SSA中艾滋病毒+母亲的定性研究中婴儿喂养选择的总体主题，共同点和差异。在艾滋病毒背景下，对婴儿喂养实践进行了16项定性研究。 7步元合成方法用于分析艾滋病毒+妇女和提供婴儿喂养服务/咨询的人的经历。从2000年到2011年，来自13个SSA国家 /地区的大约920名参与者（即750名HIV+母亲，109个医疗保健提供者和62个家庭成员）提供了数据。从这些数据中，出现了5个主题，其中出现了3-4个总体关键隐喻。在各种地理，经济和文化环境中，关键隐喻的一致性表明，在孕产妇知识，医疗保健支持，家庭资源和文化期望的背景下，整体喂养婴儿喂养的重要性。当在这些主题中评估婴儿喂养决策的影响时，SSA的EBF运动更有可能成功地为婴儿提供最佳健康，并为母亲提供安全的支持环境。
Exclusive breastfeeding (EBF) has been identified as a key intervention to promote infant health and to reduce the vertical transmission of HIV. Despite this knowledge and increased resources to promote EBF, the practice in sub-Saharan Africa (SSA) remains low among HIV+ women. Although a number of qualitative studies have been conducted throughout SSA, the influences on and consequences of infant feeding choices of HIV+ mothers findings have not been regarded systematically. Therefore, our objective was to identify overarching themes, commonalities, and differences in infant feeding choices among qualitative studies with HIV+ mothers in SSA. Sixteen qualitative studies of infant feeding practices in the context of HIV were identified. 7-step metasynthesis methodology was used to analyze the experiences of HIV+ women and those who provide infant feeding services/counseling. Data were available from approximately 920 participants (i.e., 750 HIV+ mothers, 109 healthcare providers, and 62 family members) across 13 SSA countries from 2000 to 2011. From these data, five themes emerged within which 3-4 overarching key metaphors were identified. The consistency of key metaphors across a variety of geographic, economic and, cultural settings suggest the importance of approaching infant feeding holistically, within the context of maternal knowledge, health care support, family resources, and cultural expectations. EBF campaigns in SSA are more likely to successfully support optimal health for infants and a safe supportive environment for their mothers when the impact of infant feeding decisions are evaluated across these themes.
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影响因子：
3.8
作者：
Rollins, Nigel C.;Becquet, Renaud;Newell, Marie-Louise
通讯作者：
Newell, Marie-Louise
DOI：
10.1080/09540120701336400
发表时间：
2007-10-01
影响因子：
1.7
作者：
Busekens, I.;Jaffe, A.;Mkhatshwa, H.
通讯作者：
Mkhatshwa, H.
DOI：
10.2471/blt.04.019448
发表时间：
2006-02-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Doherty, Tanya;Chopra, Mickey;Greiner, Ted
通讯作者：
Greiner, Ted
影响因子：
4.2
作者：
Doherty, Tanya;Chopra, Mickey;Persson, Lars-Ake
通讯作者：
Persson, Lars-Ake
影响因子：
5.4
作者：
Desclaux, Alice;Alfieri, Chiara
通讯作者：
Alfieri, Chiara