Acceptability of heat treating breast milk to prevent mother-to-child transmission of human immunodeficiency virus in Zimbabwe: A qualitative study
Acceptability of heat treating breast milk to prevent mother-to-child transmission of human immunodeficiency virus in Zimbabwe: A qualitative study
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DOI：
10.1177/0890334405283621
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发表时间：
2006-02-01
影响因子：
2.6
通讯作者：
Chantry, CJ
中科院分区：
文献类型：
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作者：
Israel-Ballard, KA;Maternowska, MC;Chantry, CJ
尽管母乳热处理是津巴布韦针对人类免疫缺陷病毒 (HIV) 阳性母亲的官方婴儿喂养建议，但其实施尚未得到充分解决，因为人们对这种方法的安全性了解还很初级，而且对其可接受性知之甚少。为了解决这一知识差距，作者在津巴布韦不同地区的母亲、祖母、助产士和丈夫之间进行了焦点小组讨论。尽管由于时间限制以及社会和文化耻辱等潜在障碍，对挤出的母乳进行热处理的做法最初遭到了怀疑，但所有群体中都出现了意见逆转的模式。在每次讨论结束时，与会者认为，鉴于其可负担性及其保护婴儿免受艾滋病毒感染的潜力，热处理母乳可能是津巴布韦艾滋病毒呈阳性母亲的一种可行的婴儿喂养选择。这些发现值得进一步研究，以便设计适当的行为策略。
Although heat treatment of human milk is an official infant-feeding recommendation for human immunodeficiency virus (HIV)-positive mothers in Zimbabwe, its implementation has not been adequately addressed, because knowledge about the safety of this method is rudimentary and its acceptability is poorly understood. To address this knowledge gap, the authors conducted focus group discussions among mothers, grandmothers, midwives, and husbands in various regions of Zimbabwe. Although the practice of heat treating expressed human milk was initially met with skepticism because of potential obstacles, including time constraints and social and cultural stigma, a pattern of opinion reversal emerged in all groups. By the end of each discussion, participants believed that, given its affordability and its potential to protect infants from HIV infection, heat-treated human milk may be a feasible infant-feeding option for HIV-positive mothers in Zimbabwe. These findings merit further investigation so that appropriate behavioral strategies can be designed.