Deaf mothers and breastfeeding: do unique features of deaf culture and language support breastfeeding success?
Deaf mothers and breastfeeding: do unique features of deaf culture and language support breastfeeding success?
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DOI：
10.1177/0890334413476921
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发表时间：
2013-11
期刊：
影响因子：
--
通讯作者：
Dozier A
中科院分区：
文献类型：
--
作者：
Chin NP;Cuculick J;Starr M;Panko T;Widanka H;Dozier A
使用美国手语（ASL）的聋哑母亲认为自己是语言上的少数群体，具有特定的文化习俗。这个小组很少从事婴儿喂养的研究。了解使用美国手语的聋哑母亲如何学习婴儿喂养，并确定他们的母乳喂养挑战。采用基于社区的参与性研究（CBPR）方法，我们对至少有一个0-5岁孩子的聋哑母亲进行了四个焦点小组。使用社会生态模型（SEM）开发了一个脚本，以捕捉多个层面的影响。所有组均以美国手语进行，拍摄并转录成英文。聋人和听力研究人员通过在每个SEM级别中编码主题来分析数据。15位母亲参与了调查。所有人都对最近的孩子开始母乳喂养。其中8位母亲的母乳喂养时间从3周到12个月不等。其中7位母亲仍在母乳喂养，最长的持续了19个月。那些母乳喂养时间较长的母亲描述了一个支持性的社会环境和克服挑战的能力。与会者描述了聋人文化的特点，如直接沟通、分享信息、使用技术、通过口译员和使用美国手语的提供者获得语言，以及强大的自我宣传技能。最后，母亲们用“挣扎”这个符号来描述她们的母乳喂养经历。这个星座意味着长期持续的努力最终会取得成功。在一个有大量聋人妇女和使用美国手语的服务提供者的环境中，我们确定了聋人文化和语言的几个方面，这些方面在机构、社区和SEM的人际层面上支持BF母亲。
Deaf mothers who use American Sign Language (ASL) consider themselves a linguistic minority group, with specific cultural practices. Rarely has this group been engaged in infant-feeding research. To understand how ASL-using Deaf mothers learn about infant feeding and to identify their breastfeeding challenges. Using a community-based participatory research (CBPR) approach we conducted four focus groups with Deaf mothers who had at least one child 0–5 years. A script was developed using a social ecological model (SEM) to capture multiple levels of influence. All groups were conducted in ASL, filmed, and transcribed into English. Deaf and hearing researchers analyzed data by coding themes within each SEM level. Fifteen mothers participated. All had initiated breastfeeding with their most recent child. Breastfeeding duration for eight of the mothers was three weeks to 12 months. Seven of the mothers were still breastfeeding, the longest for 19 months. Those mothers who breastfed longer described a supportive social environment and the ability to surmount challenges. Participants described characteristics of Deaf culture such as direct communication, sharing information, use of technologies, language access through interpreters and ASL-using providers, and strong self-advocacy skills. Finally, mothers used the sign ‘struggle’ to describe their breastfeeding experience. The sign implies a sustained effort over time which leads to success. In a setting with a large population of Deaf women and ASL-using providers, we identified several aspects of Deaf culture and language which support BF mothers across institutional, community, and interpersonal levels of the SEM.
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影响因子：
1.3
作者：
LAKOFF, G;JOHNSON, M
通讯作者：
JOHNSON, M
影响因子：
1.5
作者：
Mitchell, Ross E.;Young, Travas A.;Karchmer, Michael A.
通讯作者：
Karchmer, Michael A.
影响因子：
12.7
作者：
Barnett, Steven;Klein, Jonathan D.;Pearson, Thomas A.
通讯作者：
Pearson, Thomas A.
影响因子：
5.4
作者：
Marshall, Joyce L.;Godfrey, Mary;Renfrew, Mary J.
通讯作者：
Renfrew, Mary J.
影响因子：
4.5
作者：
McKee, Michael;Schlehofer, Deirdre;Chin, Nancy P.
通讯作者：
Chin, Nancy P.