A longitudinal qualitative study of infant-feeding decision making and practices among HIV-Positive women in South Africa
A longitudinal qualitative study of infant-feeding decision making and practices among HIV-Positive women in South Africa
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DOI：
10.1093/jn/136.9.2421
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发表时间：
2006-09-01
影响因子：
4.2
通讯作者：
Persson, Lars-Ake
中科院分区：
文献类型：
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作者：
Doherty, Tanya;Chopra, Mickey;Persson, Lars-Ake
本研究采用纵向定性设计，探讨了艾滋病毒阳性妇女在婴儿早期喂养的不同阶段面临的挑战。该研究探讨了影响婴儿喂养决策和艾滋病毒阳性母亲行为的因素，并确定了妇女及其环境的特征，这些特征有助于成功地维持其婴儿喂养做法的排他性。该研究在南非的3个研究中心进行。参与者包括一个有目的的样本27名妇女在产前保健期间艾滋病毒检测结果呈阳性，并打算完全母乳喂养或完全配方奶粉喂养婴儿。妇女接受了一次产前和产后1，4，6，12周。在开始母乳喂养的妇女中，只有不到一半的人保持排他性，而在开始配方奶喂养的妇女中，有三分之二以上的人保持排他性。在排他性方面取得成功的妇女的主要特点包括能够抵制来自家庭的引入其他液体的压力，并回忆起关于母婴传播风险和混合喂养的关键信息。在坚持纯母乳喂养的妇女中，坚信母乳喂养的好处和支持性的家庭环境很重要。对于使用配方奶的女性来说，有电，水壶和烧瓶等资源可以使夜间喂养更容易。在产前阶段之后继续支持婴儿喂养，对于使母亲能够在产后早期的关键时刻科普新的挑战和压力十分重要。
This study examined the challenges that HIV-positive women face at different stages of early infant feeding using a longitudinal, qualitative design. The study explored factors influencing infant-feeding decision-making and behavior of HIV positive mothers and identified characteristics of women and their environments that contributed to success in maintaining exclusivity of their infant feeding practices. The study was undertaken at 3 sites in South Africa. Participants consisted of a purposive sample of 27 women who had a positive HIV test result during antenatal care and were intending to either exclusively breast-feed or exclusively formula-feed their infants. Women were interviewed once antenatally and at 1, 4, 6, and 12 wk postpartum. Just under one-half of the women who initiated breast-feeding maintained exclusivity and over two-thirds of the women who initiated formula-feeding maintained exclusivity. Key characteristics of women who achieved success in exclusivity included the ability to resist pressure from the family to introduce other fluids and to recall key messages on mother-to-child transmission risks and mixed feeding. Among women who maintained exclusive breast-feeding, a strong belief in the benefits of breast-feeding and a supportive home environment was important. For women using formula milk, having resources such as electricity, a kettle, and flask made feeding at night easier. Support for infant feeding that extends beyond the antenatal period is important to enable mothers to cope with new challenges and pressures at critical times during the early postpartum period.