Are infant feeding options that are recommended for mothers with HIV acceptable, feasible, affordable, sustainable and safe? Pregnant women's perspectives
Are infant feeding options that are recommended for mothers with HIV acceptable, feasible, affordable, sustainable and safe? Pregnant women's perspectives
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DOI：
10.1079/phn2003596
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发表时间：
2004-08-01
影响因子：
3.2
通讯作者：
Klepp, KI
中科院分区：
文献类型：
--
作者：
de Paoli, MM;Manongi, R;Klepp, KI
目的：了解孕妇对hiv感染妇女推荐的婴儿喂养方案的看法。设计：一个结构化的访谈调查，辅以焦点小组讨论。环境：坦桑尼亚Moshi城市和农村地区的产前诊所。对象：500名孕妇参加访谈调查，46名孕妇参加6次焦点小组讨论。结果：参与调查的妇女报告说，如果发现她们感染了艾滋病毒，并被建议这样做，她们将改用另一种喂养婴儿的方法。对当地感染艾滋病毒的母亲来说，牛奶被认为是最可行的婴儿喂养方式。婴儿喂养配方奶粉被认为过于昂贵，但如果卫生工作者推荐并免费分发，大多数妇女（82%）相信她们会选择这一选择。在焦点小组讨论中，妇女不太乐观，她们对不母乳喂养的社会后果表示非常关切。纯母乳喂养的安全性受到质疑。不太常见的婴儿喂养方法，如表达的热处理母乳和湿喂养，不被认为是可行的选择。在焦点小组讨论中确定了替代喂养的几个社会障碍，包括可能缺乏伙伴的支持和社区潜在的负面反应。结论：未来对婴儿喂养方式的研究应包括更广泛的文化背景和艾滋病毒感染妇女在选择婴儿喂养方式时面临的心理压力。
Objective: To investigate pregnant women's views on infant feeding options recommended for HIV-infected women.Design: A structured interview survey complemented with focus group discussions.Setting: Antenatal clinics in Moshi urban and rural districts of Tanzania.Subjects: Five hundred pregnant women participated in the interview survey and 46 pregnant women participated in six focus group discussions.Results: Participating women reported that they would change to an alternative infant feeding method if they were found to be HIV-infected and were advised to do so. Cow's milk was regarded as the most feasible infant feeding method for local HIV-infected mothers. Infant feeding formula was regarded as too costly, but if recommended by health workers and distributed free of charge, the majority of the women (82%) were confident that they would then choose this option. In the focus group discussions, women were less optimistic and expressed great concern for the social consequences of not breast-feeding. The safety of exclusive breast-feeding was questioned. Less common infant feeding methods, such as expressed heat-treated breast milk and wet-nursing, were not regarded as viable options. Several social barriers to replacement feeding were identified in the focus group discussions, including possible lack of support from partner and potential negative reactions from the community.Conclusion: Future research on infant feeding options should include the broader cultural context and the psychological stress that HIV-infected women face when choosing infant feeding methods.