Impact of Rural Habitus on First-Time Mothers' Feeding Choices

农村习惯对初为人母喂养选择的影响

• 批准号: 10462150
• 负责人: Karry L Weston
• 金额: $ 3.38万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-02 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10462150
• 关键词: Address; Affect; Area; Behavior; Behavioral; Belief; Breast Feeding; Centers for Disease Control and Prevention (U.S.); Child; Clinic; Collaborations; Communities; Data; Decision Making; Discipline of Nursing; Discipline of obstetrics; Educational Materials; Environment; Environmental Risk Factor; Exposure to; Family; Federally Qualified Health Center; Fellowship; Foundations; Future; Goals; Gold; Health Benefit; Health Promotion; Health Status; Human Milk; Individual; Infant; Insulin-Dependent Diabetes Mellitus; Intervention; Interview; Knowledge; Lead; Life; Malignant neoplasm of ovary; Maternal and Child Health; Mentors; Mentorship; Methodology; Missouri; Mothers; National Institute of Nursing Research; Newborn Infant; Non-Insulin-Dependent Diabetes Mellitus; Nurses; Outcome; Patient Recruitments; Perception; Population; Postdoctoral Fellow; Postpartum Period; Pregnant Women; Publications; Recording of previous events; Reduce health disparities; Research; Research Design; Research Personnel; Research Project Grants; Resources; Rewards; Risk; Rural; Rural Community; Rural Population; Scientist; Shapes; Socioeconomic Status; Special Supplemental Nutrition Program for Women, Infants, and Children; Sudden infant death syndrome; Surveys; Testing; Time; Training; Underserved Population; United States; Voice; Vulnerable Populations; Woman; child services; contextual factors; design; effective intervention; experience; feeding; health disparity; human old age (65+); improved; infant nutrition; instrument; lens; low socioeconomic status; malignant breast neoplasm; metropolitan; nonmetropolitan area; nursing intervention; obesity-associated asthma; peer coaching; perinatal women; prevent; programs; rural area; rural underserved; rurality; social factors; social structure; sociodemographic factors; suburb; therapy design

Project Summary/Abstract Rural U.S. mothers, especially those of lower socioeconomic status (SES), are more reluctant to breastfeed than urban mothers of comparable SES. The question is whether the experience of living in a rural area is influencing a rural woman’s decision on how to feed her infant. An understanding of the contextual factors existing in a community that are influencing infant feeding choices is needed to guide future nursing breastfeeding research The purpose of this study is to qualitatively explore rural habitus, or the community influence on rural mothers’ decisions on how they feed their infants. The specific aims of this study are: 1) To explore rural mothers’ intentions and decision-making around infant feeding their first child, including their unique habitus, and other key community influencing factors; 2) To describe rural mothers’ perceptions of how the rural community influenced their infant feeding decisions; and 3) To explore rural mothers’ priorities for interventions to support breastfeeding, including needs for information, support, and resources. The recruitment of participants will take place through rural Missouri WIC clinics as well as rural Federally Qualified Health Centers (FQHCs) with obstetrical or pediatric services. The concepts of habitus and rurality will guide this study, utilizing a qualitative descriptive approach to allow themes from the rural women’s own voices to be generated regarding factors that formed their decision on how to feed their newborn. The findings will be utilized in a post-doctoral fellowship to develop a quantitative instrument to survey a larger rural population of women to further test how habitus influences breastfeeding. The applicant’s long-term goal will be to design an effective nursing intervention to boost breastfeeding rates in underserved rural communities. A key strength of this study is the research team the applicant has assembled. Drs. Bullock, Everett and Bloom have a long history of research collaboration studying health disparities in rural Missouri. Dr. Bullock will provide senior mentorship for the research team, as well as data collected with rural Missouri perinatal women that can be explored for the concept of habitus. Dr. Everett’s current research has a strong overlap with the goal of this study and can provide hands-on training for the applicant. Dr. Bloom has extensive research experience and publications using qualitative methodology and will provide crucial mentoring in this area. Lastly, the team will be complete with the support of a senior interdisciplinary scientist, Dr. Beth Olson, who has extensive research experience in rural communities and in breastfeeding research. Overall, this proposal has multiple strengths: 1) It is taking a unique approach of exploring habitus in addressing an aged old problem of increasing breastfeeding, 2) It is addressing one of the nation’s most vulnerable and understudied populations, rural women who have increased health disparities and few resources, and 3) It is highly responsive to NINR’s strategic goals of enhancing wellness and developing culturally tailored interventions intended for families and underrepresented communities.40

项目概要/摘要 美国农村的母亲，尤其是社会经济地位 (SES) 较低的母亲，更不愿意母乳喂养 高于具有同等社会经济地位的城市母亲。问题是在农村生活的经历是否 影响农村妇女如何喂养婴儿的决定。对背景因素的理解 需要存在影响婴儿喂养选择的社区来指导未来的护理 母乳喂养研究 本研究的目的是定性探索农村习惯或社区 影响农村母亲如何喂养婴儿的决定。本研究的具体目的是：1） 探索农村母亲在喂养第一个孩子时的意图和决策，包括她们的 独特的习惯和其他关键的社区影响因素； 2）描述农村母亲对如何 农村社区影响了他们的婴儿喂养决定； 3) 探索农村母亲的优先事项 支持母乳喂养的干预措施，包括对信息、支持和资源的需求。这 参与者的招募将通过密苏里州农村 WIC 诊所以及联邦合格的农村诊所进行 提供产科或儿科服务的健康中心 (FQHC)。习性和乡村性的概念将指导 这项研究采用定性描述方法，让农村妇女自己的声音中的主题成为可能 产生了关于影响他们如何喂养新生儿的决定的因素。调查结果将是 用于博士后研究金开发定量工具来调查更多的农村人口 女性进一步测试习惯如何影响母乳喂养。申请人的长期目标是设计一个 有效的护理干预措施可提高服务不足的农村社区的母乳喂养率。一个关键的优势是 这项研究是申请人组建的研究团队。博士。布洛克、埃弗雷特和布鲁姆有很长一段时间 研究密苏里州农村地区健康差异的研究合作历史。布洛克博士将提供高级 对研究团队的指导，以及从密苏里州农村围产期妇女收集的数据，这些数据可以 探讨惯习的概念。 Everett 博士当前的研究与本研究的目标有很强的重叠性 学习并可以为申请人提供实践培训。 Bloom博士拥有丰富的研究经验 使用定性方法的出版物，并将在该领域提供重要的指导。最后，团队将 在资深跨学科科学家 Beth Olson 博士的支持下完成，Beth Olson 博士拥有广泛的研究 农村社区和母乳喂养研究的经验。总体而言，该提案具有多个优点：1) 它正在采取一种独特的方法来探索惯习，以解决日益增长的老问题。 母乳喂养，2) 它正在解决全国最弱势和研究不足的人群之一，即农村人口 健康差距扩大且资源匮乏的女性，以及 3) 它对 NINR 高度敏感 增强健康和制定针对文化的干预措施的战略目标 家庭和代表性不足的社区。40