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: 10586036
• 负责人: Karry L Weston
• 金额: $ 3.47万
• 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/10586036
• 关键词: Address; Affect; Area; Asthma; 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; Future; Goals; 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; Nursing Research; Obesity; Outcome; Patient Recruitments; Perception; Population; Postdoctoral Fellow; Postpartum Period; Pregnant Women; Productivity; Publications; Recording of previous events; Reduce health disparities; Research; Research Design; Research Personnel; Research Project Grants; Resources; Rewards; Risk; Risk Reduction; Rural; Rural Community; Rural Population; Scientist; Services; Shapes; Socioeconomic Status; 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; obstetric services; 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

项目总结/摘要 美国农村的母亲，特别是那些社会经济地位较低的母亲，更不愿意母乳喂养。 比城市母亲的社会经济地位要高。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。对语境因素的理解 影响婴儿喂养选择的社区中存在的，需要指导未来的护理 母乳喂养研究本研究的目的是定性探讨农村惯习，或社区 农村母亲如何喂养婴儿的决定。本研究的具体目的是：（1） 探讨农村母亲在喂养第一个孩子方面的意图和决策， 独特的习性，和其他关键的社区影响因素; 2）描述农村母亲的看法，如何 农村社区影响其婴儿喂养决策; 3）探讨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。的 参与者的招募将通过密苏里州农村WIC诊所以及农村联邦资格 提供产科或儿科服务的保健中心。习性和乡村性的概念将指导 这项研究利用定性描述方法，使农村妇女自己的声音的主题， 这些因素决定了他们如何喂养新生儿。其成果将 在博士后研究金中使用，以开发一种定量工具， 进一步测试体质如何影响母乳喂养。申请人的长期目标是设计一个 采取有效的护理干预措施，提高服务不足的农村社区的母乳喂养率。的一个关键优势 这项研究是申请人组建的研究小组。布洛克、埃弗雷特和布鲁姆医生 研究合作研究密苏里州农村健康差距的历史。布洛克医生将提供 导师的研究小组，以及收集的数据与农村密苏里州围产期妇女，可以 探索了习性的概念。埃弗雷特博士目前的研究与本研究的目标有很大的重叠 学习，并能为申请人提供实践培训。布鲁姆博士拥有丰富的研究经验， 出版物使用定性方法，并将在这一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，他有着广泛的研究 在农村社区和母乳喂养研究方面的经验。总的来说，这个建议有多个优点：1） 它以一种独特的方式探索惯习，以解决日益增长的 母乳喂养，2）它正在解决国家最脆弱和研究不足的人口之一，农村 妇女谁增加了健康差距和资源少，3）它是高度响应NINR的 提高健康水平和制定符合文化特点的干预措施的战略目标， 家庭和代表性不足的社区。

项目成果

Maternal COVID vaccination and breastfeeding during a pandemic: Habitus and health behavior decision making.

大流行期间孕产妇新冠疫苗接种和母乳喂养：习惯和健康行为决策。

• DOI: 10.1111/phn.13221
• 发表时间: 2023
• 期刊: Public health nursing (Boston, Mass.)
• 作者: Weston,Karry;Bullock,Linda;Hsu,AlbertL;Wan,XiuFengHenry;Burnam-Cole,Megan;Everett,KevinD;McElroy,JaneA
• 通讯作者: McElroy,JaneA