Community based participatory research of breastfeeding disparities in African American women.
Community based participatory research of breastfeeding disparities in African American women.
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DOI：
10.1177/1941406411413918
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发表时间：
2011-08-01
期刊：
影响因子：
--
通讯作者：
Baker, Sharon
中科院分区：
文献类型：
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作者：
Kulka, Tamar Ringel;Jensen, Elizabeth;Baker, Sharon
目的：文献一致认为，缺乏对母乳喂养母亲的支持是跨种族和族裔群体母乳喂养的障碍。采用基于社区的参与方法，学术和社区合作伙伴进行了迭代过程，以评估北卡罗来纳州达勒姆非裔美国人社区母乳喂养的障碍、促进因素和潜在的调解干预措施。 方法：对非裔美国母亲、父亲和祖母进行了八个焦点小组讨论。研究人员对每个焦点小组进行转录和编码，并使用 Atlas ti 进行分析。 5.2.出现的模式和主题为社区利益相关者访谈的发展提供了信息；对社区代表进行了 41 次访谈。这些发现为支持小组试点干预措施的制定提供了信息。对试点支持小组的参与者知识增长情况进行了评估。 结果：焦点小组和社区访谈表明，非裔美国人可能不成比例地经历了母乳喂养支持不足的情况。据报道，家庭、工作场所、同龄人和医疗保健提供者都缺乏支持。试点支持小组提高了小组参与者的母乳喂养知识 OR=3.6（95% CI：2.5，5.2）。 结论：这项研究的结果强调了为非裔美国妇女提供多层次母乳喂养支持以解决母乳喂养差异的重要性。
OBJECTIVE: Lack of support for breastfeeding mothers has been consistently identified in the literature as a barrier for breastfeeding across racial and ethnic groups. Using a community-based participatory approach, academic and community-based partners conducted an iterative process to assess barriers, facilitators and potential mediating interventions for breastfeeding in the African-American community in Durham, North Carolina. METHODS: Eight focus groups were conducted with African-American mothers, fathers and grandmothers. Researchers transcribed and coded each focus group and analyzed using Atlas ti. 5.2. Patterns and themes that emerged informed the development of community stakeholder interviews; 41 interviews were conducted with community representatives. These findings informed the development of a support group pilot intervention. The pilot support groups were evaluated for increase in knowledge of attendees. RESULTS: Focus group and community interviews indicate that African Americans may disproportionately experience inadequate support for breastfeeding. This lack of support was reported in the home, the workplace, among peers, and from healthcare providers. The pilot support groups resulted in increased knowledge of breastfeeding among group participants OR=3.6 (95% CI: 2.5, 5.2). CONCLUSIONS: The findings from this research underscore the importance of a multi-level approach to breastfeeding support for African American women to address breastfeeding disparities.