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

项目摘要/摘要 美国农村母亲，尤其是那些社会经济地位较低的母亲，更不愿母乳喂养 而不是具有同等地位的城市母亲。问题是，生活在农村地区的经历是否 影响一位农村妇女对如何喂养婴儿的决定。对语境因素的理解 在影响婴儿喂养选择的社区中存在，需要指导未来的护理 母乳喂养研究这项研究的目的是定性地探索农村习性，或社区 对农村母亲如何喂养婴儿的决定的影响。这项研究的具体目的是：1) 探索农村母亲关于婴儿喂养她们的第一个孩子的意图和决策，包括他们的 独特的习性和其他关键的社区影响因素；2)描述农村母亲对如何 农村社区影响他们的婴儿喂养决定；以及3)探索农村母亲在以下方面的优先事项 支持母乳喂养的干预措施，包括对信息、支持和资源的需求。这个 参与者的招募将通过密苏里州农村WIC诊所以及获得联邦资格的农村进行 提供产科或儿科服务的保健中心(FQHC)。习性和乡村的概念将指导 本研究采用定性描述的方法，让来自农村妇女自身声音的主题被 产生的因素形成了他们对如何喂养新生儿的决定。调查结果将是 在博士后奖学金中被用来开发一种量化工具来调查更多的农村人口 进一步测试习惯如何影响母乳喂养。申请者的长期目标将是设计一个 有效的护理干预，以提高服务不足的农村社区的母乳喂养率。的一个关键优势 这项研究是申请者组建的研究团队。布洛克博士、埃弗雷特博士和布鲁姆博士 研究合作研究密苏里州农村地区健康差距的历史。布洛克医生将为高级医生 对研究团队的指导，以及与密苏里州农村围产期妇女收集的数据，这些数据可以 探索习性的概念。埃弗雷特博士目前的研究与这一目标有很大的重叠 学习，并能为申请者提供实践培训。布鲁姆博士拥有丰富的研究经验和 使用定性方法的出版物，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贝丝·奥尔森博士的支持下完成，他拥有广泛的研究 在农村社区和母乳喂养研究方面的经验。总体而言，这项提议具有多个优势：1) 它正在采取一种独特的方式探索习性，以解决一个日益增长的古老问题 母乳喂养，2)它针对的是全国最脆弱、最未被研究的人群之一--农村 健康差距扩大和资源匮乏的妇女，以及3)它对NINR的高度响应 增进健康和制定针对文化定制的干预措施的战略目标 家庭和代表性不足的社区。40

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