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首页> 外文期刊>Pimatisiwin : A Journal of Indigenous and Aboriginal Community Health >Community Influnces on Breastfeeding Described by Native Hawaiian Mothers
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Community Influnces on Breastfeeding Described by Native Hawaiian Mothers

机译：夏威夷土著母亲对社区对母乳喂养的影响

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Background: Although brastfeeding rates in Hawai`i are among the highest in the United States and meet the United States Healthy People 2010 objectives (a statement of national health objectives), these rates are not consistent in all segments of the population. Among the Native Hawaiian population, breastfeeding rates are 25–30% lower than the general population. This disparity (inequality) has not been well researched. A multiphased ethnographic study was undertaken to better understand the nature and factors influencing this disparity. The aim of this phase of the study was to describe the perceptions of Native Hawaiian women about the influences affecting the breastfeeding disparities found in their community. Method: Participants were recruited through a community health centre, purposeful sampling continued until saturation was reached. Interviews were conducted with Native Hawaiian mothers (N=20) who had breastfed at least one child. The analysis was guided by the participants’ voices; the data analysis remained grounded in the participants’ view. Data were coded, categorized, and conceptually grouped into patterns. Results: The patterns were identifying resources, difficulty breastfeeding, and unmet expectations. Resources which functioned as supports or assets to the breastfeeding experience included knowledge, prior experience, motivation, support, equipment, and empathy. Breastfeeding was “hard,” because of the physical problems with the woman’s breast, discomfort, and time demands. Unmet expectations included a discrepancy in values, an assumption of participant knowledge, lifestyle adjustments, and the value of organizational support. Conclusions: Traditionally, women breastfed in a supportive environment that was not fully available to the study participants. Valuing traditional practices in the context of current influences may improve breastfeeding rates among Native Hawaiian women; therefore, the health of this community.
机译：背景：尽管夏威夷州的母乳喂养率是美国最高的，并且达到了《美国2010年健康人群》的目标（国家健康目标的声明），但这些比例在所有人群中并不一致。在夏威夷土著居民中，母乳喂养的比例比普通人群低25–30％。这种差异（不平等）尚未得到充分研究。进行了多阶段的民族志研究，以更好地了解影响这种差异的性质和因素。该研究阶段的目的是描述夏威夷土著妇女对影响其社区中发现的母乳喂养差异的影响的看法。方法：通过社区卫生中心招募参与者，持续进行有目的的采样，直到达到饱和为止。采访了至少有一个孩子母乳喂养的夏威夷土著母亲（N = 20）。分析是在参与者的声音指导下进行的;数据分析仍基于参与者的观点。数据被编码，分类并在概念上分组为模式。结果：模式正在识别资源，母乳喂养困难和未达到期望。充当母乳喂养经验的支持或资产的资源包括知识，先前经验，动机，支持，设备和同理心。母乳喂养“很难”，原因是女性乳房的身体问题，不适感和时间需求。未满足的期望包括价值观差异，对参与者知识的假设，生活方式的调整以及组织支持的价值。结论：传统上，女性在支持环境中进行母乳喂养，而研究参与者无法充分利用这种环境。在当前影响下重视传统做法可能会提高夏威夷土著妇女的母乳喂养率;因此，这个社区的健康。

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