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首页> 外文期刊>Tropical Medicine and International Health: TM and IH >Diversity of influences on infant feeding strategies in women living with HIV in Cape Town, South Africa: A mixed methods study
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Diversity of influences on infant feeding strategies in women living with HIV in Cape Town, South Africa: A mixed methods study

机译：南非开普敦感染艾滋病毒的妇女对婴儿喂养策略的影响多样性：混合方法研究

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Objective: To explore influences on infant feeding intentions and practices in women living with HIV in South Africa. Methods: Structured questionnaires were completed by 207 pregnant women and 203 post-partum women in Cape Town, South Africa. Concurrently, 34 semi-structured, qualitative interviews explored the influences on infant feeding strategies in women living with HIV. Results: Overall, 50% (104) of pregnant women intended to breastfeed and 22% (45) of post-partum women ever breastfed. Women who breastfed or intended to breastfeed were significantly more likely to have running water in their homes, to have formal housing and to receive advice in support of breastfeeding. Advice from clinic staff was the strongest predictor of breastfeeding [adjusted relative odds (ARO) in pregnant women: 6.87; 95% confidence interval (CI): 2.67, 17.66; ARO in post-partum women: 4.04; 95% CI: 1.60, 10.19]. Other important influences included previous infant feeding experiences, desires to protect the infant from HIV and involvement of other care providers. Many women also noted that breastfeeding was not feasible due to work commitments and highlighted concerns around the discontinuation of the free provision of infant formula. Conclusion: These results suggest that women living with HIV balance complex influences in deciding on their preferred infant feeding strategies. This underscores the need for extensive provider, patient and community education to ensure consistent messaging, while allowing for adaptation to the circumstances of individual mothers.
机译：目的：探讨对南非感染艾滋病毒的妇女的婴儿喂养意图和做法的影响。方法：在南非开普敦，由207名孕妇和203名产后妇女填写结构化问卷。同时，进行了3​​4次半结构化，定性访谈，探讨了感染HIV的女性对婴儿喂养策略的影响。结果：总体上，有50％（104）的孕妇打算进行母乳喂养，而22％（45）的产后妇女曾经进行母乳喂养。进行母乳喂养或打算进行母乳喂养的妇女在家中流水，拥有正规住房并获得支持母乳喂养的建议的可能性更高。诊所工作人员的建议是最重要的母乳喂养预测指标[孕妇相对校正后几率（ARO）：6.87; 95％置信区间（CI）：2.67，17.66;产后妇女的ARO：4.04; 95％CI：1.60，10.19]。其他重要影响包括以前的婴儿喂养经历，保护婴儿免受艾滋病毒感染的愿望以及其他护理提供者的参与。许多妇女还指出，由于工作原因，母乳喂养是不可行的，并强调了对免费提供婴儿配方奶粉的中止的担忧。结论：这些结果表明，感染艾滋病毒的妇女在决定他们偏爱的婴儿喂养策略时要平衡复杂的影响。这强调了对提供者，患者和社区进行广泛教育的必要性，以确保消息传递的一致性，同时允许适应各个母亲的情况。

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