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Examining Racial Disparities in Breastfeeding From a Positive Deviance Lens: A Commentary / Becky Spencer in Journal of Human Lactation, Vol. 33, n°2 (Mai 2017)
Titre : Examining Racial Disparities in Breastfeeding From a Positive Deviance Lens: A Commentary Type de document : texte imprimé Auteurs : Becky Spencer, Auteur Année de publication : 2017 Article en page(s) : pp. 379-382 Langues : Anglais (eng) Catégories : Déviance positive
Note de contenu : "In the United States, African American women have lower rates of breastfeeding initiation and duration on average than women from other racial and ethnic groups (U.S. Department of Health and Human Services, 2016). Many scholars and clinicians have explored factors related to racial disparities in breastfeeding (Asiodu, Waters, Dailey, Lee, & Lyndon, 2015; Furman, Banks, & North, 2013; Gross, Davis, Anderson, Hall, & Hilyard, 2017; Ringel-Kulka et al., 2011; Robinson, VandeVusse, & Foster, 2016; Spencer, Wambach, & Domain, 2015). In this issue of JHL, Barbosa, Masho, Carlyle, and Mosavel (2017) report about infant-feeding beliefs and experiences among African American women. The authors used the concept of positive deviance, an innovative approach to their research, which shifts the focus from exploring reasons that African American women choose not to breastfeed to exploring the experiences of African American women who do choose to breastfeed. The authors found that women who breastfed for at least 4 months had high self-efficacy and strong social, community, and institutional support when compared with women who breastfed less than 4 months or exclusively formula fed their infants (Barbosa et al., 2017)." [Extrait de l'article] Permalink :
in Journal of Human Lactation > Vol. 33, n°2 (Mai 2017) . - pp. 379-382[article]Factors Distinguishing Positive Deviance Among Low-Income African American Women: A Qualitative Study on Infant Feeding / Cecilia E. Barbosa in Journal of Human Lactation, Vol. 33, n°2 (Mai 2017)
Titre : Factors Distinguishing Positive Deviance Among Low-Income African American Women: A Qualitative Study on Infant Feeding Type de document : texte imprimé Auteurs : Cecilia E. Barbosa, Auteur ; Saba W. Masho, Auteur ; Kellie E. Carlyle, Auteur Année de publication : 2017 Article en page(s) : pp. 368-378 Langues : Anglais (eng) Catégories : Afrique
Lait artificiel pour nourrisson
Maintien de l'allaitement
Nutrition du nourrisson
Pratique de l'allaitement
Soutien aux mères
Soutien des familles
Résumé : "Background:
Positive deviant individuals practice beneficial behaviors in spite of having qualities characterizing them as high risk for unhealthy behaviors.
This study aimed to identify and understand factors distinguishing low-income African American women who breastfeed the longest (positive deviants) from those who breastfeed for a shorter duration or do not breastfeed.
Seven mini-focus groups on infant-feeding attitudes and experiences were conducted with 25 low-income African American women, grouped by infant-feeding practice. Positive deviants, who had breastfed for 4 months or more, were compared with formula-feeding participants who had only formula fed their babies and short-term breastfeeding participants who had breastfed for 3 months or less.
Positive deviant women had more schooling, higher income, breastfeeding intention, positive breastfeeding and unfavorable formula-feeding attitudes, higher self-efficacy, positive hospital and Special Supplemental Nutrition Program for Women, Infants, and Children experiences, more exclusive breastfeeding, and greater comfort breastfeeding in public. Short-term breastfeeding women varied in breastfeeding intention and self-efficacy, seemed to receive insufficient professional breastfeeding support, and supplemented breastfeeding with formula. Some showed ambivalence, concern with unhealthy behaviors, and discomfort with breastfeeding in public. Formula-feeding women intended to formula feed, feared breastfeeding, thought their behaviors were incompatible with breastfeeding, were comfortable with and found formula convenient, and received strong support to formula feed.
Tapping into the strengths of positive deviants; tailoring interventions to levels of general and breastfeeding self-efficacy; increasing social, institutional, and community supports; and removing inappropriate formula promotion may offer promising strategies to increase breastfeeding among low-income African American women." [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 33, n°2 (Mai 2017) . - pp. 368-378[article]