Family and Cultural Influences on Infant Feeding

家庭和文化对婴儿喂养的影响

• 批准号: 6556140
• 负责人: Sharon J Barton
• 金额: $ 14.69万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-02-01 至 2006-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6556140
• 关键词: behavior test; behavioral /social science research tag; belief; breast feeding; clinical research; culture; diet route /schedule; eating; family structure /dynamics; human subject; infant human (0-1 year); interview; longitudinal human study; model design /development; racial /ethnic difference; social model

DESCRIPTION (provided by applicant): The goal of this program of research is to improve infant feeding practices and long-term health outcomes of infants and children. Infant health, growth, and development depend on what and how the infant is fed during the first year of life. The purpose of this longitudinal ethnographic study is to investigate cultural influences or family beliefs about infant feeding and the manner in which these beliefs are translated into feeding practices. The proposed research will help meet Healthy People 2010 objectives by identifying key points and reasons during infant feeding through the first year when breast or formula feeding alone ceases and where feeding practices are begun that lead to poor nutrition, over-feeding, and increased potential for dental caries. Previous research by the PI suggests that mothers' feeding decisions are influenced by fathers, grandmothers, and cultural practices, despite availability of published feeding guidelines. The specific aims are to (1) describe cultural influences on family beliefs and practices related to the introduction of solid foods and beverages during the first year of life; (2) examine personal and contextual factors that determine family beliefs and practices related to infant feeding and the introduction of solid foods and beverages; (3) develop a culturally sensitive theory about infant feeding during the first year of life. Longitudinal data will be collected during the infant's first year of life, using ethnographic methods. A purposive sample of families will be recruited from health clinics in two rural Kentucky counties. Fieldwork will consist of home observations and in-depth interviews with family members and with participants from community agencies that deal with infant feeding (e.g. WIC). Data also will be gathered from published infant feeding resources and observation of daily life in the community. Constant-comparative methods will be used to describe, analyze, and interpret data. Credibility of the findings will be strengthened through detailed field notes and an audit trail. This research will provide an understanding of and theory pertaining to the complex cultural issues surrounding infant feeding. The findings will provide the basis for developing and testing culturally sensitive nursing interventions to improve infant feeding practices and long-term health outcomes of infants and children.

描述（由申请人提供）：该研究计划的目的是改善婴儿和儿童的婴儿喂养实践和长期健康成果。 婴儿的健康，成长和发展取决于婴儿在生命的第一年中如何喂养婴儿。 这项纵向民族志研究的目的是研究对婴儿喂养的文化影响或家庭信念，以及将这些信念转化为喂养实践的方式。 拟议的研究将通过确定在第一年的婴儿喂养过程中识别乳房或配方奶粉喂食的关键点和原因来帮助满足健康的2010年目标，而仅乳房或配方奶粉就停止了，而喂养实践的开始导致营养不良，过度喂养以及增加龋齿的潜力。 PI先前的研究表明，尽管有发布已发表的喂养指南，但母亲的喂养决策仍受父亲，祖母和文化实践的影响。 具体目的是（1）描述与在生命第一年中引入固体食品和饮料有关的家庭信仰和实践的文化影响； （2）检查确定与婴儿喂养以及固体食品和饮料有关的家庭信仰和实践的个人和背景因素； （3）开发一种对生命第一年婴儿喂养的文化敏感理论。纵向数据将在婴儿的生命第一年使用人种学方法收集。 有目的的家庭样本将从肯塔基州两个乡村的卫生诊所招募。 现场工作将包括家庭观察和对家人的深入访谈以及与婴儿喂养的社区机构的参与者（例如WIC）。 数据还将从已出版的婴儿喂养资源和对社区日常生活的观察中收集。恒定分析方法将用于描述，分析和解释数据。 调查结果的可信度将通过详细的现场笔记和审计步道来增强。 这项研究将提供对围绕婴儿喂养的复杂文化问题的理解和理论。 这些发现将为开发和测试具有文化敏感的护理干预措施，以改善婴儿和儿童的长期健康状况。