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

农村习惯对初为人母喂养选择的影响

• 批准号: 10586036
• 负责人: Karry L Weston
• 金额: $ 3.47万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-02 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10586036
• 关键词: Address; Affect; Area; Asthma; Behavior; Behavioral; Belief; Breast Feeding; Centers for Disease Control and Prevention (U.S.); Child; Clinic; Collaborations; Communities; Data; Decision Making; Discipline of Nursing; Discipline of obstetrics; Educational Materials; Environment; Environmental Risk Factor; Exposure to; Family; Federally Qualified Health Center; Fellowship; Future; Goals; Health Benefit; Health Promotion; Health Status; Human Milk; Individual; Infant; Insulin-Dependent Diabetes Mellitus; Intervention; Interview; Knowledge; Lead; Life; Malignant neoplasm of ovary; Maternal and Child Health; Mentors; Mentorship; Methodology; Missouri; Mothers; National Institute of Nursing Research; Newborn Infant; Non-Insulin-Dependent Diabetes Mellitus; Nurses; Nursing Research; Obesity; Outcome; Patient Recruitments; Perception; Population; Postdoctoral Fellow; Postpartum Period; Pregnant Women; Productivity; Publications; Recording of previous events; Reduce health disparities; Research; Research Design; Research Personnel; Research Project Grants; Resources; Rewards; Risk; Risk Reduction; Rural; Rural Community; Rural Population; Scientist; Services; Shapes; Socioeconomic Status; Sudden infant death syndrome; Surveys; Testing; Time; Training; Underserved Population; United States; Voice; Vulnerable Populations; Woman; child services; contextual factors; design; effective intervention; experience; feeding; health disparity; human old age (65+); improved; infant nutrition; instrument; lens; low socioeconomic status; malignant breast neoplasm; metropolitan; nonmetropolitan area; nursing intervention; obstetric services; peer coaching; perinatal women; prevent; programs; rural area; rural underserved; rurality; social factors; social structure; sociodemographic factors; suburb; therapy design

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

项目摘要/摘要 美国农村的母亲，尤其是社会经济地位较低的母亲（SES），更不愿母乳喂养 比可比SE的城市母亲。问题是生活在农村地区的经历是否是 影响一个粗糙的女人关于如何喂养婴儿的决定。对上下文因素的理解 需要在有影响力的婴儿喂养选择的社区中引导未来的护士 母乳喂养研究本研究的目的是定性探索粗糙的习惯或社区 对粗糙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） 探险母亲围绕婴儿喂养第一个孩子的意图和决策，包括他们的孩子 独特的习惯和其他关键社区影响因素； 2）描述粗糙母亲对如何的看法 粗糙的社区影响了他们的婴儿喂养决定。 3）探索母亲的重点 支持母乳喂养的干预措施，包括信息，支持和资源的需求。这 参与者的招募将通过密苏里州粗糙的WIC诊所以及乡村联邦资格进行 具有产科或儿科服务的卫生中心（FQHC）。习惯和粗糙度的概念将指导 这项研究，采用定性的描述性方法，允许从粗糙女性的声音中进行主题 产生了有关如何养活新生儿的决定的因素。发现将是 在博士后奖学金中用于开发一种定量工具来调查较大的农村人口 妇女进一步测试习性如何影响母乳喂养。申请人的长期目标是设计 有效的护士干预以提高服务不足的农村社区的母乳喂养率。一个关键优势 这项研究是申请人组装的研究团队。博士。 Bullock，Everett和Bloom有很长的时间 研究合作的历史研究密苏里州农村的健康差异。 Bullock博士将提供高级 研究小组的遗产以及与密苏里州围产期妇女收集的数据 探索了习性的概念。埃弗里特（Everett）目前的研究与此目标有很强的重叠 学习并可以为申请人提供动手培训。 Bloom博士拥有丰富的研究经验， 使用定性方法的出版物，并将在该领域提供重要的心理。最后，团队将 在一位高级跨学科科学家贝丝·奥尔森（Beth Olson）博士的支持下，他有广泛的研究 在粗糙的社区和母乳喂养研究中经验。总体而言，该提议具有多种优势：1） 它采用了一种独特的方法来探索习惯，以解决一个老化的旧问题的增加 母乳喂养，2）它正在解决美国最脆弱和理解的人群之一 妇女增加了健康差异和很少的资源，3）对尼尔的反应很高 增强健康和制定旨在的文化量身定制干预措施的战略目标 家庭和代表性不足的社区40

项目成果

Maternal COVID vaccination and breastfeeding during a pandemic: Habitus and health behavior decision making.

大流行期间孕产妇新冠疫苗接种和母乳喂养：习惯和健康行为决策。

• DOI: 10.1111/phn.13221
• 发表时间: 2023
• 期刊: Public health nursing (Boston, Mass.)
• 作者: Weston,Karry;Bullock,Linda;Hsu,AlbertL;Wan,XiuFengHenry;Burnam-Cole,Megan;Everett,KevinD;McElroy,JaneA
• 通讯作者: McElroy,JaneA