Untold Narratives: Perceptions of Human Milk Banking and Donor Human Milk Among Ghanaian Immigrant Women Living in the United States.

Autor: Jackson F; Department of Applied Health Science, Indiana University School of Public Health, Bloomington, IN, USA. fjackso@iu.edu., Obeng CS; Department of Applied Health Science, Indiana University School of Public Health, Bloomington, IN, USA., Greene AR; Department of Applied Health Science, Indiana University School of Public Health, Bloomington, IN, USA., Dennis BK; W.W. Wright School of Education, Department of Counseling and Educational Psychology, Indiana University, Bloomington, IN, USA., Wright BN; Department of Applied Health Science, Center for Sexual Health Promotion, Indiana University School of Public Health, Bloomington, IN, USA.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2023 Nov 15. Date of Electronic Publication: 2023 Nov 15.
DOI: 10.1007/s40615-023-01860-7
Abstrakt: Background: Donor human milk (DHM) though primarily administered in the NICU setting is increasingly being offered in well baby nurseries to promote exclusive breastfeeding. Despite the evidence supporting the use of DHM as a preferred supplement when mother's own milk (MOM) is unavailable or insufficient, foreign-born non-Hispanic black women are less likely to use DHM. Recognizing the cultural diversity and uniqueness among foreign-born non-Hispanic black communities in the USA, this exploratory study sought to understand perceptions of DHM and human milk banking (HMB) as well as factors influencing decision-making toward DHM among Ghanaian immigrant women living in the USA.
Methods: Semi-structured interviews were conducted with 16 Ghanaian women living in the USA. Using a narrative thematic approach, interview transcripts were coded, analyzed, and organized into categories and themes.
Results: Findings indicate mixed sentiments toward DHM/HMB among Ghanaian immigrant women. Regarding decision-making toward DHM utilization and donation, four themes were identified: (1) women's decision-making which is informed by external influences, (2) health provider's role in promoting human milk utilization, (3) the importance of addressing barriers to human milk utilization and donation, and (4) superstition and spirituality.
Conclusions: Maternal perceptions of DHM/HMB are influenced by individual-, interpersonal-, and community-level factors. It is imperative that health promotion efforts adopt multi-level approaches to addressing the disparities in DHM access and utilization as well as factors that impact milk donation in order to ensure optimum health outcomes for neonates of foreign-born non-Hispanic black populations.
(© 2023. W. Montague Cobb-NMA Health Institute.)
Databáze: MEDLINE
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