Infant feeding guideline awareness among mothers living with HIV in North America and Nigeria

Autor: J. Craig Phillips, Jean Hannan, Josephine Etowa, Seye Babatunde, Egbe B. Etowa
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Male
Health Knowledge
Attitudes
Practice
Breastfeeding
HIV Infections
Maternal-child health
0302 clinical medicine
Surveys and Questionnaires
Health care
Global health
Medicine
030212 general & internal medicine
Ontario
Social work
lcsh:Public aspects of medicine
lcsh:RJ1-570
Obstetrics and Gynecology
Infant Formula
HIV criminalization
Breast Feeding
Anti-Retroviral Agents
Florida
Marital status
Female
HIV-positive mother
Adult
Infant feeding guidelines
Black People
Mothers
Nigeria
Guidelines as Topic
Awareness of guidelines
World Health Organization
03 medical and health sciences
Social support
Young Adult
Environmental health
Humans
030109 nutrition & dietetics
business.industry
Research
Infant
Newborn
Infant
Motherhood
HIV
lcsh:Pediatrics
lcsh:RA1-1270
Guideline
Exclusive breastfeeding
Black mothers
Exclusive formula feeding
Infant mortality
Infectious Disease Transmission
Vertical
Black or African American
Cross-Sectional Studies
Pediatrics
Perinatology and Child Health
North America
business
Zdroj: International Breastfeeding Journal, Vol 15, Iss 1, Pp 1-9 (2020)
International Breastfeeding Journal
ISSN: 1746-4358
DOI: 10.1186/s13006-020-00274-z
Popis: Background WHO guidelines recommend breastfeeding for mothers living with HIV adherent to antiretroviral therapy in countries where formula is not accessible. In Canada and the US, guidelines for mothers living with HIV recommend exclusive formula feeding. Awareness of national infant feeding guidelines and socio-cultural factors influence infant feeding choices that may result in an increased risk of vertical transmission of HIV. The purpose of this paper is to present factors associated with awareness of guidelines among Black mothers living with HIV. Data were derived from a survey conducted as part of a recent international study that examined infant feeding practices among Black women living with HIV in Ottawa, Canada; Port Harcourt, Nigeria; and Miami, Florida. Methods Participants (n = 690) from Port Harcourt (n = 400), Miami (n = 201), and Ottawa (n = 89) were surveyed on their awareness of infant feeding guidelines for mothers living with HIV. Data were collected between November, 2016 and March, 2018. Results Participants’ mean ages were 34.3 ± 5.9 years. Across all sites, 15.4% (95% CI 13.2, 7.7) of mothers were NOT aware of their country’s infant feeding guidelines. Cultural beliefs (OR = 0.133, p = 0.004, 95% CI 0.03, 0.53) and functional social support influenced infant feeding choices (OR = 1.1, p = 0.034, 95% CI 1.01, 1.20) and were statistically significant predictors of guideline awareness (Χ2 = 38.872, p Conclusions Among participants, awareness of national infant feeding guidelines was associated with functional social support and cultural beliefs influenced infant feeding choices. Therefore, culturally adapted messaging via social supports already identified by mothers, including family relationships and health workers, is an appropriate way to enhance awareness of infant feeding guidelines. Ultimately, contributing to the global health goals of maternal health and reduced infant mortality.
Databáze: OpenAIRE
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