Swipe om te navigeren naar een ander artikel
There are complex relationships among individual, family, community, and social factors related to breastfeeding. Immigrant mothers, specifically, face several unique challenges to practicing breastfeeding while negotiating these factors within two cultural worlds. Grounded in the theory of planned behavior and the ecological perspective, our qualitative study findings unveil a part of the complex and dynamic process of breastfeeding decision-making among Korean immigrant mothers in the United States. To elicit mothers’ underlying beliefs of attitude and intention toward breastfeeding as immigrants, we conducted in-person interviews with 13 pregnant and postpartum Korean immigrant mothers, ages ranging from 30 to 39. The findings revealed that Korean mothers held positive attitudes toward breastfeeding. However, translation of these positive attitudes toward breastfeeding into actual practice depended on the feasibility of actual breastfeeding by mothers. To overcome several barriers to breastfeeding, such as inadequate milk supply, health concerns, employment status, and the relationship with a firstborn child, many Korean mothers combined breastfeeding with formula feeding. The factors that shaped the development of beliefs and behavioral intentions toward breastfeeding among Korean immigrant mothers included the dynamic family interactions with their children, husbands, mothers, mothers-in-law, and sisters; support from friends and infant care experts; information available through various technology and media; and Korean-specific cultural traditions. Our findings suggest possible directions for future cross-cultural research on breastfeeding within diverse family contexts, and may inform the design of population specific intervention programs.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. https://doi.org/10.1016/0749-5978(91)90020-t. CrossRef
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Upper Saddle Rivers, NJ: Prentice-Hall Inc.
Aksu, H., Küçük, M., & Düzgün, G. (2011). The effect of postnatal breastfeeding education/support offered at home 3 days after delivery on breastfeeding duration and knowledge: A randomized trial. Journal of Maternal-Fetal and Neonatal Medicine, 24, 354–361. https://doi.org/10.3109/14767058.2010.497569. Epub2010 Jul 7. CrossRefPubMed
American Dietetic Association. (2009). Position of the American Dietetic Association: Promoting and supporting breastfeeding. Journal of American Dietetic Association, 109, 1926–1942. CrossRef
Bai, Y., Middlestadt, S. E., Peng, C. Y. J., & Fly, A. D. (2009). Psychosocial factors underlying the mother’s decision to continue exclusive breastfeeding for six months: An elicitation study. Journal of Human Nutrition and Dietetics, 22, 134–140. https://doi.org/10.1111/j.1365-277X.2009.00950.x. CrossRefPubMed
Behling, O., & Law, K. S. (2000). Translating questionnaires and other research instruments: Problems and solutions. Thousand Oaks, CA: Sage. CrossRef
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design.. Cambridge, MA: Harvard University Press.
Callister, L. C. (2001). Culturally competence care of women and newborns: Knowledge, attitudes, and skills. Journal of Obstetric, Gynecologic and Neonatal Nursing, 30, 209–215. https://doi.org/10.1111/j.1552-6909.2001.tb01537.x. CrossRef
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. London: Sage.
Chen, W.-L. (2010). Understanding the cultural context of Chinese mothers’ perceptions of breastfeeding and infant health in Canada. Journal of Clinical Nursing, 19, 1021–1029. https://doi.org/10.1111/j.1365-2702.2009.02956.x. CrossRefPubMed
Chibucos, T. R., Leite, R. W., & Weis, D. L. (2005). Readings in family theory. Thousand Oaks, CA: Sage.
Choices in Child Birth. (2016). Overdue: Medicaid and private insurance coverage of doula care to strengthen maternal and infant health. 2016 Issue Brief. http://transform.childbirthconnection.org/wp-content/uploads/2016/01/Insurance-Coverage-of-Doula-Care-Brief.pdf.
Chung, H., Korean Family Studies Association. (2011). The early years of marriage. Korean families: Continuity and change (pp. 331–353). Seoul, Korea: Seoul National University Press.
Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five traditions. 2nd edn. Thousand Oaks, CA: Sage.
Grassley, J., & Eschiti, V. (2008). Grandmother breastfeeding support: What do mothers need and want? BIRTH, 35, 329–335. https://doi.org/10.1111/j.1523-536X.2008.00260.x. CrossRefPubMed
Guyer, J., Millward, L. J., & Berger, I. (2012). Mothers’ breastfeeding experiences and implications for professionals. British Journal of Midwifery, 20, 724–733. https://doi.org/10.12968/bjom.2012.20.10.724. CrossRef
Hoeffel, E. M., Rastogi, S., Kim, M. O., & Shahid, H. (2012, March). The Asian population: 2010. 2010 Census Briefs (C2010BR-11). http://www.census.gov/prod/cen2010/briefs/c2010br-11.pdf.
Humes, B. R., Jones, N. A., & Ramirez, R. R. (2011, March). Overview of race and Hispanic origin. 2010 Census Briefs (C2010BR-02). http://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf.
Jang, J., Lee, S., Sung, M., & Lee, J. (2016). Family relationships and communication in South Korea. In G. Jian & G. Ray (Eds.), Relationships& communication in East Asian Cultures: China, Japan and South Korea (pp. 165–196). Dubuque, IA: Kendall Hunt Publishing Company.
Jeong, I. S., Lee, S. J., Jeong, J. S., Yoon, S. W., Jeong, S. Y., Ha, J., & Song, J. Y., et al. (2013). Development of infection control guideline for postpartum care centers. Korean Journal of Nosocomial Infect Control, 18, 57–88. CrossRef
Kim, S., Cho, A., Kim, Y., Do, S., & Lee, K. (2006). The 2006 national survey on fertility, family health and welfare in Korea (Research Report # 2006-24). https://www.kihasa.re.kr/html/jsp/publication/research/view.jsp?bid=12&ano=202.
Kim, S., & Yoon, J. W. (2012). The use of an online forum for health information by married Korean women in the United States. Information Research, 17. http://www.informationr.net/ir/17-2/paper514.html.
Kozhimannil, K. B., & Hardeman, R. R. (2016). Coverage for doula services: How state Medicaid programs can address concerns about maternity care costs and quality. BRITH, 43, 97–99. https://doi.org/10.1111/birt.12213.
Lee, S., & Keith, P. M. (1999). The transition to motherhood of Korean women. Journal of Comparative Family Studies, 30, 453–470.
Lincoln, Y., & Guba, E. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage Publications.
McInnes, R. J., Hoddinott, P., Britten, J., Darwent, K., & Craig, L. C. A. (2013). Significant others, situations and infant feeding behavior change processes: A serial qualitative interview study. BMC Pregnancy and Child Birth, 13, 114–126. http://www.biomedcentral.com/1471-2393/13/114. CrossRef
Mendlinger, S., & Cwikel, J. (2006). Health behaviors over the life cycle among mothers and daughters from Ethiopia. Nashim: A Journal of Jewish Women’s Studies & Gender Issues, 12, 57–94.
Ministry of Health & Welfare. (2014). The Mother and Child Health Law. http://www.law.go.kr/DRF/lawService.do?OC=lrzh&target=law&MST=142601&type=HTML&mobileYn=&efYd=20140807.
Nommsen-Rivers, L. A., Mastergeorge, A. M., Hansen, R. L., Cullum, A. S., & Dewey, K. G. (2009). Doula care, early breastfeeding outcomes, and breastfeeding status at 6 weeks postpartum among low-income primiparae. Journal of Obstetrics, Gynecological, Neonatal, and Nursing, 38, 157–173. CrossRef
Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage.
Perkins, D. F., Ferrari, T. M., Covey, M. A., & Keith, J. G.(1996). Getting dinosaurs to dance: Community collaborations as applications of ecological theory. In C. B. Simerly, H. Light & D. I. Mitstifer (Eds.), A book of readings: The context for professionals in human, family, and consumer sciences (pp. 31–39). Alexandria, VA: American Association of Family and Consumer Sciences.
Rivis, A., & Sheeran, P. (2003). Descriptive norms as an additional predictor in the theory of planned behavior: A meta-analysis. Current Psychology: Developmental, Learning, Personality, Social, 22, 218–233. CrossRef
Scanlon, K. S., Grummer-Strawn, L., Li, R., Chen, J., Molinari, N., & Perrine, C. G. (2010). Racial and ethnic differences in breastfeeding initiation and duration, by state: National immunization survey, United States, 2004-2008. Morbidity and Mortality Weekly Report, 59, 327–334.
Song, J.-E., & Park, B.-L. (2010). The changing pattern of physical and psychological health, and maternal adjustment between primiparas who used and those who did not use Sanhujofi facilities. Journal of Korean Academy of Nursing, 40, 503–514. https://doi.org/10.4040/kjan.2010.40.4.503. CrossRefPubMed
Statistics Korea. (2013). Postpartum care places. http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=TX_117_2009_H8211&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=K1&path=.
Statistics Korea, & Ministry of Gender Equality and Family. (2015). Statistical report on women’s lives. http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=346959.
Stearns, C. A. (2011). Cautionary tales about extended breastfeeding and weaning. Health Care for Women International, 32, 538–554. https://doi.org/10.1080/07399332.2010.540051. CrossRefPubMed
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage Publications.
Taylor, E. N., & Wallace, L. E. (2012). For shame: Feminism, breastfeeding advocacy, and maternal guild. Hypatia, 27, 76–98. https://doi.org/10.1111/j.1527-2001.2011.01238.x. CrossRef
Textor, L., Tiedje, K., & Yawn, B. (2013). Mexican and Somali immigrant breastfeeding initiation and counseling: A qualitative study of practices. Minnesota Medicine, 96, 46–50. PubMed
- Ecological Factors Influencing Breastfeeding Decisions among Korean Immigrant Mothers in America
Yeon K. Bai
- Springer US