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dc.contributor.authorHoughtaling, Bailey E.
dc.contributor.authorByker Shanks, Carmen
dc.contributor.authorAhmed, Selena
dc.contributor.authorRink, Elizabeth
dc.date.accessioned2018-11-19T17:57:06Z
dc.date.available2018-11-19T17:57:06Z
dc.date.issued2018-07
dc.identifier.citationHoughtaling, Bailey, Carmen Byker Shanks, Selena Ahmed, and Elizabeth Rink. "Grandmother and health care professional breastfeeding perspectives provide opportunities for health promotion in an American Indian community." Social Science & Medicine 208 (July 2018): 80-88. DOI:10.1016/j.socscimed.2018.05.017.en_US
dc.identifier.issn1873-5347
dc.identifier.urihttps://scholarworks.montana.edu/xmlui/handle/1/15019
dc.description.abstractRationale While breastfeeding is well recognized as beneficial, rates of breastfeeding among American Indian women are below average and contribute to health inequities. Culturally specific approaches to breastfeeding research are called for to inform appropriate interventions in American Indian communities. Specifically, a grandmother's role in breastfeeding promotion is of great import particularly in American Indian (AI) groups, although is an understudied topic to date. Objective This research seeks to fill a prominent literature gap by utilizing a grounded theory and community-based research approach to inform breastfeeding practices from the voices of grandmothers and health care professionals in a rural AI community in the United States. Methods A community-based approach guided the research process. Convenience and snowball sampling was used to recruit for semi-structured and follow up member checking interviews with AI grandmothers (n = 27) and health care professionals (n = 7). Qualitative data were transcribed, characterized into meaning units, and coded by a review panel. Data were reconciled for discrepancies among reviewers, organized thematically, and used to generate community-specific breastfeeding constructs. Results Three major themes emerged, each with relevant subthemes: (1) importance of breastfeeding; (2) attachment, bonding, and passing on knowledge; and (3) overburdened health care system. Multiple subthemes represent stressors and impact breastfeeding knowledge, translation, and practice within this community including formula beliefs, historical traumas, societal pressures, mistrust, and substance abuse. Conclusions Interventions designed to raise breastfeeding rates in the study site community would ideally be grounded in tribal resources and involve a collaborative approach that engages the greater community, grandmothers, health care professionals, and scientific partners with varying skills. More research is needed to determine stressors and any potential impact on infant feeding practices among other AI groups. Application of the research approach presented here to other AI communities may be beneficial for understanding opportunities and challenges to breastfeeding practices.en_US
dc.description.sponsorshipNational Institutes of Health (P20GM103474, 5P20GM104417)en_US
dc.language.isoenen_US
dc.rightsThis Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en_US
dc.titleGrandmother and health care professional breastfeeding perspectives provide opportunities for health promotion in an American Indian communityen_US
dc.typeArticleen_US
mus.citation.extentfirstpage80en_US
mus.citation.extentlastpage88en_US
mus.citation.journaltitleSocial Science & Medicineen_US
mus.citation.volume208en_US
mus.identifier.categorySocial Sciencesen_US
mus.identifier.doi10.1016/j.socscimed.2018.05.017en_US
mus.relation.collegeCollege of Education, Health & Human Developmenten_US
mus.relation.departmentHealth & Human Development.en_US
mus.relation.universityMontana State University - Bozemanen_US
mus.data.thumbpage5en_US


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