Cargando…

Community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study

BACKGROUND: In the U.S., sudden unexpected infant deaths (SUID) due to accidental suffocation and strangulation in bed (ASSB) are increasing, with disparities by race/ethnicity. While breastfeeding is a protective factor against infant mortality, racial/ethnic disparities are present in its uptake,...

Descripción completa

Detalles Bibliográficos
Autores principales: Menon, Meera, Huber, Rebecca, West, Dana D., Scott, Stacy, Russell, Rebecca B., Berns, Scott D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9989577/
https://www.ncbi.nlm.nih.gov/pubmed/36882767
http://dx.doi.org/10.1186/s12889-023-15227-4
_version_ 1784901797268160512
author Menon, Meera
Huber, Rebecca
West, Dana D.
Scott, Stacy
Russell, Rebecca B.
Berns, Scott D.
author_facet Menon, Meera
Huber, Rebecca
West, Dana D.
Scott, Stacy
Russell, Rebecca B.
Berns, Scott D.
author_sort Menon, Meera
collection PubMed
description BACKGROUND: In the U.S., sudden unexpected infant deaths (SUID) due to accidental suffocation and strangulation in bed (ASSB) are increasing, with disparities by race/ethnicity. While breastfeeding is a protective factor against infant mortality, racial/ethnic disparities are present in its uptake, and motivations to breastfeed are also often coupled with non-recommended infant sleep practices that are associated with infant sleep deaths. Combining infant safe sleep (ISS) and breastfeeding promotion on the community level presents opportunities to address racial/ethnic disparities and associated socioeconomic, cultural, and psychosocial influences. METHODS: We completed a descriptive qualitative hermeneutical phenomenology using thematic analysis of focus group data. We examined the phenomenon of community-level providers promoting ISS and breastfeeding in communities vulnerable to ISS and breastfeeding disparities. We asked eighteen informants participating in a national quality improvement collaborative about i.) areas requiring additional support to meet community needs around ISS and breastfeeding, and ii.) recommendations on tools to improve their work promoting ISS and breastfeeding. RESULTS: We identified four themes: i.) education and dissemination, ii.) relationship building and social support, iii.) working with clients’ personal circumstances and considerations, and iv.) tools and systems. CONCLUSIONS: Our findings support embedding risk-mitigation approaches in ISS education; relationship building between providers, clients, and peers; and the provision of ISS and breastfeeding supportive material resources with educational opportunities. These findings may be used to inform community-level provider approaches to ISS and breastfeeding promotion. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-15227-4.
format Online
Article
Text
id pubmed-9989577
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-99895772023-03-07 Community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study Menon, Meera Huber, Rebecca West, Dana D. Scott, Stacy Russell, Rebecca B. Berns, Scott D. BMC Public Health Research Article BACKGROUND: In the U.S., sudden unexpected infant deaths (SUID) due to accidental suffocation and strangulation in bed (ASSB) are increasing, with disparities by race/ethnicity. While breastfeeding is a protective factor against infant mortality, racial/ethnic disparities are present in its uptake, and motivations to breastfeed are also often coupled with non-recommended infant sleep practices that are associated with infant sleep deaths. Combining infant safe sleep (ISS) and breastfeeding promotion on the community level presents opportunities to address racial/ethnic disparities and associated socioeconomic, cultural, and psychosocial influences. METHODS: We completed a descriptive qualitative hermeneutical phenomenology using thematic analysis of focus group data. We examined the phenomenon of community-level providers promoting ISS and breastfeeding in communities vulnerable to ISS and breastfeeding disparities. We asked eighteen informants participating in a national quality improvement collaborative about i.) areas requiring additional support to meet community needs around ISS and breastfeeding, and ii.) recommendations on tools to improve their work promoting ISS and breastfeeding. RESULTS: We identified four themes: i.) education and dissemination, ii.) relationship building and social support, iii.) working with clients’ personal circumstances and considerations, and iv.) tools and systems. CONCLUSIONS: Our findings support embedding risk-mitigation approaches in ISS education; relationship building between providers, clients, and peers; and the provision of ISS and breastfeeding supportive material resources with educational opportunities. These findings may be used to inform community-level provider approaches to ISS and breastfeeding promotion. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-15227-4. BioMed Central 2023-03-07 /pmc/articles/PMC9989577/ /pubmed/36882767 http://dx.doi.org/10.1186/s12889-023-15227-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Menon, Meera
Huber, Rebecca
West, Dana D.
Scott, Stacy
Russell, Rebecca B.
Berns, Scott D.
Community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study
title Community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study
title_full Community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study
title_fullStr Community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study
title_full_unstemmed Community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study
title_short Community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study
title_sort community-based approaches to infant safe sleep and breastfeeding promotion: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9989577/
https://www.ncbi.nlm.nih.gov/pubmed/36882767
http://dx.doi.org/10.1186/s12889-023-15227-4
work_keys_str_mv AT menonmeera communitybasedapproachestoinfantsafesleepandbreastfeedingpromotionaqualitativestudy
AT huberrebecca communitybasedapproachestoinfantsafesleepandbreastfeedingpromotionaqualitativestudy
AT westdanad communitybasedapproachestoinfantsafesleepandbreastfeedingpromotionaqualitativestudy
AT scottstacy communitybasedapproachestoinfantsafesleepandbreastfeedingpromotionaqualitativestudy
AT russellrebeccab communitybasedapproachestoinfantsafesleepandbreastfeedingpromotionaqualitativestudy
AT bernsscottd communitybasedapproachestoinfantsafesleepandbreastfeedingpromotionaqualitativestudy