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Sociocultural influences on infant feeding decisions among HIV-infected women in rural Kwa-Zulu Natal, South Africa.
Matern Child Nutr 2005; 1(1):2-10MC

Abstract

The promotion of exclusive breastfeeding for 6 months, followed by rapid transition to alternative food sources may be an important public health approach to the reduction of mother-to-child transmission of HIV through breastmilk. The basic ethical principle of 'informed choice' requires that HIV positive women are provided with adequate information about their options. However, information is only one factor that affects their decisions. The objective of this ethnographic study was to identify sociocultural influences on infant feeding decisions in the context of a large cohort study designed to assess the impact of a breastfeeding counselling and support strategy to promote exclusive breastfeeding on postnatal transmission of HIV in African women. Following an initial period of exploratory interviewing, ethnographic techniques were used to interview 22 HIV positive women about their views on infant feeding and health. Interviews were tape-recorded, transcribed and analysed with a text analysis program. Five themes of influences on feeding decisions emerged: (1) social stigma of HIV infection; (2) maternal age and family influences on feeding practices; (3) economic circumstances; (4) beliefs about HIV transmission through breastmilk; and (5) beliefs about the quality of breastmilk compared to formula. The study highlights the role of cultural, social, economic and psychological factors that affect HIV positive women's infant feeding decisions and behaviour.

Authors+Show Affiliations

Division of Nutritional Sciences, Cornell University, Ithaca, NY 14850, USA. lnt3@cornell.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16881874

Citation

Thairu, Lucy N., et al. "Sociocultural Influences On Infant Feeding Decisions Among HIV-infected Women in Rural Kwa-Zulu Natal, South Africa." Maternal & Child Nutrition, vol. 1, no. 1, 2005, pp. 2-10.
Thairu LN, Pelto GH, Rollins NC, et al. Sociocultural influences on infant feeding decisions among HIV-infected women in rural Kwa-Zulu Natal, South Africa. Matern Child Nutr. 2005;1(1):2-10.
Thairu, L. N., Pelto, G. H., Rollins, N. C., Bland, R. M., & Ntshangase, N. (2005). Sociocultural influences on infant feeding decisions among HIV-infected women in rural Kwa-Zulu Natal, South Africa. Maternal & Child Nutrition, 1(1), pp. 2-10.
Thairu LN, et al. Sociocultural Influences On Infant Feeding Decisions Among HIV-infected Women in Rural Kwa-Zulu Natal, South Africa. Matern Child Nutr. 2005;1(1):2-10. PubMed PMID: 16881874.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sociocultural influences on infant feeding decisions among HIV-infected women in rural Kwa-Zulu Natal, South Africa. AU - Thairu,Lucy N, AU - Pelto,Gretel H, AU - Rollins,Nigel C, AU - Bland,Ruth M, AU - Ntshangase,Ncamisile, PY - 2006/8/3/pubmed PY - 2006/12/9/medline PY - 2006/8/3/entrez SP - 2 EP - 10 JF - Maternal & child nutrition JO - Matern Child Nutr VL - 1 IS - 1 N2 - The promotion of exclusive breastfeeding for 6 months, followed by rapid transition to alternative food sources may be an important public health approach to the reduction of mother-to-child transmission of HIV through breastmilk. The basic ethical principle of 'informed choice' requires that HIV positive women are provided with adequate information about their options. However, information is only one factor that affects their decisions. The objective of this ethnographic study was to identify sociocultural influences on infant feeding decisions in the context of a large cohort study designed to assess the impact of a breastfeeding counselling and support strategy to promote exclusive breastfeeding on postnatal transmission of HIV in African women. Following an initial period of exploratory interviewing, ethnographic techniques were used to interview 22 HIV positive women about their views on infant feeding and health. Interviews were tape-recorded, transcribed and analysed with a text analysis program. Five themes of influences on feeding decisions emerged: (1) social stigma of HIV infection; (2) maternal age and family influences on feeding practices; (3) economic circumstances; (4) beliefs about HIV transmission through breastmilk; and (5) beliefs about the quality of breastmilk compared to formula. The study highlights the role of cultural, social, economic and psychological factors that affect HIV positive women's infant feeding decisions and behaviour. SN - 1740-8695 UR - https://www.unboundmedicine.com/medline/citation/16881874/Sociocultural_influences_on_infant_feeding_decisions_among_HIV_infected_women_in_rural_Kwa_Zulu_Natal_South_Africa_ L2 - https://doi.org/10.1111/j.1740-8709.2004.00001.x DB - PRIME DP - Unbound Medicine ER -