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Perception and Emotional Experiences of Infant Feeding Among Women Living With HIV in a High-Income Setting: A Longitudinal Mixed Methods Study: A Longitudinal Mixed Methods Study

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Název: Perception and Emotional Experiences of Infant Feeding Among Women Living With HIV in a High-Income Setting: A Longitudinal Mixed Methods Study: A Longitudinal Mixed Methods Study
Autoři: Ellen Moseholm, Michael D. Fetters, Inka Aho, Åsa Mellgren, Isik S. Johansen, Terese L. Katzenstein, Gitte Pedersen, Merete Storgaard, Nina Weis
Zdroj: Moseholm, E, Fetters, M D, Aho, I, Mellgren, Å, Johansen, I S, Katzenstein, T L, Pedersen, G, Storgaard, M & Weis, N 2024, 'Perception and emotional experiences of infant feeding among women living with HIV in a high-income setting: A longitudinal mixed methods study', Journal of Acquired Immune Deficiency Syndromes, vol. 95, no. 1, pp. 52-64. https://doi.org/10.1097/QAI.0000000000003314
Moseholm, E, Fetters, M D, Aho, I, Mellgren, Å, Johansen, I S, Katzenstein, T L, Pedersen, G, Storgaard, M & Weis, N 2024, 'Perception and Emotional Experiences of Infant Feeding Among Women Living With HIV in a High-Income Setting : A Longitudinal Mixed Methods Study', J A I D S, vol. 95, no. 1, pp. 52-64. https://doi.org/10.1097/QAI.0000000000003314
Informace o vydavateli: Ovid Technologies (Wolters Kluwer Health), 2024.
Rok vydání: 2024
Témata: 2. Zero hunger, Breast Feeding/psychology, infant feeding, breastfeeding, Postpartum Period, Nordic setting, longitudinal mixed methods study, Infant, Mothers, HIV Infections, HIV Infections/psychology, Mothers/psychology, Pregnant People, 3. Good health, Breast Feeding, 5. Gender equality, Pregnancy, Humans, Female, Perception, women living with HIV, Pregnant Women
Popis: Background: The recommendation of breastfeeding avoidance for women living with HIV in high-income settings may be influenced by cultural beliefs and come at an emotional cost. This multicenter, longitudinal, convergent mixed methods study aimed to compare differences in attitudes, concerns, and experiences surrounding breastfeeding in women living with HIV of Nordic and non-Nordic origin. Setting: High-income setting. Methods: Pregnant women living with HIV in the Nordic countries Denmark, Finland, and Sweden were recruited in 2019–2020. Quantitative data on attitudes surrounding infant feeding were assessed using the Positive Attitudes Concerning Infant Feeding questionnaire completed in the third trimester (T1), and 3 (T2) and 6 (T3) months postpartum. Women who completed the survey were also invited to participate in semistructured interviews at T1 and T3. The findings from the quantitative survey and qualitative interviews were brought together through merging to assess for concordance, complementarity, expansion, or discordance between the data sets and to draw metainferences. Results: In total, 44 women completed the survey, of whom 31 also participated in qualitative interviews. The merged analyses identified three overarching domains representing commonalities across the quantitative and qualitative data: emotional impact, justifying not breastfeeding, and coping strategies. Not being able to breastfeed was emotionally challenging. Cultural expectations influenced the women's experiences and the strategies they used to justify their infant feeding choice. Conclusions: For women living with HIV in Nordic countries not breastfeeding was a complex, multilayered process substantially influenced by social and cultural expectations.
Druh dokumentu: Article
Popis souboru: application/pdf
Jazyk: English
ISSN: 1525-4135
DOI: 10.1097/qai.0000000000003314
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/37797230
http://www.scopus.com/inward/record.url?scp=85179008508&partnerID=8YFLogxK
https://vbn.aau.dk/ws/files/552441462/Ellen_et_al._2023_._Perception_and_emotional_experiences_of_infant_feeding_among_women_living_with_HIV_in_a_high-income_setting_-_A_longitudinal_mixed_methods_study.pdf
https://doi.org/10.1097/QAI.0000000000003314
https://vbn.aau.dk/da/publications/0047aa7c-5c28-438d-b077-f53554efda7c
https://portal.findresearcher.sdu.dk/da/publications/bd1e7701-3215-437b-99ee-e0c7611f89f8
https://doi.org/10.1097/QAI.0000000000003314
https://pure.au.dk/portal/en/publications/7007604c-201d-4eff-a3b1-c7d1e6274258
http://www.scopus.com/inward/record.url?scp=85179008508&partnerID=8YFLogxK
https://doi.org/10.1097/QAI.0000000000003314
Přístupové číslo: edsair.doi.dedup.....861e86332cb14887597c547f226d43e0
Databáze: OpenAIRE
Popis
Abstrakt:Background: The recommendation of breastfeeding avoidance for women living with HIV in high-income settings may be influenced by cultural beliefs and come at an emotional cost. This multicenter, longitudinal, convergent mixed methods study aimed to compare differences in attitudes, concerns, and experiences surrounding breastfeeding in women living with HIV of Nordic and non-Nordic origin. Setting: High-income setting. Methods: Pregnant women living with HIV in the Nordic countries Denmark, Finland, and Sweden were recruited in 2019–2020. Quantitative data on attitudes surrounding infant feeding were assessed using the Positive Attitudes Concerning Infant Feeding questionnaire completed in the third trimester (T1), and 3 (T2) and 6 (T3) months postpartum. Women who completed the survey were also invited to participate in semistructured interviews at T1 and T3. The findings from the quantitative survey and qualitative interviews were brought together through merging to assess for concordance, complementarity, expansion, or discordance between the data sets and to draw metainferences. Results: In total, 44 women completed the survey, of whom 31 also participated in qualitative interviews. The merged analyses identified three overarching domains representing commonalities across the quantitative and qualitative data: emotional impact, justifying not breastfeeding, and coping strategies. Not being able to breastfeed was emotionally challenging. Cultural expectations influenced the women's experiences and the strategies they used to justify their infant feeding choice. Conclusions: For women living with HIV in Nordic countries not breastfeeding was a complex, multilayered process substantially influenced by social and cultural expectations.
ISSN:15254135
DOI:10.1097/qai.0000000000003314