title: Understanding the cultural context of Chinese mothers' perceptions of breastfeeding and infant health in Canada.
abstract: OBJECTIVE
  The purpose of this study was to explore Chinese mothers' perceptions about breastfeeding and infant health in the Canadian context.
  
  
  BACKGROUND
  Chinese mothers' breastfeeding perceptions are challenging for health professionals in North America, but few studies have focused on this issue in depth.
  
  
  METHODS
  An interpretive qualitative methodology was used.
  
  
  METHODS
  Data were collected through semi-structured individual interviews with 15 purposively sampled Chinese mothers two months after delivery in Vancouver, British Columbia. Interviews were audiotaped and transcribed verbatim. Constant comparative analysis was used to develop coding categories and identify themes.
  
  
  RESULTS
  Two main themes emerged: (1) the idea of harmony within change and (2) the meaning of infant health. The first represents mothers' perceptions about breastfeeding: the value of common sense, purity of breast milk and the laws of nature. The second represents notions of infant health, including its indicators and the relationship between mother's health and infant health.
  
  
  CONCLUSIONS
  Chinese mothers' concepts of breastfeeding are associated with Western biomedical thought, traditional Chinese medicine and personal experiences, especially those embedded in the traditional Chinese cultural context. Perceptions of breastfeeding and infant health regarding notions of harmony within natural dynamic patterns must be considered when promoting breastfeeding.
  
  
  CONCLUSIONS
  This study highlights the cultural context affecting Chinese mothers' breastfeeding practices. Nurses and other health professionals require sensitivity when assessing Chinese mothers' breastfeeding practice so that they are able to provide appropriate postnatal and breastfeeding support.
authors.affiliation: School of Nursing, China Medical University, Taichung, Taiwan. wlchen@mail.cmu.edu.tw
authors.forename: Wil-Lie
authors.initials: WL
authors.lastname: Chen
mesh_terms: D000328:Adult; D044466:Asian People / Q000523:psychology*; D001294:Attitude to Health / Q000208:ethnology*; D001942:Breast Feeding / Q000208:ethnology*; D001955:British Columbia; D002681:China / Q000208:ethnology; D054242:Emigrants and Immigrants; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008880:Midwifery; D009034:Mother-Child Relations; D009730:Nursing Assessment; D036301:Qualitative Research