title: Breastfeeding beliefs and practices of African women living in Brisbane and Perth, Australia.
abstract: The purpose of this study was to explore the experience of breastfeeding among refugee women from Liberia, Sierra Leone, Burundi and the Democratic Republic of Congo living in two major capital cities in Australia. Participants were recruited from their relevant community associations and via a snowballing technique. Thirty-one women took part in either individual interviews or facilitated group discussions to explore their experiences of breastfeeding in their home country and in Australia. Thematic analysis revealed four main themes: cultural breastfeeding beliefs and practices; stigma and shame around breastfeeding in public; ambivalence towards breastfeeding and breastfeeding support. Women who originated from these four African countries highlighted a significant desire for breastfeeding and an understanding that it was the best method for feeding their infants. Their breastfeeding practices in Australia were a combination of practices maintained from their countries of origin and those adopted according to Australian cultural norms. They exemplified the complexity of breastfeeding behaviour and the relationship between infant feeding with economic status and the perceived social norms of the host country. The results illustrate the need for policy makers and health professionals to take into consideration the environmental, social and cultural contexts of the women who are purportedly targeted for the promotion of breastfeeding.
authors.affiliation: School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
authors.forename: Danielle
authors.initials: D
authors.lastname: Gallegos
authors.affiliation: Association for Services to Torture and Trauma Survivors, Perth, Western Australia, Australia.
authors.forename: Natalie
authors.initials: N
authors.lastname: Vicca
authors.affiliation: School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Queensland, Australia.
authors.forename: Samantha
authors.initials: S
authors.lastname: Streiner
mesh_terms: D001315:Australia; D044383:Black People / Q000523:psychology*; D001942:Breast Feeding / Q000208:ethnology* / Q000523:psychology*; D003469:Culture; D005069:Evaluation Studies as Topic; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D012036:Refugees / Q000523:psychology; D012959:Socioeconomic Factors; D013803:Thematic Apperception Test
keywords: African; Australia; breastfeeding; breastfeeding support; cultural context; minority ethnic groups
references.citation: Health Policy. 2010 Sep;97(1):79-86
references.pmid: 20400199
references.citation: Res Nurs Health. 2006 Aug;29(4):256-68
references.pmid: 16847899
references.citation: Birth. 2002 Sep;29(3):169-76
references.pmid: 12153647
references.citation: Int Breastfeed J. 2006 Oct 12;1:18
references.pmid: 17034645
references.citation: Public Health Nutr. 2001 Apr;4(2):147-54
references.pmid: 11299086
references.citation: J Biosoc Sci. 2008 Sep;40(5):673-96
references.pmid: 18045509
references.citation: Soc Sci Med. 1986;23(7):651-64
references.pmid: 3775447
references.citation: Cochrane Database Syst Rev. 2012 Aug 15;(8):CD003517
references.pmid: 22895934
references.citation: Soc Sci Med. 2008 Mar;66(5):1095-105
references.pmid: 18155334
references.citation: J Public Health (Oxf). 2007 Mar;29(1):17-26
references.pmid: 17204510
references.citation: J Pediatr Nurs. 2009 Aug;24(4):244-54
references.pmid: 19632502
references.citation: Midwifery. 2007 Dec;23(4):382-91
references.pmid: 17126967
references.citation: Breastfeed Rev. 2007 Jul;15(2):21-5
references.pmid: 17695074
references.citation: Arch Pediatr Adolesc Med. 2005 Mar;159(3):255-60
references.pmid: 15753269
references.citation: J Community Health. 2008 Apr;33(2):53-60
references.pmid: 18060485
references.citation: J Natl Cancer Inst. 2004 Jul 21;96(14):1094-8
references.pmid: 15265971
references.citation: Health Place. 2006 Dec;12(4):516-26
references.pmid: 16157504
references.citation: Matern Child Health J. 2007 Mar;11(2):119-25
references.pmid: 17279324
references.citation: Midwifery. 2011 Oct;27(5):595-602
references.pmid: 21035928
references.citation: Breastfeed Rev. 2005 Jul;13(2):5-11
references.pmid: 16127824
references.citation: Matern Child Nutr. 2015 Oct;11(4):727-36
references.pmid: 23557385
references.citation: Birth. 2007 Dec;34(4):308-15
references.pmid: 18021146
references.citation: Soc Sci Med. 1997 Jul;45(1):113-25
references.pmid: 9203276
references.citation: Pediatrics. 2007 Feb;119 Suppl 1:S38-46
references.pmid: 17272583
references.citation: Contemp Nurse. 1992 Sep;1(2):75-6, 79-82
references.pmid: 1303716
references.citation: Health Soc Care Community. 2001 Sep;9(5):309-17
references.pmid: 11560746
references.citation: Res Nurs Health. 2000 Aug;23(4):334-40
references.pmid: 10940958
references.citation: Breastfeed Rev. 2003 Nov;11(3):13-9
references.pmid: 14768309
references.citation: Women Birth. 2010 Dec;23(4):135-45
references.pmid: 20299299
references.citation: J Midwifery Womens Health. 2000 May-Jun;45(3):271-6
references.pmid: 10907337
references.citation: J Paediatr Child Health. 2005 Jul;41(7):338-43
references.pmid: 16014137
references.citation: J Midwifery Womens Health. 2005 Jul-Aug;50(4):324-8
references.pmid: 15973270
references.citation: Int Breastfeed J. 2006 Apr 07;1:7
references.pmid: 16722530
references.citation: Public Health Nutr. 2006 May;9(3):297-305
references.pmid: 16684380
references.citation: Public Health Nutr. 2003 Apr;6(2):217-23
references.pmid: 12675965
references.citation: J Nutr Educ Behav. 2004 Nov-Dec;36(6):315-9
references.pmid: 15617614
references.citation: Breastfeed Rev. 2002 Jul;10(2):27-32
references.pmid: 12227561
references.citation: J Hum Lact. 2005 Feb;21(1):31-8
references.pmid: 15681633
references.citation: Popul Res Policy Rev. 2008 Apr 1;27(2):183-199
references.pmid: 21399755
references.citation: Breastfeed Rev. 2000 Jul;8(2):17-23
references.pmid: 10941319
references.citation: Breastfeed Rev. 2007 Jul;15(2):15-20
references.pmid: 17695073
references.citation: Midwifery. 2009 Apr;25(2):195-202
references.pmid: 17451851
references.citation: J Hum Lact. 2003 Aug;19(3):270-7
references.pmid: 12931778
references.citation: Med J Aust. 2008 Sep 1;189(5):254-6
references.pmid: 18759719