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Navigating infant feeding supports after migration: Perspectives of Arabic and Chinese mothers and health professionals in Australia
Institution:1. Sydney School of Public Health, The University of Sydney, NSW 2006, Australia;2. Health Promotion Unit, Population Health Research and Evaluation Hub, Sydney Local Health District, NSW 2050, Australia;3. The National Health and Medical Research Council Centre for Research Excellence in the Early Prevention of Obesity in Childhood (EPOCH CRE), Australia;4. Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Victoria 3216, Australia;5. Health Promotion Service, Population Health, South Western Sydney Local Health District, NSW 2200, Australia;1. Judith Lumley Centre and Institute for Human Security & Social Change, La Trobe University, Australia;2. School of Epidemiology & Public Health, University of Ottawa, Canada;1. University of Technology Sydney, Faculty of Health, Centre for Midwifery and Child and Family Health, Australia;2. Royal Hospital for Women, South Easters Sydney Local Health District, Australia;3. School of Women''s and Children''s Health, UNSW Medicine, UNSW, Sydney, Australia;4. National Perinatal Epidemiology and Statistics Unit, Centre for Big Data Research in Health, UNSW, Sydney, Australia;5. University of Newcastle, Faculty of Health and Medicine, Australia;6. Department of Women''s and Children''s Health, St George Hospital, Sydney, Australia;7. The George Institute for Global Health, UNSW Medicine, Australia;8. Hunter New England Nursing and Midwifery Research Centre, Australia;1. Postgraduate Programme in Epidemiology, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil;2. Postgraduate Programme in Child and Adolescent Health, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil;3. Postgraduate Programme in Epidemiology and Department of Statistics, Institute of Mathematics and Statistics, Universidade Federal do Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2400/2º andar. CEP, 90035-003, Porto Alegre, RS, Brazil;1. The Ritchie Centre, Hudson Institute of Medical Research, Clayton, Victoria 3168, Australia;2. Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria 3168, Australia;3. Monash Health, 246 Clayton Road, Clayton, Victoria 3168, Australia;4. Centre of Research Excellence in Stillbirth, Mater Research Institute, The University of Queensland, Brisbane, Australia;5. Safer Care Victoria, Melbourne, Australia;1. Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia;2. Faculty of Health Professions, Al-Quds University, Jerusalem, Palestine;1. Australian Breastfeeding Association, Victoria, Australia;2. Monash Centre for Health Research and Implementation (MCHRI), Monash University, Victoria, Australia
Abstract:Optimal feeding practices can establish lifelong, transgenerational and global health benefits. Migration and cultural factors impact infant feeding practices and the support mothers receive for optimal infant feeding. This qualitative study explored support for infant feeding among Arabic and Chinese speaking migrant mothers in Australia.Semi-structured focus groups were conducted in language with 24 Arabic and 22 Chinese-Mandarin speaking migrant mothers with children under five years of age. Individual interviews were conducted in English with 20 health professionals working with Arabic or Chinese speaking migrant families. Data were thematically analysed using the framework method.Traditional family networks and trusted bi-cultural doctors were influential infant feeding supports for mothers. Health professionals perceived maternal and child health services to be poorly understood, and some mothers who accessed services felt they were not always culturally sensitive. Mothers sought additional information and support through online sources and peers. Both mothers and health professionals recognised the challenges of managing conflicting infant feeding advice and seeking best-practice support.The findings of this study highlight opportunities for health professionals to better support migrant mothers’ infant feeding practices, for example through engaging families and working with doctors. There is a need for greater cultural sensitivity within maternal and child health services and culturally relevant programs to support healthy infant feeding practices among migrant communities.
Keywords:Infant feeding  Breastfeeding  Migrants  Maternal and child health  Health services  Culturally and linguistically diverse
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