Matching Items (2)

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Breastfeeding practices, facilitators, and barriers among immigrant Muslim Arab women living in a metropolitan area of the Southwest of United States

Description

Scientific evidence strongly indicates that there are significant health benefits of breastfeeding. Lower breastfeeding initiation, duration, and exclusivity rates are found in vulnerable populations particularly among women of low socioeconomic status, and racial minorities such as immigrant, racial, and minority

Scientific evidence strongly indicates that there are significant health benefits of breastfeeding. Lower breastfeeding initiation, duration, and exclusivity rates are found in vulnerable populations particularly among women of low socioeconomic status, and racial minorities such as immigrant, racial, and minority cultural groups. Breastfeeding disparities can contribute to negative health outcomes for the mothers, and their infants, and families.

Muslim Arab immigrants are a fast-growing, under-studied, and underserved minority population in the United States. Little is known about breastfeeding practices and challenges facing this vulnerable population. Immigrant Muslim Arab mothers encounter breastfeeding challenges related to religion, language, different cultural beliefs, levels of acculturation, difficulties understanding health care information, and navigating the health care system.

A cross-sectional descriptive study was used to describe infant feeding practices, and identify contributors and barriers to adequate breastfeeding using the social ecological model of health promotion. A convenience sample of 116 immigrant Muslim Arab women with at least one child, 5 years or younger was recruited from a large metropolitan area in the Southwestern United States. The results indicated that immigrant Muslim Arab mothers demonstrate high breastfeeding initiation rates (99.2%), and lengthy breastfeeding duration (M=11.86), but low rates of exclusive breastfeeding at 6 months (21.6%). Facilitators to breastfeeding within the sample were high intentions to breastfeed, positive breastfeeding knowledge and beliefs related to the benefits of breastfeeding, religious teachings promoting breastfeeding, and encouragement to breastfeed from the mothers’ social support system. Several barriers to successful breastfeeding were related to lacking the specific knowledge of the benefits of breastfeeding, and discomfort with breastfeeding in public, and in front of strangers. High income and religious teachings encouraging breastfeeding were significantly associated with exclusive breastfeeding at six months. Greater maternal age and comfort with breastfeeding in public were associated with longer breastfeeding durations.

The socio-cultural context for support of breastfeeding is an important consideration by healthcare providers caring for Muslim Arab women. An ecological perspective needs to be applied to interventions targeting breastfeeding promotion to facilitate effectiveness in this population. Culturally tailored intervention to the specific breastfeeding concerns and needs of Muslim immigrant women could promote optimal breastfeeding in this population.

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Agent

Created

Date Created
2017

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Designing and implementing ecological monitoring of aridland urban ecological infrastructure (UEI): a case-study of design process and outcomes

Description

Cities are increasingly using nature-based approaches to address urban sustainability challenges. These solutions leverage the ecological processes associated with existing or newly constructed Urban Ecological Infrastructure (UEI) to address issues through ecosystem services (e.g. stormwater retention or treatment). The growing

Cities are increasingly using nature-based approaches to address urban sustainability challenges. These solutions leverage the ecological processes associated with existing or newly constructed Urban Ecological Infrastructure (UEI) to address issues through ecosystem services (e.g. stormwater retention or treatment). The growing use of UEI to address urban sustainability challenges can bring together teams of urban researchers and practitioners to co-produce UEI design, monitoring and maintenance. However, this co-production process received little attention in the literature, and has not been studied in the Phoenix Metro Area.

I examined several components of a co-produced design process and related project outcomes associated with a small-scale UEI project – bioswales installed at the Arizona State University (ASU) Orange Mall and Student Pavilion in Tempe, AZ. Specifically, I explored the social design process and ecohydrological and biogeochemical outcomes associated with development of an ecohydrological monitoring protocol for assessing post-construction landscape performance of this site. The monitoring protocol design process was documented using participant observation of collaborative project meetings, and semi-structured interviews with key researchers and practitioners. Throughout this process, I worked together with researchers and practitioners to co-produced a suite of ecohydrological metrics to monitor the performance of the bioswales (UEI) constructed at Orange Mall, with an emphasis on understanding stormwater dynamics. I then installed and operated monitoring equipment from Summer 2018 to Spring 2019 to generate data that can be used to assess system performance with respect to the co-identified performance metrics.

The co-production experience resulted in observable change in attitudes both at the individual and institutional level with regards to the integration and use of urban ecological research to assess and improve UEI design. My ecological monitoring demonstrated that system performance met design goals with regards to stormwater capture, and water quality data suggest the system’s current design has some capacity for stormwater treatment. These data and results are being used by practitioners at ASU and their related design partners to inform future design and management of UEI across the ASU campus. More broadly, this research will provide insights into improving the monitoring, evaluation, and performance efficacy associated with collaborative stormwater UEI projects, independent of scale, in arid cities.

Contributors

Agent

Created

Date Created
2019