Psychosocial experiences of HIV-positive women of African descent in the cultural context of infant feeding: A three-country comparative analyses

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dc.contributor.authorEtowa, Josephine B.
dc.contributor.authorNare, Hilary
dc.contributor.authorKakuru, Doris M.
dc.contributor.authorEtowa, Egbe B.
dc.date.accessioned2022-11-23T19:29:56Z
dc.date.available2022-11-23T19:29:56Z
dc.date.copyright2020en_US
dc.date.issued2020
dc.description.abstractInfant feeding among mothers of African descent living with Human Immunodeficiency Virus (HIV) is a critical practice that is influenced by policies, cultural expectations, and the resultant psychosocial state of the mother. Hence, this paper draws insights from a broader infant feeding study. It provides insights into how guidelines on infant feeding practices, cultural expectations, migration, or geographic status intersect to influence the psychosocial experiences of mothers living with HIV. We compared psychosocial experiences of Black mothers of African descent living with HIV in Nigeria versus those in high-income countries (Canada and USA), in the context of contrasting national infant feeding guidelines, cultural beliefs about breastfeeding, and geographic locations. Survey was conducted in venue-based convenience samples in two comparative groups: (Ottawa, Canada and Miami-FL, USA combined [n = 290]), and (Port Harcourt, Nigeria [n = 400]). Using independent samples t-statistics, we compared the means and distributions of six psychosocial attributes between Black mothers in two distinct: Infant feeding groups (IFGs), cultural, and geographical contexts at p < 0.05. Psychosocial attributes, such as discrimination and stigma, were greater in women who exclusively formula feed (EFF) than in women who exclusively breastfeed (EBF) at p < 0.01. Heightened vigilance, discrimination, and stigma scores were greater in women whose infant feeding practices were informed by cultural beliefs (CBs) compared to those not informed by CBs at p < 0.001. Discrimination and stigma scores were greater among mothers in Canada and the USA than in Nigeria at p < 0.001. Heightened vigilance and perceived stress scores were less among women in Canada and the USA than in Nigeria at p < 0.001. The guidelines on infant feeding practices for mothers with HIV should consider cultural expectations and migration/locational status of mothers.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis research was funded by the Canadian Institute of Health Research (CIHR), grant number 144831.en_US
dc.identifier.citationEtowa, J., Nare, H., Kakuru, D. M., & Etowa, E. B. (2020). “Psychosocial experiences of HIV-positive women of African descent in the cultural context of infant feeding: A three-country comparative analyses.” International Journal of Environmental Research and Public Health, 17(19), 7150. https://doi.org/10.3390/ijerph17197150en_US
dc.identifier.urihttps://doi.org/10.3390/ijerph17197150
dc.identifier.urihttp://hdl.handle.net/1828/14512
dc.language.isoenen_US
dc.publisherInternational Journal of Environmental Research and Public Healthen_US
dc.subjectblack mothers
dc.subjectinfant feeding guidelines
dc.subjectbreast feeding
dc.subjectsociocultural factors
dc.subjectwomen living with HIV
dc.subjectmother-to-child transmission
dc.subjectpsychosocial influences
dc.subject.departmentSchool of Child and Youth Care
dc.titlePsychosocial experiences of HIV-positive women of African descent in the cultural context of infant feeding: A three-country comparative analysesen_US
dc.typeArticleen_US

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