|
Sign In to gain access to subscriptions and/or personal tools.
|
Using Cultural Knowledge in Health Promotion: Breastfeeding among the Navajo
Anne L. Wright, PhD
Department of Pediatrics and Steele Memorial Children's Research Center, University of Arizona, Tucson
Audrey Naylor, MD, PhD
Wellstart International, San Diego, California
Ruth Wester, RN, CPNP
Wellstart International, San Diego, California
Mark Bauer, PhD
Math and Natural Sciences Department, Navajo Community College, Shiprock, New Mexico
Emily Sutcliffe, MD
Cortez, Colorado
Although many attempts have been made to promote breastfeeding in a variety of contexts, few programs have explicitly incorporated cultural beliefs in these efforts. This article describes a breastfeeding promotion program conducted on the Navajo reservation. This program was designed to be culturally appropriate. Background information regarding beliefs and factors affecting infant feeding practices in this setting is provided, followed by a description of the intervention. The intervention, which incorporated both social marketing and community participation techniques, consisted of three components: an intervention in the health care system, a community intervention, and an individual intervention. Based on medical records review of feeding practices of all the infants born the year before (n = 988) and the year after (n = 870) the intervention, the program was extremely successful. This combination of techniques, including qualitative and quantitative research into local definitions of the problem, collaboration with local institutions and individuals, reinforcement of traditional understandings about infant feeding, and institutional change in the health care system, is an effective way of facilitating behavioral change.
Health Education & Behavior, Vol. 24, No. 5,
625-639 (1997)
DOI: 10.1177/109019819702400509
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
G. Flores
Devising, Implementing, and Evaluating Interventions to Eliminate Health Care Disparities in Minority Children
Pediatrics,
November 1, 2009;
124(Supplement_3):
S214 - S223.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Murphy and C. Wilson
Breastfeeding Promotion: A Rational and Achievable Target for a Type 2 Diabetes Prevention Intervention in Native American Communities
J Hum Lact,
May 1, 2008;
24(2):
193 - 198.
[Abstract]
[PDF]
|
|
|
|
|
|
|
S. Christopher, A. K. H. G. McCormick, A. Smith, and J. C. Christopher
Development of an Interviewer Training Manual for a Cervical Health Project on the Apsaalooke Reservation
Health Promot Pract,
October 1, 2005;
6(4):
414 - 422.
[Abstract]
[PDF]
|
|
|
|
|
|
|
K. Wambach, S. H. Campbell, S. L. Gill, J. E. Dodgson, T. C. Abiona, and M. J. Heinig
Clinical Lactation Practice: 20 Years of Evidence
J Hum Lact,
August 1, 2005;
21(3):
245 - 258.
[Abstract]
[PDF]
|
|
|
|
|
|
|
C. Epple, A. L. Wright, V. N. Joish, and M. Bauer
The Role of Active Family Nutritional Support in Navajos' Type 2 Diabetes Metabolic Control
Diabetes Care,
October 1, 2003;
26(10):
2829 - 2834.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. I. C. de Oliveira, L. A. B. Camacho, and A. E. Tedstone
Extending Breastfeeding Duration Through Primary Care: A Systematic Review of Prenatal and Postnatal Interventions
J Hum Lact,
November 1, 2001;
17(4):
326 - 343.
[Abstract]
[PDF]
|
|
|
|
|
|
|
L Fairbank, S O'Meara, A J Sowden, M J Renfrew, and M M Woolridge
Promoting the initiation of breast feeding
Qual. Saf. Health Care,
June 1, 2001;
10(2):
123 - 127.
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. L. Wright and R. J. Schanler
The Resurgence of Breastfeeding at the End of the Second Millennium
J. Nutr.,
February 1, 2001;
131(2):
421S - 425.
[Full Text]
|
|
|
|
|
|
|
C. Brach and I. Fraserirector
Can Cultural Competency Reduce Racial and Ethnic Health Disparities? a Review and Conceptual Model
Med Care Res Rev,
December 1, 2000;
57(4_suppl):
181 - 217.
[Abstract]
[PDF]
|
|
|
|
|
