1/25/2017
Effective Collaborations & Breastfeeding Promotion Strategies
Asian, Southeast Asian & Pacific Islander Communities
California Breastfeeding Summit January 27, 2017
We hope to share
• Cultural factors and social determinants that may influence breastfeeding for Asian, Southeast Asian, or Pacific Islander families
• Stories and strategies from communities
• Resources for culturally and/or linguistically appropriate breastfeeding education materials
1 1/25/2017
≥50% ≥30% Chinese Tagalog Linguistic Vietnamese Persian Korean Japanese Isolation Cantonese Panjabi ≤30% In California: Mandarin Hmong Hindi Asian, Southeast Asian, Mon-Khmer Gujarati Urdu & Pacific Islanders Thai Indonesian Telugu Formosan Ilocano Source: U.S. Census Bureau, Tamil 2009-2013 American Community Survey Laotian Bengali Samoan Burmese Mien Malayalam Nepali Turkish Marathi Data withheld to avoid disclosure. Mongolian Tongan Kannada Kashmiri Balinese Karen Bisayan Fijian Dravidian Bihari Tibetan Sinhalese Chamorro Munda Burushaski Pangasinan Sebuano Malay Assamese Carolinian Kirghiz Marshallese Pampangan Sindhi Karakalpak Trukese Oriya Malagasy Wu Uighur Gilbertese Hawaiian Mokilese Hakka Palau Maori Nukuoro Ponapean Kazakh Cham Rajasthani Gondi Azerbaijani Bikol Kachin Tokelauan Micronesian Polynesian Javanese Karachay Yapese Fuchow Kusaiean Melanesian
2 1/25/2017
Cultural and Social Considerations When Promoting Breastfeeding in the Chinese & Vietnamese Communities
Postpartum Confinement “Zuo Yue Zi” 坐月子
3 1/25/2017
Postpartum Confinement “Zuo Yue Zi” Foods
“One-Month” Confinement “Zuo Yue Zi” Foods
4 1/25/2017
“One-Month” Confinement “Zuo Yue Zi” Foods
Vietnamese New Mother’s Postpartum Experience
http://scaifebabywatch.blogspot.com/2013/02/vietnamese-postpartum-diet-care.html
5 1/25/2017
Viet Postpartum Practices & Foods
http://mamaescapade.blogspot.com/2013/08/vietnamese-postpartum-tradition.html
Chinese Cultural Practices & Breastfeeding
6 1/25/2017
“Yue Zi” Helper or Yue Zi Center
Vietnamese Cultural Practices & Breastfeeding
https://everyone.savethechildren.net/sites/everyone.savethechildren.net/files/wp- content/uploads/Case-Study_Vietnam_Hue_Jan2012_Credit-Tran-Xuan-Canh-2.jpg
7 1/25/2017
Influence from Family
While you “zuo yue zi”, you should not move around too much, must rest in bed, do not bathe or wash your hair, cannot eat fresh fruit…
Other Sources of Influence on Breastfeeding
8 1/25/2017
We Need Support to Breastfeed
Stories and Strategies from Communities
9 1/25/2017
Resources
Chinese • Breastfeeding Association of Taiwan http://www.breastfeeding.org.tw/main/main.php • Hong Kong Breastfeeding Association http://www.breastfeeding.org.hk/ • La Leche League - China http://www.muruhui.org/
Vietnamese http://nature.berkeley.edu/departments/nut/extension/vietnamese.html https://www.healthinfotranslations.org/pdfDocs/BreastfeedingBasics_VIET.pdf http://here.doh.wa.gov/search-by-language/materials-in-vietnamese/ https://www.breastfeeding.asn.au/bf-info/other-languages
• MULTIPLE LANGUAGES Consumer Health Information including Breastfeeding https://nnlm.gov/outreach/consumer/multi.html#A4
California Initiation and Duration Asian and Pacific Islander Compared to Total
100 90 80
70
60 CA 50 CA Asian 40 CA PI 30 HP 2020 20 Percent of all all births of Percent 10 0 Initial Any Initial EBF EBF 1mo EBF 3mo
Maternal Infant Health Assessment (MIHA), 2013-14 California Department of Public Health In-Hospital Breastfeeding Data, 2014
10 1/25/2017
Exclusive Breastfeeding by Ethnic Group Alameda County 2014
100 90 80
70
60 AC All 50 AC Asian/PI 40 AC Black AC Hispanic 30 AC White 20
Percent of all births births of all Percent Healthy People2020 10 EBF 3-Month 44.3% 0 EBF EBF 1 week EBF 1 EBF 2 EBF 3 Initiation month months months
Maternal Infant Health Assessment (MIHA), 2013-14 California Department of Public Health In-Hospital Breastfeeding Data, 2014
11 1/25/2017
12 1/25/2017
Asian Southeast Asian Pacific !slander Breastfeeding
13 1/25/2017
Community Engagement
Culturally Appropriate Education
14 1/25/2017
Provider Engagement
Lactation Accommodation
15 1/25/2017
Public Information Campaign
Workforce Development
16 1/25/2017
Call to action!
How well do you know your community?
17 1/25/2017
What is important to your community?
How does breastfeeding relate to their concerns?
18 1/25/2017
How are you collaborating with Asian, Southeast Asian and/or Pacific Islander communities to promote breastfeeding?
References 1. Donaldson, H. CNM, MS; Kratzer, J. CNM, MS; Okutoro-Ketter, S. CNM, MS; Tung, P. CNM, MS. Breastfeeding among Chinese Immigrants in the United States. Journal of Midwifery and Women’s Health. 2010; 55(3):277- 281. 2. Hue Thai, UWSOM, R/UOP-III. Postpartum Practices among Vietnamese and Chinese Patients. 3. Ngyuen, H. T. Eriksson, B. Tran, T.K. Petzold, M. Bondjers, G. Nguyen, T.K.C. Nguyen, L.T. Ascher, H. Breastfeeding Practices in Urban and Rural Vietnam. BioMed Central Public Health 2012, 12:964. 4. Yui Siu Chung. Only 2% Hong Kong Mother Breastfeed, Friendly Policy Helps with Decision. Wen Wei Po Newspaper, Hong Kong, Health Information Page, February 2, 2016. 5. https://ww2.kqed.org/bayareabites/2015/05/09/new-mom-turns-to-ancient-chinese-recipes-for- postpartum-recovery. 6. Raven, JH. Chen, Q. Tolhurst, RJ. Garner, P. Traditional Beliefs and Practices in the Postpartum Period in Fujian Province, China: a qualitative study. BioMed Central Pregnancy & Childbirth. 2007; 7:8. 7. U.S. Census Bureau, American Community Survey 2009-2013 http://www.census.gov/data/developers/updates/acs-5-yr-summary-available-2009-2013.html 8. Maternal Infant Health Assessment (MIHA), 2013-14 http://www.cdph.ca.gov/data/surveys/MIHA/Pages/MaternalandInfantHealthAssessment(MIHA)survey.aspx 9. California Department of Public Health In-Hospital Breastfeeding Data, 2014 http://www.cdph.ca.gov/data/statistics/Documents/HospitalxRace-EthnicityReport2014.pdf 10. Lipson, J., Dibble, S., and Minarik, P. Culture & Nursing Care: A Pocket Guide. UCSF Nursing Press, 1998.
All photographs used with permission.
19 1/25/2017
Thank you!
Jeanne Kettles, MA, IBCLC [email protected]
Tonya Lang, MPH [email protected]
Grace Yee, IBCLC [email protected]
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