Maternal Characteristics Influence Infant Feeding Styles in Caribbean Women

2021 ◽  
pp. 1-31
Author(s):  
Amika S Wright ◽  
Marshall K Tulloch-Reid ◽  
Susan M Chang ◽  
Susan P Walker
Keyword(s):  
Depressive Symptoms ◽  
Infant Feeding ◽  
Maternal Education ◽  
Cluster Randomized Trial ◽  
Maternal Characteristics ◽  
Feeding Styles ◽  
Caribbean Women ◽  
Health Clinics ◽  
Cluster Randomized ◽  
Multilevel Linear Regression

Abstract Objective: To examine associations between maternal characteristics and feeding styles in Caribbean mothers. Design: Participants were mother-child pairs enrolled in a cluster randomized trial of a parenting intervention in 3 Caribbean islands. Maternal characteristics were obtained by questionnaires when infants were 6-8 weeks old. Items adapted from the Toddler Feeding Behaviour Questionnaire were used to assess infant feeding styles at age 1 year. Feeding styles were identified using factor analysis and associations with maternal characteristics assessed using multilevel linear regression. Setting: Health clinics in St. Lucia (n=9), Antigua (n=10) and Jamaica (n=20). Participants: 405 mother-child pairs from the larger trial. Results: Maternal depressive symptoms were associated with uninvolved (β= 0.38 [95%CI=0.14, 0.62]), restrictive (β= 0.44 [95%CI= 0.19, 0.69]) and forceful (β=0.31 [95%CI= 0.06, 0.57]) feeding; and inversely associated with responsive feeding (β= −0.30 [95%CI= −0.56, −0.05]).Maternal vocabulary was inversely associated with uninvolved (β= −0.31 [95%CI= −0.57, −0.06]), restrictive (β= −0.30 [95%CI= −0.56, −0.04]), indulgent (β= −0.47 [95%CI= −0.73, −0.21]) and forceful (β= −0.54 [95%CI= −0.81, −0.28]) feeding. Indulgent feeding was negatively associated with socioeconomic status (β= −0.27 [95%CI= −0.53, −0.00]) and was lower among mothers ≥35 years (β= −0.32 [95%CI= −0.62, −0.02]). Breastfeeding at 1 year was associated with forceful feeding (β= 0.41 [95%CI= 0.21, 0.61]). No significant associations were found between maternal education, body mass index, occupation and feeding styles. Conclusion: Services to identify and assist mothers with depressive symptoms may benefit infant feeding style. Interventions to promote responsive feeding may be important for, less educated, younger and socioeconomically disadvantaged mothers.

scholarly journals Associations of Maternal Sociodemographic Characteristics and Eating Behaviors with Infant Feeding Behaviors

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1046-1046
Author(s):  
Tonja Nansel ◽  
Leah Lipsky ◽  
Carolina Schwedhelm ◽  
Breanne Wright ◽  
Chelsie Temmen ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Diet Quality ◽  
Maternal Education ◽  
Healthy Eating Index ◽  
Fruit And Vegetables ◽  
Infant Food ◽  
Food Groups ◽  
Feeding Behaviors ◽  
White Race ◽  
Maternal Characteristics

Abstract Objectives This study examines associations of maternal characteristics with infant feeding of discretionary and health-promoting foods. Methods Mothers in PEAS, a prospective cohort study, reported maternal and child dietary intake, demographics, and eating competence (EC). Maternal diet quality (Healthy Eating Index-2015, HEI) was calculated combining 24-hour diet recalls at 6 weeks, 6, and 12 months postpartum (n = 209). Infant food frequency questionnaires were completed at 6, 9, and 12 months, assessing age of introduction and intake frequency of food groups. T-tests examined bivariate associations of demographics with feeding of discretionary sweets, discretionary savory foods, fruit, and vegetables. Linear regressions examined associations of maternal EC and HEI with infant feeding controlling for demographics. Results Fruit, vegetables, discretionary sweet, and discretionary savory foods were introduced at 5.8 ± 1.7, 5.9 ± 1.7, 8.0 ± 2.0, and 8.8 ± 1.8 months, respectively. Earlier introduction of fruit and vegetables was associated with higher maternal education, white race, and nulliparity; earlier introduction of vegetables was also associated with higher income. Age of introduction of discretionary sweet and savory foods was not associated with maternal demographics, HEI, or EC. At age 12 months, greater infant intake frequency of fruit and vegetables was associated with higher education and income, white race, and breastfeeding, while greater intake frequency of discretionary sweet and savory foods was associated with lower maternal education and minority race. Greater intake frequency of sweets was also associated with multiparity and greater intake frequency of discretionary savory foods was associated with lower income. Maternal HEI was positively associated with infant intake frequency of fruit, vegetables, and discretionary sweet and savory foods. Maternal EC was positively associated with infant intake frequency of fruit and vegetables. Conclusions Demographic differences in infant feeding behaviors indicates these behaviors as critical intervention targets to address disparities in child diet quality. Associations of maternal HEI and EC with infant feeding behaviors suggest potential pathways of maternal influence on infant diet. Funding Sources This research was supported by the NICHD Intramural Research Program.

scholarly journals Associations between infant and maternal characteristics measured at child age 5 months and maternal feeding styles and practices up to child age two years

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261222
Author(s):  
Christine Helle ◽  
Elisabet R. Hillesund ◽  
Nina C. Øverby
Keyword(s):  
Maternal Education ◽  
Longitudinal Design ◽  
Controlled Trial ◽  
Feeding Practices ◽  
Overweight And Obesity ◽  
Maternal Characteristics ◽  
Feeding Styles ◽  
Maternal Feeding Practices ◽  
The Impact ◽  
Child Age

Facilitating positive feeding practices from infancy may be an important strategy to prevent childhood overweight and obesity. Since the feeding situation early in life constitutes a bidirectional relationship, it is important to understand the impact of both maternal and infant characteristics on maternal feeding practices to intervene in a customized and tailored way. Few studies have concurrently examined associations between maternal and infant characteristics in relation to early maternal feeding practices. The aim of the present study was to explore potential associations between infant and maternal characteristics measured at child age five months, and maternal feeding styles and practices during the child’s first two years. Cross-sectional data from a Norwegian randomized controlled trial in which participants responded to questionnaires at child age 5 months (n = 474), 12 months (n = 293) and 24 months (n = 185) were used to explore potential associations. All maternal and child predictor variables were collected at child age five months. Maternal feeding styles and practices were mapped using subscales from the Infant Feeding Questionnaire at child age 5 and 12 months and the Child Feeding Questionnaire and the Parental Feeding Style Questionnaire at child age 24 months. The subscale-scores were split into roughly equal tertiles, and the upper or lower tertile for the outcome of interest were used to create binary outcome variables. Multivariable binary logistic regression models were conducted for each outcome. We found that maternal education and mental health symptoms as well as infant weight, temperament and feeding mode were associated with maternal feeding styles and practices over time. Our findings indicate that risk factors which may have long-term implications for child weight and health outcomes can be identified early. Larger, population-based studies with a longitudinal design are needed to further explore these pathways.

scholarly journals Community Partners in Care: 6- and 12-month Outcomes of Community Engagement versus Technical Assistance to Implement Depression Collaborative Care among Depressed Older Adults

2018 ◽  
Vol 28 (Supp) ◽  
pp. 339-348 ◽  
Author(s):  
Adriana Izquierdo ◽  
Michael Ong ◽  
Esmeralda Pulido ◽  
Kenmeth B. Wells ◽  
Marina Berkman ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Los Angeles ◽  
Randomized Trial ◽  
Collaborative Care ◽  
Technical Assistance ◽  
Cluster Randomized Trial ◽  
Community Partners ◽  
Individual Program ◽  
Mental Wellness ◽  
Cluster Randomized

Objective: Community Partners in Care, a community-partnered, cluster-randomized trial with depressed clients from 95 Los Angeles health and community programs, examined the added value of a community coalition approach (Community Engage­ment and Planning [CEP]) versus individual program technical assistance (Resources for Services [RS]) to implement depression collaborative care in underserved communi­ties. This exploratory subanalysis examines 6- and 12-month outcomes among CPIC participants aged >50 years.Design: Community-partnered, cluster-randomized trial conducted between April 2010 and March 2012.Setting: Hollywood-Metropolitan (HM) and South Los Angeles (SLA) Service Planning Areas (SPAs), Los Angeles, CaliforniaParticipants: 394 participants aged >50 years with depressive symptoms (8-item Patient Health Questionnaire score ≥ 10).Intervention: A community-partnered multi-sector coalition approach (Com­munity Engagement and Planning [CEP]) vs individual program technical assistance (Resources for Services [RS]) to implement depression collaborative care.Main Outcome Measures: Depressive symptoms (PHQ-8 score), mental health-related quality of life (MHRQL), commu­nity-prioritized outcomes including mental wellness, homelessness risk and physical activity, and services utilization.Results: At 6 months, CEP was more ef­fective than RS at improving MHRQL and mental wellness among participants aged >50 years; no differences were found in the effects of CEP vs RS on other outcomes. No significant outcome differences between CEP and RS were found at 12 months.Conclusions: A multisector community coalition approach may offer additional benefits over individual program tech­nical assistance to improve outcomes among depressed adults aged >50 years living in underserved communi­ties. Ethn Dis.2018;28(Suppl 2):339-348; doi:10.18865/ed.28.S2.339.

Caregiver-oncologist concordance in patient prognosis, caregiver depression, and caregiver mastery.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 143-143
Author(s):  
Kah Poh Loh ◽  
Eva Culakova ◽  
Huiwen Xu ◽  
Sindhuja M Kadambi ◽  
Allison Magnuson ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cluster Randomized Trial ◽  
Cancer Type ◽  
Incurable Cancer ◽  
Moderation Effect ◽  
Community Oncology ◽  
Patient Health ◽  
Cluster Randomized ◽  
Patient Prognosis ◽  
The Relationship

143 Background: Caregivers of older adults with advanced cancer often have a different understanding of the patient’s prognosis compared with their oncologist. Among patients, accurate prognostic awareness is associated with greater depressive symptoms, except when patients utilize more adaptive coping skills. We examined the relationship between caregiver-oncologist prognostic concordance and caregiver depressive symptoms and explored whether this relationship differed by caregiver mastery, the capacity to cope, adjust, and adapt to problems. Methods: We utilized data from a national geriatric assessment cluster-randomized trial (URCC 13070: PI Mohile) that recruited patients aged ≥70 with incurable cancer considering any line of cancer treatment at community oncology practices, their caregivers, and oncologists. At enrollment, caregivers and oncologists estimated the patient’s prognosis (0-6 months, 7-12 months, 1-2 years, 2-5 years, > 5 years); same response was considered concordant. Caregivers completed Ryff’s mastery subscale (range 7-35, higher is better) at enrollment and depression screen (the Patient Health Questionnaire (PHQ)-2 (range 0-6) 4-6 weeks later. To assess the association of prognostic concordance with caregiver depressive symptoms, we used generalized estimating equations in models adjusted for cancer type, study arm, practice sites, and caregiver demographics. We then assessed moderation effect of caregiver mastery on this association. Results: Among 410 caregiver-oncologist dyads, mean caregiver age was 66.5, 75% were female, and 26% were caregivers of patients with lung cancer. Mean mastery score at enrollment was 27.6 (SD 4.7) and 19% screened positive on PHQ-2 at week 4-6. Among dyads who provided response (N = 370), 28% were concordant. Prognostic concordance was associated with higher caregiver depressive symptoms (β = 0.30; p = 0.04). Significant moderation effect was found between concordance and mastery for caregiver depressive symptoms (p = 0.02). Among caregivers with low mastery ( < median), prognostic concordance was associated with higher depressive symptoms (β = 0.68; p = 0.003). Among caregivers with high mastery (≥median), concordance was not associated with depressive symptoms (β = -0.06; p = 0.67). Conclusions: There is a need to study how prognostic understanding might lead to depression in at-risk caregivers. Interventions targeting caregiver prognostic understanding need to consider its relationship with depressive symptoms, while seeking to increase caregiver mastery.

Reducing mental-illness stigma via high school clubs: A matched-pair, cluster-randomized trial.

2020 ◽  
Vol 5 (2) ◽  
pp. 230-239
Author(s):  
Shaikh I. Ahmad ◽  
Bennett L. Leventhal ◽  
Brittany N. Nielsen ◽  
Stephen P. Hinshaw
Keyword(s):  
High School ◽  
Mental Illness ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Mental Illness Stigma ◽  
Matched Pair ◽  
Cluster Randomized
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