scholarly journals ‘You withhold what you are feeling so you can have a family’: Latinas’ perceptions on community values and postpartum depression

2021 ◽  
Vol 9 (3) ◽  
pp. e000504
Author(s):  
McClain Sampson ◽  
Miao Yu ◽  
Rebecca Mauldin ◽  
Angelina Mayorga ◽  
Lorena G Gonzalez
Keyword(s):  
Postpartum Depression ◽  
Focus Groups ◽  
Low Income ◽  
Local Community ◽  
Academic Research ◽  
Family Services ◽  
Community Values ◽  
Faith Based ◽  
Community Acceptance ◽  
Values And Beliefs

ObjectiveThe purpose of this study was to explore the postpartum depression (PPD) beliefs and experiences of mothers who access local community faith-based organisations providing family services to low-income, predominantly immigrant Latino populations.DesignUsing a qualitative research design, we conducted 18 focus groups with Latina mothers to inquire about their community values and beliefs of PPD. All groups were conducted in Spanish.SettingAn academic research team located in Houston, Texas, USA, partnered with six faith-based organisations in five cities to recruit and host focus groups at the site of the organisation.ParticipantsOne hundred and thirty-three women participated in the focus groups across all sites. Thirty-seven of them (27.8%) had given birth to a child in less than 1 year. Inclusion criteria included mothers 18 years and older and Latino ethnicity.ResultsA six-step process was used to apply thematic analysis to sort data into the themes. All mothers had heard of depression after childbirth, some had experienced it and most remarked that the personal experience and community acceptance of it vary by family. The main findings suggest that mothers take pride in parenting by instilling values to support family and the value of relying on family for emotional support. Findings reveal that many mothers suffer and sacrifice for their children, they feel judged and feel they must hide their emotions. Factors such as birth and postpartum customs from a native country, gender roles and beliefs of what a good mother shape their beliefs and messages about PPD.ConclusionOur findings indicate that programme developers should consider family and community focused education and intervention efforts to help decrease stigma and increase understanding of PPD.

scholarly journals Screening and Referral for Postpartum Depression among Low-Income Women: A Qualitative Perspective from Community Health Workers

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Rhonda C. Boyd ◽  
Marjie Mogul ◽  
Deena Newman ◽  
James C. Coyne
Keyword(s):  
Mental Health ◽  
Postpartum Depression ◽  
Focus Groups ◽  
Community Health ◽  
Community Health Workers ◽  
Low Income ◽  
Health Workers ◽  
Academic Community ◽  
Barriers And Facilitators ◽  
Postpartum Women

Postpartum depression is a serious and common psychiatric illness. Mothers living in poverty are more likely to be depressed and have greater barriers to accessing treatment than the general population. Mental health utilization is particularly limited for women with postpartum depression and low-income, minority women. As part of an academic-community partnership, focus groups were utilized to examine staff practices, barriers, and facilitators in mental health referrals for women with depression within a community nonprofit agency serving low-income pregnant and postpartum women. The focus groups were analyzed through content analyses and NVIVO-8. Three focus groups with 16 community health workers were conducted. Six themes were identified: (1) screening and referral, (2) facilitators to referral, (3) barriers to referral, (4) culture and language, (5) life events, and (6) support. The study identified several barriers and facilitators for referring postpartum women with depression to mental health services.

Perceptions and Barriers to SNAP Utilization Among Asian and Pacific Islanders in Greater Los Angeles

2020 ◽  
Vol 34 (7) ◽  
pp. 779-790
Author(s):  
Naomi T. Louie ◽  
Loan Pham Kim ◽  
Scott E. Chan
Keyword(s):  
Food Security ◽  
Los Angeles ◽  
Focus Groups ◽  
Low Income ◽  
Local Community ◽  
United States Department ◽  
Application Process ◽  
Assistance Program ◽  
Native Languages ◽  
Security Module

Purpose: To examine the perceptions of and barriers to Supplemental Nutrition Assistance Program (SNAP) participation among Asian and Pacific Islander (API) immigrants. Design: Qualitative focus groups were conducted in 4 API communities. Setting and Participants: Participants were recruited from 4 API communities (n = 68; 22 Tongan, 18 Vietnamese, 16 Filipino, and 12 Chinese) through local community-based organizations in Los Angeles and Orange Counties. Method: Trained bilingual and bicultural researchers conducted 8 focus groups in English, Chinese, and Vietnamese. Prior to the start of each focus group, participants completed a demographic questionnaire which included a United States Department of Agriculture (USDA) Food Security Module. Analysis: Audio recordings were transcribed verbatim and those in the native languages were transcribed verbatim. Transcripts in native languages were reviewed and translated into English. All transcripts were organized in ATLAS ti version 8.0 and analyzed using thematic analysis. The USDA Food Security Module results were scored and assessed for food insecurity. Results: Median age of participants was 58 years and 59.4% (n = 38) were food insecure. Barriers to SNAP participation were identified and organized within the Social Ecological Model by the following themes: (1) unclear program information, (2) application process, (3) shame, and (4) pride. Despite commonalities found across API subgroups, unique challenges with public charge and immigration existed within the subgroups. Conclusion: Culturally relevant in-language SNAP materials and multilevel interventions are needed to mitigate barriers and increase SNAP participation rates among low-income API groups.

scholarly journals An Exploration of New Superintendent Mentoring and Goal Setting

2020 ◽  
Vol 5 (1) ◽  
pp. 25-35
Author(s):  
Jia “Grace” Liang ◽  
Donna Augustine-Shaw ◽  
James Sottile
Keyword(s):  
Goal Setting ◽  
Local Community ◽  
School Superintendents ◽  
Leadership Standards ◽  
New School ◽  
Community Values ◽  
Induction Program ◽  
Values And Beliefs ◽  
National Leadership ◽  
Group Interviews

Using surveys and focus group interviews, this study explored the perspectives of new school superintendents and their mentors on goal setting in relation to national leadership standards in a formal mentoring and induction program. While the two groups shared certain views, statistically significant differences were found. The mentees displayed a contextualized understanding of advocacy--more related to local community values and beliefs than those of national or international views. The issue of goal setting, or lack thereof, and the engagement of national leadership standards to mentoring are most prominent and novel in this study.

scholarly journals Cultural Values and Beliefs of Selected Local Communities in Botswana: Implications for Human Subject Research Ethics Practice

2021 ◽  
pp. 155626462110233
Author(s):  
Setlhomo Koloi-Keaikitse ◽  
Gail Geller ◽  
Dudu Jankie ◽  
Joseph Ali
Keyword(s):  
Research Ethics ◽  
Cultural Values ◽  
Local Community ◽  
Future Research ◽  
Ethnic Communities ◽  
Group Discussions ◽  
Community Values ◽  
Policies And Procedures ◽  
Values And Beliefs ◽  
Depth Interviews

Calls have been made for researchers prospectively and continuously to engage study communities. If done, this typically occurs through a specific research study or collaboration. Rarely are community mores examined in-depth to understand implications for research ethics policy processes. We describe a qualitative study designed to understand local community values, beliefs, and practices that relate to research ethics in Botswana and explore how communities would want their interests represented. Through focus group discussions across two different selected ethnic communities and in-depth interviews with paramount chiefs, we highlight a range of community values and expectations that represent concrete behavioral representations of respect and trustworthiness. Communities are willing to engage in the process of enhancing research and research ethics policies and procedures. We invite future research and training that seek to connect local conceptualizations of substantive and procedural aspects of research ethics.

scholarly journals Current Efforts to Make Bikeshare More Equitable: Survey of System Owners and Operators

2017 ◽  
Vol 2662 (1) ◽  
pp. 160-167 ◽  
Author(s):  
Steven Howland ◽  
Nathan McNeil ◽  
Joseph Broach ◽  
Kenneth Rankins ◽  
John MacArthur ◽  
...  
Keyword(s):  
United States ◽  
Low Income ◽  
Local Community ◽  
Academic Research ◽  
The United States ◽  
Payment Systems ◽  
Fee Structure ◽  
Target Populations ◽  
The Past ◽  
Data Collection And Analysis

The number of public bikeshare systems has been increasing rapidly across the United States over the past 5 to 10 years. To date, most academic research around bikeshare systems in the United States has focused on the logistics of planning and operationalizing successful systems. Investigations of system users and effects on the local community are less common, and studies that are focused on efforts to engage underserved communities in bikeshare systems are rarer still. This paper relies on a survey of representatives from 56 U.S. bikeshare systems to better understand and document current approaches toward serving low-income and minority populations. The survey asked about equity policies and metrics, the degree to which equity considerations affect a variety of system practices, what the existing barriers to utilizing bikeshare are for target populations, and what challenges the bikeshare system entity faces in addressing those barriers. Results indicate that nearly one in four bikeshare systems has written policies around equity; nearly half of bikeshare systems with more than 500 bikes have such policies. However, many more systems consider equity in various aspects of their systems. Equity considerations affected station siting, fee structure and payment systems, and promotion and marketing in a majority of systems (68%, 72%, and 57%, respectively), and operations and data collection and analysis, though to a lesser extent (42% each). Bikeshare systems reported cost, access, and outreach as the largest barriers to equity, in addition to overall funding and staff levels.

Predictors of Postpartum Depression in Low-Income Hispanic Women

2010 ◽  
Author(s):  
Linda J. Luecken ◽  
Jenna L. Gress ◽  
Kathy Lemery-Chalfant ◽  
Rose Howe
Keyword(s):  
Postpartum Depression ◽  
Low Income ◽  
Hispanic Women

scholarly journals Improving support for breastfeeding mothers: a qualitative study on the experiences of breastfeeding among mothers who reside in a deprived and culturally diverse community

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Erica Jane Cook ◽  
Faye Powell ◽  
Nasreen Ali ◽  
Catrin Penn-Jones ◽  
Bertha Ochieng ◽  
...  
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Health Care Professionals ◽  
Culturally Diverse ◽  
Local Community ◽  
Framework Analysis ◽  
Black African ◽  
Early Stages ◽  
Practical Support ◽  
Diverse Community

Abstract Background The United Kingdom has one of the lowest breastfeeding rates in Europe, with the initiation and continuation of breastfeeding shown to be closely related to the mothers’ age, ethnicity and social class. Whilst the barriers that influence a woman’s decision to breastfeed are well documented, less is known how these barriers vary by the UK’s diverse population. As such, this study aimed to explore mothers’ experiences of breastfeeding and accessing breastfeeding services offered locally amongst a deprived and culturally diverse community. Methods A qualitative interpretive study comprising of 63 mothers (white British n = 8, Pakistani n = 13, Bangladeshi n = 10, black African n = 15 and Polish n = 17) who took part in single-sex focus groups, conducted in local community centres across the most deprived and ethnically diverse wards in Luton, UK. The focus groups were audio-recorded, transcribed and analysed thematically using Framework Analysis. Results The most common barriers to breastfeeding irrespective of ethnicity were perceptions surrounding pain and lack of milk. Confidence and motivation were found to be crucial facilitators of breastfeeding; whereby mothers felt that interventions should seek to reassure and support mothers not only during the early stages but throughout the breastfeeding journey. Mothers particularly valued the practical support provided by health care professions particularly surrounding positioning and attachment techniques. However, many mothers felt that the support from health care professionals was not always followed through. Conclusions The findings presented inform important recommendations for the design and implementation of future programs and interventions targeted at reducing breastfeeding inequalities. Interventions should focus on providing mothers practical support and reassurance not only during the early stages but throughout their breastfeeding journey. The findings also highlight the need for tailoring services to support diverse communities which acknowledge different traditional and familial practices.

scholarly journals Mitigating Childhood Food Insecurity during COVID-19: A Qualitative Study of how School Districts in California’s San Joaquin Valley Responded to Growing Needs

2021 ◽  
pp. 1-26
Author(s):  
Ashley H. Jowell ◽  
Janine S. Bruce ◽  
Gabriela V. Escobar ◽  
Valeria M. Ordonez ◽  
Christina A. Hecht ◽  
...  
Keyword(s):  
School District ◽  
School Districts ◽  
Food Insecurity ◽  
Focus Groups ◽  
Low Income ◽  
Distribution Systems ◽  
Community Organizations ◽  
San Joaquin Valley ◽  
School Meal ◽  
Fresh Foods

Abstract Objectives: To explore best practices and challenges in providing school meals during COVID-19 in a low-income, predominantly Latino, urban-rural region. Design: Semi structured interviews with school district stakeholders and focus groups with parents were conducted to explore school meal provision during COVID-19 from June to August 2020. Data was coded and themes were identified to guide analysis. Community organizations were involved in all aspects of study design, recruitment, data collection, and analysis. Setting: Six school districts in California’s San Joaquin Valley. Participants: School district stakeholders (n=11) included food service directors, school superintendents, and community partners (e.g., funders, food co-operative). Focus groups (n=6) were comprised of parents (n=29) of children participating in school meal programs. Results: COVID-19-related challenges for districts included developing safe meal distribution systems, boosting low participation, covering COVID-19-related costs, and staying informed of policy changes. Barriers for families included transportation difficulties, safety concerns, and a lack of fresh foods. Innovative strategies to address obstacles included pandemic-EBT, bus-stop delivery, community pick-up locations, batched meals, and leveraging partner resources. Conclusions: A focus on fresher, more appealing meals and greater communication between school officials and parents could boost participation. Districts that leveraged external partnerships were better equipped to provide meals during pandemic conditions. In addition, policies increasing access to fresh foods and capitalizing on USDA waivers could boost school meal participation. Finally, partnering with community organizations and acting upon parent feedback could improve school meal systems, and in combination with pandemic-EBT, address childhood food insecurity.

scholarly journals Lifecourse, immigrant status and acculturation in food purchasing and preparation among low-income mothers

2007 ◽  
Vol 10 (4) ◽  
pp. 396-404 ◽  
Author(s):  
Tamara Dubowitz ◽  
Dolores Acevedo-Garcia ◽  
Judy Salkeld ◽  
Ana Cristina Lindsay ◽  
SV Subramanian ◽  
...  
Keyword(s):  
Focus Groups ◽  
Low Income ◽  
Metropolitan Areas ◽  
Food Preparation ◽  
Immigrant Status ◽  
Food Purchasing ◽  
Study Results ◽  
The Usa ◽  
Low Income Women ◽  
Access To Food

AbstractObjectivesThis study investigates how lifecourse, immigrant status and acculturation, and neighbourhood of residence influence food purchasing and preparation among low-income women with children, living in the USA. This research sought to understand physical and economic access to food, from both ‘individual’ and ‘community’ perspectives.DesignThis study used qualitative methodology (focus groups) to examine the mechanisms and pathways of food preparation and purchasing within the context of daily life activity for US- and foreign-born women, living in the USA. The study methodology analysed notes and verbatim transcripts, summarised recurring responses and identified new themes in the discussions.Setting and subjectsA total of 44 women were purposively sampled from two metropolitan areas in Massachusetts, USA, based on (1) neighbourhood of residence and (2) primary language spoken. All focus groups were conducted in community health centres and community centres co-located with offices of the special supplemental nutritional programme for Women, Infants, and Children.ResultsAnalysis of key response themes suggested that scarcity of food and physical access to food purchasing points did not influence food purchasing and preparation as much as (1) limited time for food shopping, cooking and family activities; and (2) challenges in transportation to stores and childcare. The study results demonstrated differing attitudes toward food acquisition and preparation between immigrant and US-born women and between women who lived in two metropolitan areas in the western and eastern regions of the state of Massachusetts, USA.ConclusionsThe findings illustrate ‘hidden’ constraints that need to be captured in measures of physical and economic access and availability of food. US policies and programmes that aim to improve access, availability and diet quality would benefit from considering the social context of food preparation and purchasing, and the residential environments of low-income women and families.

Collaboration: A Strategy for Neighborhood Planning

1991 ◽  
Vol 13 (3) ◽  
pp. 13-14
Author(s):  
Ronald Register
Keyword(s):  
Low Income ◽  
Local Community ◽  
Planning Process ◽  
Ford Foundation ◽  
Neighborhood Planning ◽  
Public And Private ◽  
The Public ◽  
Strategic Plans ◽  
Income Neighborhood ◽  
Community Foundation

In 1990, the Ford Foundation launched the Neighborhood and Family Initiative Project (NFI) in four U.S. cities. A low-income neighborhood in each of the four cities is the target for the initiative, which is administered through a local community foundation in each city. The initiative relies on neighborhood leadership to develop strategic plans which reflect the goals and aspirations of neighborhood residents and institutions. A collaborative, or committee, composed of neighborhood leaders and key representatives from the public and private sectors is charged with overseeing the planning process.

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