Infant-Feeding among Low-Income Women: The Social Context that Shapes their Perspectives and Experiences

2013 ◽  
Vol 45 (3) ◽  
pp. 28-49 ◽  
Author(s):  
Julia Temple Newhook ◽  
Valerie Ludlow ◽  
Leigh Anne Newhook ◽  
Kimberly Bonia ◽  
Janet Murphy Goodridge ◽  
...  
Keyword(s):  
Social Context ◽  
Infant Feeding ◽  
Low Income ◽  
The Social ◽  
Low Income Women

scholarly journals Infant Feeding Practices and Perceived Optimal Breastfeeding Interventions among Low-Income Women Delivering at a Baby-Friendly Hospital

2018 ◽  
Vol 36 (07) ◽  
pp. 669-677 ◽  
Author(s):  
Adam K. Lewkowitz ◽  
Nandini Raghuraman ◽  
Julia D. López ◽  
George A. Macones ◽  
Alison G. Cahill
Keyword(s):  
Infant Feeding ◽  
Low Income ◽  
Tertiary Care ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Perceived Usefulness ◽  
Breastfeeding Initiation ◽  
Infant Feeding Practices ◽  
Cross Sectional ◽  
Low Income Women

Objective To determine infant feeding practices of low-income women at a Baby-Friendly Hospital and to ascertain breastfeeding interventions they believe would increase exclusive breastfeeding. Study Design This cross-sectional study occurred at a tertiary care Baby-Friendly Hospital. Low-income women without breastfeeding contraindications were recruited at scheduled obstetrician/gynecologist appointments within 6 to 9 months of delivering a term, nonanomalous infant. Participants completed a survey. Outcomes included infant feeding patterns and perceived usefulness of proposed breastfeeding interventions. Results Of 149 participants, 129 (86.6%) initiated breastfeeding; by postpartum day 2 (PPD2), 47 (31.5%) exclusively breastfed, 51 (34.2%) breastfed with formula, and 51 (34.2%) exclusively formula fed. On a scale of 1 (“strongly agree”) to 5 (“strongly disagree”), women who supplemented with formula on PPD2 were significantly more likely than those who exclusively formula fed to agree education on neonatal behavior, 1 (interquartile range [IQR] 1, 2) versus 2 (IQR 1, 3); p = 0.026 and on-demand access to breastfeeding videos on latch or positioning, 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.043; 1 (IQR 1, 2) versus 2 (IQR 1, 3), p = 0.021, respectively, would have helped them exclusively breastfeed. Conclusion Though low-income women at a Baby-Friendly Hospital had high breastfeeding initiation rates, the majority used formula by PPD2. To increase breastfeeding rates among low-income women, future interventions should provide appropriate and effective breastfeeding interventions.

Social Context Matters: Bridging Philosophy and Sociology to Strengthen Conceptual Foundations for College Access Research

2019 ◽  
Vol 57 (4) ◽  
pp. 1665-1687
Author(s):  
Michele S. Moses ◽  
Kathryn E. Wiley
Keyword(s):  
Social Context ◽  
Low Income ◽  
Underrepresented Students ◽  
Interdisciplinary Approach ◽  
Academic Disciplines ◽  
Outreach Program ◽  
Low Income Students ◽  
Adaptive Preferences ◽  
The Social ◽  
Conceptual Foundations

Scholars in distinct academic disciplines may examine the same or similar phenomena, often relying on concepts that are well known within each discipline. In this article, we examine two related sociological concepts—capital and adaptive preferences—each used to explain young people’s choices and aspirations. We make the case that integrating the philosophical concept of the “social context of choice” into analyses using “capital” or “adaptive preferences” provides an interdisciplinary approach to analyses of underrepresented students’ educational choices and aspirations in higher education, beyond what each concept provides alone. We ground our philosophical examination in data from a 2-year empirical study of an educational access and outreach program for low-income students.

Environmental Risk Communication for the Clinician

PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_1) ◽  
pp. 211-217
Author(s):  
Mark Miller ◽  
Gina Solomon
Keyword(s):  
Social Context ◽  
Risk Communication ◽  
Environmental Health ◽  
Health Risks ◽  
Environmental Risk ◽  
Low Income ◽  
Team Approach ◽  
Environmental Health Risks ◽  
Qualitative Risk Assessment ◽  
The Social

Although they are accustomed to discussing risks in the medical arena through the process of informed consent, primary care clinicians may have difficulty communicating with their patients and communities about environmental health risks. Clinicians are generally trusted and can play important roles as educators, alert practitioners, or even advocates talking about environmental health risks with individuals and groups. Communication of risk requires an understanding of how scientists and clinicians assess risk—the process of quantitative or qualitative risk assessment. Risk is never a purely scientific issue; risk is perceived differently depending on some well-understood characteristics of the hazard, the individual perceiving the risk, and the social context. Many low-income communities of color have faced and continue to face disproportionate environmental exposures and disease burdens. The issue of environmental justice can significantly affect the context of a discussion about a specific environmental risk. The essence of risk communication has been well described and requires careful evaluation of the science and the social context, honesty, listening to and partnering with the community, and a clear, compassionate team approach.

scholarly journals Social Contexts of Infant Feeding and Infant Feeding Decisions

2015 ◽  
Vol 32 (1) ◽  
pp. 132-140 ◽  
Author(s):  
Ellen J. Schafer ◽  
Natalie A. Williams ◽  
Siri Digney ◽  
Marion E. Hare ◽  
Sato Ashida
Keyword(s):  
Infant Feeding ◽  
Health Care Providers ◽  
Low Income ◽  
Social Contexts ◽  
Future Research ◽  
Network Member ◽  
Care Providers ◽  
The Social ◽  
Low Income Mothers ◽  
Infant Feeding Decisions

Background: Infant feeding takes place within a network of social relationships. However, the social context in which infant feeding advice is received remains underresearched. Objective: The objective of this study was to evaluate the social contexts of infant feeding by examining individual and relationship characteristics of mothers and network members associated with advice to exclusively breastfeed, exclusively formula feed, or use a combination of breast milk and formula. Methods: Information about 287 network members was reported by 80 low-income mothers during a one-time survey. Characteristics of relationships associated with mothers receiving advice (exclusively breastfeed/formula feed, combination feed) from each network member were identified using 2-level logistic regression analyses. Results: Mothers had greater odds of receiving advice to exclusively breastfeed from network members who help make feeding decisions (odds ratio [OR], 2.44; 95% confidence interval [CI], 1.35-4.42), exclusively breastfed their own child or children (OR, 6.99; 95% CI, 2.96-16.51), and were health care providers (OR, 4.82; 95% CI, 1.70-13.67). Mothers had greater odds of receiving advice to breastfeed in combination with formula from network members who provided emotional support (OR, 2.45; 95% CI, 1.31-4.55), combination fed their own child or children (OR, 4.85; 95% CI, 1.80-13.05), and had an opinion that was important to the mother (OR, 2.67; 95% CI, 1.13-6.33). Mothers had greater odds of receiving advice to exclusively formula feed from network members who exclusively formula fed their own child or children (OR, 2.23; 95% CI, 1.07-4.66) than those who did not. Conclusion: Social relationship characteristics and network members’ infant feeding experiences may have implications for the advice new mothers receive. Future research should investigate social contexts of infant feeding longitudinally to inform interventions.

scholarly journals An Investigation Into the Social Context of Low-Income, Urban Black and Latina Women

2011 ◽  
Vol 38 (5) ◽  
pp. 471-481 ◽  
Author(s):  
Rachel C. Shelton ◽  
Roberta E. Goldman ◽  
Karen M. Emmons ◽  
Glorian Sorensen ◽  
Jennifer D. Allen
Keyword(s):  
Social Context ◽  
Low Income ◽  
Latina Women ◽  
The Social

scholarly journals Financial Education for low-income women: a parallel to Social and Collaborative Economy

2018 ◽  
Vol 15 (3) ◽  
pp. 432-438
Author(s):  
Thiago Godoy Nascimento
Keyword(s):  
Low Income ◽  
Financial Education ◽  
Federal State ◽  
Consumer Society ◽  
Starting Point ◽  
The Social ◽  
Bolsa Familia ◽  
Education Association ◽  
Low Income Women

The understanding of the daily financial habits of low-income women, specifically the beneficiaries of the Bolsa Família Program, is the starting point of a field study conducted by the Brazilian Financial Education Association (AEF-Brasil), organization that operates the National Strategy Financial Education, federal state policy. The understanding of such habits led to the development of educational social technology for this vulnerable public, aiming to improve their behavior in relation to money, especially the planning and the pursuit of the realization of dreams. It is related to understanding how such Technology would impact the lives of these women and their families, as well as on the engagement and reflection on the role of the Social and Collaborative Economy in the new economic arrangements, especially among populations that are on the margins of the consumer society.

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