scholarly journals Brazilian Immigrant Mothers’ Beliefs and Practices Related to Infant Feeding: A Qualitative Study

2016 ◽  
Vol 33 (3) ◽  
pp. 595-605 ◽  
Author(s):  
Ana Cristina Lindsay ◽  
Sherrie F. Wallington ◽  
Mary L. Greaney ◽  
Maria Helena Hasselman ◽  
Marcia Maria Tavares Machado ◽  
...  

Background: Exclusive breastfeeding for the first 6 months of life and timely introduction of appropriate solid foods are important determinants of weight status in infancy and later life stages. Disparities in obesity rates among young children suggest that maternal feeding practices during the first 2 years of life may contribute to these disparities. Brazilians are a growing immigrant group in the United States, yet little research has focused on parental beliefs and behaviors affecting the health of Brazilian immigrant children in the United States. Research aim: This study aimed to explore beliefs and infant-feeding practices of Brazilian immigrant mothers in the United States. Methods: Focus group discussions were conducted with Brazilian immigrant mothers. Transcripts were analyzed using thematic analysis and themes categorized using the socioecological model. Results: Twenty-nine immigrant Brazilian mothers participated in the study. Analyses revealed that all participants breastfed their infants. The majority initiated breastfeeding soon after childbirth. However, most mothers did not exclusively breastfeed. They used formula and human milk concomitantly. Family and culture influenced mothers’ infant-feeding beliefs and practices in early introduction of solid foods. Conclusion: As the number of children in the United States growing up in families of immigrant parents increases, understanding influences on Brazilian immigrant mothers’ infant-feeding practices will be important to the development of effective interventions to promote healthy infant feeding and weight status among Brazilian children. Interventions designed for Brazilian immigrant families should incorporate an understanding of social context, family, and cultural factors to develop health promotion messages tailored to the needs of this ethnic group.

PEDIATRICS ◽  
2008 ◽  
Vol 122 (Supplement 2) ◽  
pp. S25-S27 ◽  
Author(s):  
Sara B. Fein ◽  
Laurence M. Grummer-Strawn ◽  
Tonse N.K. Raju

PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 589-590

This report focuses on the recent scientific literature concerning infant feeding worldwide. The first four papers examine infant-feeding practices in the United States; the last five papers focus on such practices in developing countries. DOMESTIC REPORT The domestic section of the report examines the available literature from industrialized countries that may be relevant to the United States' situation. In brief, the findings of the domestic report are that the evidence is generally inconclusive that breast-feeding has a large, positive effect on infant health in the United States. Modest protective effects may exist with regard to gastroenteritis. The evidence is somewhat stronger among American Indian and Alaskan native populations in which risk of infant morbidity and mortality is high. Little information exists on the effects in disadvantaged urban groups. The available evidence concerning trends in infant-feeding practices indicates that the rate and duration of breast-feeding are increasing, especially among the more affluent groups. The evidence is less clear among the disadvantaged. In general, lower socioeconomic groups are less likely to breast-feed. INTERNATIONAL REPORT The international section of the report examines some of the central issues regarding methods of infant feeding in the developing world and discusses the implications of the findings. In developing countries, where infant mortality is much higher than in the United States, the potential for breast-feeding to be an important determinant of infant survival is much greater. Sanitation is likely to be poorer; traditional foods offered in lieu of breast milk are likely to be nutritionally deficient; and commercial formula—if available and used—is more likely to be inappropriately diluted and stored.


Appetite ◽  
2016 ◽  
Vol 105 ◽  
pp. 375-384 ◽  
Author(s):  
Konsita Kuswara ◽  
Rachel Laws ◽  
Peter Kremer ◽  
Kylie D. Hesketh ◽  
Karen J. Campbell

2016 ◽  
Vol 105 (4) ◽  
pp. 1014-1022.e1 ◽  
Author(s):  
Kara A. Michels ◽  
Sunni L. Mumford ◽  
Rajeshwari Sundaram ◽  
Erin M. Bell ◽  
Scott C. Bello ◽  
...  

2020 ◽  
pp. 154041532095959
Author(s):  
Carmen M. Kiraly ◽  
Melanie T. Turk ◽  
Melissa A. Kalarchian ◽  
Cheryl Shaffer

Introduction: Potential risk factors of infant overweight/obesity in Salvadoran mother–infant dyads ( N = 88) at routine 9- to 12-month wellbaby visits were examined in a correlational study at two pediatric offices on Long Island, New York. Method: Maternal factors and infant feeding practices in the first 5 months were self-reported; infant birth weight, current weight/recumbent length were obtained. Bivariate logistic regression measured the relationship of the variables with infant weight status >85th percentile weight-for-length (WFL) for sex. Results: The majority of mothers were born in El Salvador, with a mean age of 28.5 years ( SD = 5.9); 43% of infants had WFL >85th percentile. Infant birth weight was significantly associated with WFL >85th percentile, p = .0007. After controlling for maternal age, insurance type, education, and marital status, no significant associations with infant WFL >85th percentile were found. Feeding practices during infants’ first 5 months, mothers’ pre-pregnancy weight, pregnancy weight gain, and history of gestational diabetes mellitus, were not associated with infant weight status. Conclusion: This was the first study to examine infant weight status in Salvadorans. Future studies should objectively measure infant feeding practices and other potential factors among Salvadoran mother infant dyads, since nearly half of the infants had WFL >85th percentile.


Author(s):  
Namanjeet Ahluwalia

ABSTRACTThe first 2 y of life are characterized by several transitions that can affect growth, development, and eating patterns long term. These include a shift from a primarily milk-based eating pattern to introduction of complementary foods at ∼4–6 mo of age, and passage to family-meal patterns in toddler years. Recognizing the importance of this critical period, the Dietary Guidelines for Americans from 2020 onwards will include guidance for children aged birth to 24 mo (B-24). Few large-scale surveys provide comprehensive, nationally representative, quantitative, recent data on infant and toddler nutrition in the United States. The continuous NHANES has collected data relevant to this initiative since 1999 using standardized interview and examination protocols. These include data on infant feeding practices, dietary intakes (foods, beverages, and supplements), anthropometry, and blood-based nutritional status on nationally representative samples of infants and toddlers. NHANES data can be used to describe large group-level consumption patterns, as well as trends over time for B-24 children overall, and by demographic groups (e.g., race-ethnic and income groups). In addition, NHANES data can be analyzed to examine adherence to nutrition-related recommendations, such as those from the American Academy of Pediatrics (AAP), and to track Healthy People 2020 objectives. This paper provides an update on NHANES nutrition monitoring in B-24 children since our previous publication (which provided details through NHANES 2009–2010) and describes data collection since 2010 and plans for upcoming cycles. It also describes key NHANES-based findings published in the last 5 y on infant feeding practices, dietary intakes and supplement use, and nutritional status of US children aged <2 y. Findings related to existing recommendations, such as from the AAP, are presented when available. This information can inform researchers and policymakers on the state of nutrition in the US B-24 population and its subgroups of interest.


2015 ◽  
Vol 19 (7) ◽  
pp. 1200-1210 ◽  
Author(s):  
Sato Ashida ◽  
Freda B Lynn ◽  
Natalie A Williams ◽  
Ellen J Schafer

AbstractObjectiveTo identify the social contextual factors, specifically the presence of information that supports v. undermines clinical recommendations, associated with infant feeding behaviours among mothers in low-income areas.DesignCross-sectional survey evaluating social support networks and social relationships involved in providing care to the infant along with feeding beliefs and practices.SettingOut-patient paediatric and government-funded (Women, Infants, and Children) clinics in an urban, low-income area of the south-eastern USA.SubjectsEighty-one low-income mothers of infants between 0 and 12 months old.ResultsMost mothers reported receiving both supportive and undermining advice. The presence of breast-feeding advice that supports clinical recommendations was associated with two infant feeding practices that are considered beneficial to infant health: ever breast-feeding (OR=6·7; 95 % CI 1·2, 38·1) and not adding cereal in the infant’s bottle (OR=15·9; 95 % CI 1·1, 227·4). Advice that undermines clinical recommendations to breast-feed and advice about solid foods were not associated with these behaviours.ConclusionsEfforts to facilitate optimal infant feeding practices may focus on increasing information supportive of clinical recommendations while concentrating less on reducing the presence of undermining information within mothers’ networks. Cultural norms around breast-feeding may be stronger than the cultural norms around the introduction of solid foods in mothers’ social environments; thus, additional efforts to increase information regarding introduction of solid foods earlier in mothers’ infant care career may be beneficial.


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