scholarly journals Exploring the Relationship between Maternal Health Literacy, Parenting Self-Efficacy, and Early Parenting Practices among Low-Income Mothers with Infants

2018 ◽  
Vol 29 (4) ◽  
pp. 1455-1471 ◽  
Author(s):  
Ju-Young Lee ◽  
Nicole Murry ◽  
Jisook Ko ◽  
Miyong T. Kim
2015 ◽  
Vol 23 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Lyndsay A Nelson ◽  
Shelagh A Mulvaney ◽  
Tebeb Gebretsadik ◽  
Yun-Xian Ho ◽  
Kevin B Johnson ◽  
...  

Abstract Objective Mobile health (mHealth) interventions may improve diabetes outcomes, but require engagement. Little is known about what factors impede engagement, so the authors examined the relationship between patient factors and engagement in an mHealth medication adherence promotion intervention for low-income adults with type 2 diabetes (T2DM). Materials and Methods Eighty patients with T2DM participated in a 3-month mHealth intervention called MEssaging for Diabetes that leveraged a mobile communications platform. Participants received daily text messages addressing and assessing medication adherence, and weekly interactive automated calls with adherence feedback and questions for problem solving. Longitudinal repeated measures analyses assessed the relationship between participants’ baseline characteristics and the probability of engaging with texts and calls. Results On average, participants responded to 84.0% of texts and participated in 57.1% of calls. Compared to Whites, non-Whites had a 63% decreased relative odds (adjusted odds ratio [AOR] = 0.37, 95% confidence interval [CI], 0.19-0.73) of participating in calls. In addition, lower health literacy was associated with a decreased odds of participating in calls (AOR = 0.67, 95% CI, 0.46-0.99, P = .04), whereas older age ( Pnonlinear = .01) and more depressive symptoms (AOR = 0.62, 95% CI, 0.38-1.02, P = .059) trended toward a decreased odds of responding to texts. Conclusions Racial/ethnic minorities, older adults, and persons with lower health literacy or more depressive symptoms appeared to be the least engaged in a mHealth intervention. To facilitate equitable intervention impact, future research should identify and address factors interfering with mHealth engagement.


2021 ◽  
Vol 12 ◽  
Author(s):  
Xiayun Yin ◽  
Dongfang Wang ◽  
Zhihua Li ◽  
Yuesheng Huang

This longitudinal study investigated the role of psychological difficulties and self-efficacy in the relationship between family cumulative risk and hope among children from low-income families. The participants were 392 Chinese children from low-income families; the study extended for 2 years, and participants completed data that were collected with the following questionnaires: the Family Cumulative Risk Index, Children's Hope Scale, Strengths and Difficulties Questionnaire-Difficulties subscale, and General Self-efficacy Scale. The results demonstrated that psychological difficulties played a mediating role in the relationship between family cumulative risk and hope; specifically, family cumulative risk predicted hope of children via psychological difficulties. Self-efficacy moderated the relationship between psychological difficulties and hope. This moderation supported “a drop in the ocean effect”; the protective effect of high self-efficacy worked only when psychological difficulties were at low levels. When psychological difficulties were at high levels, the buffering effect of self-efficacy on family cumulative risk was gradually weakened and eventually lost.


2020 ◽  
pp. 1-12
Author(s):  
Brad R. Julius ◽  
Amy M.J. O’Shea ◽  
Shelby L. Francis ◽  
Kathleen F. Janz ◽  
Helena Laroche

Purpose: The authors examined the relationship between mother and child activity. Methods: The authors compared moderate–vigorous physical activity (MVPA) and sedentary time of low-income mothers with obesity and their 6- to 12-year-old children on week (WD) and weekend (WE) days. A total of 196 mother–child pairs wore accelerometers simultaneously for a week. Mothers completed questionnaires. Spearman correlation and multivariate regression were used. Results: WE MVPA (accelerometry) was significantly correlated between mothers with children aged 6–7 (rs = .35) and daughters (rs = .27). Self-reported maternal PA time spent with one of their children was significantly correlated with the WE MVPA of all children (rs = .21) and children aged 8–10 (rs = .22) and with the WD MVPA of all children (rs = .15), children aged 8–10 (rs = .23), aged 11–12 (rs = .52), and daughters (rs = .37), and inversely correlated to the WD sedentary time of all children (rs = −.21), children aged 8–10 (rs = −.30), aged 11–12 (rs = −.34), daughters (rs = −.26), and sons (rs = −.22). In multivariate regression, significant associations were identified between reported child–mother PA time together and child MVPA and sedentary time (accelerometry). Conclusions: Mothers may influence the PA levels of their children with the strongest associations found in children aged 6–7 and daughters. Mother–child coparticipation in PA may lead to increased child MVPA and decreased sedentary behavior.


Sociology ◽  
2020 ◽  
pp. 003803852093939
Author(s):  
Kerris Cooper

Low-income parents have long been demonised in both political discourses and mainstream media, portrayed as lacking in parenting skills not just financial resources. Using the Millennium Cohort Study (MCS) this article examines to what extent there are differences in the parenting of low-income mothers by examining parenting behaviours of low-, middle- and high-income mothers. The findings show that where there are negative differences in the parenting of low-income mothers these are often part of a broader income gradient that extends all the way up the distribution, rather than unique to low-income mothers. Furthermore, there are some positive differences in parenting among low-income mothers compared to middle-income mothers. These findings have important implications: low-income parents are not an unusual or deviant group parenting differently to everyone else. The findings suggest more attention ought to be given to parenting differences higher up the income distribution. In focusing on low-income parents only, existing evidence exaggerates differences and wrongly identifies low-income parents as problematic.


2006 ◽  
Vol 29 (4) ◽  
pp. 328-335 ◽  
Author(s):  
Caroline Porr ◽  
Jane Drummond ◽  
Solina Richter

2021 ◽  
Vol 9 ◽  
Author(s):  
Stefanie Harsch ◽  
Asadullah Jawid ◽  
Ebrahim Jawid ◽  
Luis Saboga-Nunes ◽  
Kristine Sørensen ◽  
...  

Background:Health literacy is a determinant of health and assessed globally to inform the development of health interventions. However, little is known about health literacy in countries with one of the poorest health indicators worldwide, such as Afghanistan. Studies worldwide demonstrate that women play a key role in developing health literacy. Hence, this study's purpose is to explore health literacy of women in Afghanistan and the associated factors.Methods:From May to June 2017, we randomly recruited 7–10 women per day at the hospital in Ghazni, a representative province of Afghanistan. Two trained female interviewers interviewed 322 women (15–61 years old) orally in Dari or Pashto on a voluntary basis and assessed their health literacy using the HLS-EU-Q16, associated socio-demographics, and health behavior.Results:Health literacy of women (among educated and illiterates) is low even compared to other Asian countries. Health literacy is linked to age and education. We found mixed evidence of the relationship between health literacy and contextual factors, help-seeking, and health-related behavior.Conclusion:This study provides novel data on health literacy and astonishing insights into its association with health behavior of women in Afghanistan, thus contributing to health status. The study calls for recognition of health literacy as a public health challenge be addressed in Afghanistan and other low-income countries affected by crises.


2019 ◽  
Vol 28 (1) ◽  
pp. 28-42
Author(s):  
Debra Beach Copeland ◽  
Bonnie Lee Harbaugh

New mothers actively adapt to new demands and challenges in the mothering role but some may find this adjustment difficult and distressing, depending on their perceptions and resources. Previous research on maternal distress is primarily concentrated on needs of mothers with depression but nonpathological approaches of viewing difficulties in early parenting should be explored. A secondary analysis of a descriptive, qualitative study was completed on new, low-income mothers in early parenthood to determine how maternal distress influences mothers' transition to becoming a mother and to validate the use of the Maternal Distress Concept in the clinical setting. Findings reveal new mothers experience maternal distress on various levels: stress, adaptation, functioning, and connecting. Implications for practice and education are discussed.


2019 ◽  
Vol 40 (12) ◽  
pp. 1604-1626
Author(s):  
Hayley D. Seely ◽  
Kristin D. Mickelson

The physical, mental, and behavioral impact of living in poverty is significant; research shows that individuals who experience financial stress in childhood are more likely to suffer from impaired mental health and continue experiencing similar stressors in adulthood. Less clear is the role of maternal resilience on child outcomes in the face of financial stress. The current study focused on maternal resilience as a moderator between objective financial stress and child outcomes. Additionally, we proposed that subjective financial stress would mediate the interaction between maternal resilience and objective financial stress on child outcomes. To test these hypotheses, we utilized data from the Mothers’ Outcomes Matter Study in which 116 low-income mothers were interviewed about their stress, resilience, and their child’s mental, behavioral, and physical outcomes. Results suggest that maternal self-esteem and mastery buffer the relationship between objective financial stress and child outcomes, but subjective financial stress did not mediate the association.


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