Evaluation of an Initiative to Increase Exclusive Breastfeeding Among Rural Hispanic Women

2015 ◽  
Vol 6 (3) ◽  
pp. 98-108
Author(s):  
Naomi Pitcock ◽  
Emily Drake ◽  
Pamela A. Kulbok ◽  
Kimberly Pineda ◽  
Mary Gibson ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Hispanic Women ◽  
Statistical Significance ◽  
The Body ◽  
Care Group ◽  
Hispanic Population ◽  
Culturally Competent ◽  
Convenience Sample

Background: There is a growing Hispanic population in the U.S. healthcare providers, and lactation consultants are challenged to design targeted, culturally competent programs to support immigrant populations.Objective: To evaluate a prenatal education program using intercultural communication strategies designed to increase the number of Hispanic women who choose to exclusively breastfeed their newbornsMethods: A 2-group quasi-experimental design was used to test the educational intervention. The sample consisted of 71 Hispanic women who were pregnant, low income, and uninsured. Participation in the class was voluntary and used a convenience sample. Data regarding intention to breastfeed and breastfeeding during hospitalization was gathered through chart review.Results: Reaching statistical significance, 41% of the mothers who attended the educational intervention achieved exclusive breastfeeding at discharge from the hospital, compared to only 3.1% of the usual care group.Conclusions: The outcomes of this program evaluation can add to the body of knowledge on successful breastfeeding interventions in the Hispanic population and may provide a model for others who are designing culturally competent interventions in their communities.

Psychometric Testing of the Autonomy and Relatedness Inventory–Spanish Version

2015 ◽  
Vol 23 (1) ◽  
pp. 27E-37E ◽  
Author(s):  
Ana Maria Linares ◽  
Lynne Hall ◽  
Kristin Ashford
Keyword(s):  
Hispanic Women ◽  
Psychometric Testing ◽  
The United States ◽  
Spanish Version ◽  
Hispanic Population ◽  
English Version ◽  
Convenience Sample ◽  
Health Related ◽  
Similar Factor

Background and Purpose: The Hispanic population is the fastest growing ethnic group in the United States. There is a lack of validated health-related tools culturally and linguistically appropriate. The purpose of this study was to evaluate the psychometric properties of the Autonomy and Relatedness Inventory–Spanish version (ARI-S). Methods: We recruited a convenience sample of 100 pregnant Hispanic women. Results: Cronbach's alpha for the ARI-S total scale was .92. Factor analysis yielded a similar factor structure as reported with the ARI-English version. As hypothesized, the ARI-S was inversely correlated with depressive symptoms and positively correlated with social support. Conclusions: ARI-S provides a psychometrically sound method for measuring the quality of intimate relationships. This is particularly important considering the limited inclusion of Hispanic women in current research.

Acculturation, Cultural Values, and Breastfeeding in Overweight or Obese, Low-Income, Hispanic Women at 1 Month Postpartum

2018 ◽  
Vol 34 (2) ◽  
pp. 358-364 ◽  
Author(s):  
Cha-Nam Shin ◽  
Elizabeth Reifsnider ◽  
Darya McClain ◽  
Mihyun Jeong ◽  
David P. McCormick ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cultural Values ◽  
Randomized Clinical Trial ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Mexican Americans ◽  
Rating Scale ◽  
Hispanic Women ◽  
Child Obesity ◽  
Orientation Scale

Background: Most Hispanic infants are fed formula during the first 6 weeks, and although 80% of Hispanic women initiate breastfeeding, rates of exclusive breastfeeding are much lower. Research aim: The purpose was to examine the influence of acculturation and cultural values on the breastfeeding practices of pregnant women of Mexican descent participating in the Special Supplemental Nutrition Program for Women, Infants, and Children who were enrolled in a prospective randomized clinical trial that aimed to reduce child obesity. The data were abstracted from a larger randomized clinical trial focused on prevention of child obesity. Methods: The sample consisted of 150 women of Mexican origin who were enrolled at the time of these analyses from the randomized clinical trial and had a prepregnancy body mass index of ≥ 25 and spoke English and/or Spanish. All breastfeeding data for this report came from data collection at 1 month postpartum. Results: A higher score on the Anglo orientation scale of the Acculturation Rating Scale for Mexican Americans was associated with less breastfeeding at 1 month postpartum and less exclusive breastfeeding. Conclusion: Acculturation plays a role in breastfeeding practice. Exploring acculturation associated with breastfeeding can guide us to design culturally relevant interventions to promote breastfeeding exclusivity among immigrant mothers.

Education and Support: Tilting the Scale Toward Exclusive Breastfeeding

2021 ◽  
Vol 12 (2) ◽  
pp. 83-90
Author(s):  
Naomi Pitcock ◽  
Kimberly Pineda ◽  
Natasha Ossinova ◽  
Laura Yoder
Keyword(s):  
Peer Support ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Healthcare Providers ◽  
Cost Effective ◽  
The United States ◽  
Peer Counseling ◽  
Culturally Competent ◽  
Breastfeeding Intention ◽  
Quasi Experimental

The Hispanic population in the United States is growing, and healthcare providers are challenged to design targeted, culturally appropriate programs to improve health outcomes related to breastfeeding.ObjectivesThis study was designed to detect the exclusive breastfeeding (EBF) rate among Hispanic women who chose education plus peer support versus peer support only. In addition, this study further evaluates ¡Tengo Leche!, an educational program previously evaluated in the literature.MethodsThe sample (n = 103) consisted of Hispanic pregnant, low-income, and uninsured women. A two-group quasi-experimental design was used to test the educational intervention combined with peer support (n = 35) versus stand-alone peer support (n = 68). The education-plus group (n = 35) voluntarily participated in the education portion. All participants received the inpatient peer counseling. The participants' breastfeeding intention was gathered through chart review.ResultsEBF at discharge was significantly higher (c2 = 4.51, p = .02) among mothers in the education plus peer support group, who were more likely to be exclusively breastfeeding at discharge (46.7%) versus the peer-support-only group (24.6%).ConclusionsThe outcomes of this study may provide guidance for designing culturally competent interventions with a focus on cost-effective and outcome-driven interventions to increase EBF.

scholarly journals Low-income community knowledge, attitudes and perceptions regarding antibiotics and antibiotic resistance in Jelutong District, Penang, Malaysia: a qualitative study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lyna Irawati ◽  
Alian A. Alrasheedy ◽  
Mohamed Azmi Hassali ◽  
Fahad Saleem
Keyword(s):  
Antibiotic Resistance ◽  
Adverse Effects ◽  
Educational Intervention ◽  
Low Income ◽  
Viral Infections ◽  
Educational Interventions ◽  
Structured Interview ◽  
The Body ◽  
Community Residents ◽  
Attitudes And Perceptions

Abstract Background Understanding community perspectives on antibiotics and antibiotic resistance (ABR) is a key component in designing educational interventions to combat ABR at the community level in Malaysia. Therefore, this study aimed to explore community residents’ knowledge, attitudes and perceptions regarding antibiotics and ABR in Jelutong District, Penang, Malaysia. Moreover, it intended to identify areas of focus to be addressed when designing an educational intervention to increase residents’ knowledge and change their attitudes and perceptions. Methods A qualitative approach was adopted to gain a deeper understanding of community residents’ knowledge, attitudes and perceptions regarding antibiotics and ABR. A purposive sampling was employed. Twenty-two residents (aged ≥18 years) were interviewed with the aid of a semi-structured interview guide. All interviews were audio recorded, transcribed verbatim and thematically analysed. Results The majority of the participants asserted that antibiotics could be effective against viral infections. Moreover, many participants were unaware that antibiotics have adverse effects. Some acquired antibiotics from a community pharmacy without a prescription, took antibiotics given to them by their family or friends, or took leftover antibiotics prescribed for a previous illness. A few indicated that they would request antibiotics from their physician when they had viral infections. More than half of the participants discontinued taking antibiotics when their symptoms improved. The majority stated that ABR occurs when the body becomes used to antibiotics. Most participants were unaware of the causes, consequences and prevention of ABR. In fact, they were not concerned about it. As a result, only a few perceived themselves as having responsibility for preventing this problem. Conclusions The community residents had misconceptions about antibiotics and ABR, negative attitudes towards antibiotics and negative perceptions of ABR. The areas of focus that need to be addressed when designing an educational intervention to increase the general public knowledge and change their attitudes and perceptions are the appropriate use of antibiotics and their adverse effects; the importance of adhering to antibiotic therapy; and the definition, causes, consequences and prevention of ABR.

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

Study of the infl uence of information and communication tools on the psychophysiological state of schoolchildren on the basis of subjective evaluation

2020 ◽  
pp. 47-55
Author(s):  
Aleksandra Rakhmanova ◽  
Georgiy Loginov ◽  
Vladimir Dolich ◽  
Nataliya Komleva ◽  
Galina Rakhmanova
Keyword(s):  
High School ◽  
Emotional State ◽  
Statistical Significance ◽  
Subjective Evaluation ◽  
Educational Process ◽  
The Body ◽  
Leningrad Region ◽  
Communication Tools ◽  
Information And Communication ◽  
The Relationship

The relevance of the article is determined by the existence of contradictions between the need to introduce innovative technologies into the educational process at school, as an integral attribute of modern education, and the negative influence of factors on the physical and psycho-emotional state of health of students related to the use of information and communication tools (computers, phones, headphones). The goal of the study was to assess the relationship between the timing of the use of information and communication tools and the frequency of functional and psycho-emotional complaints in groups of middle and high school schoolchildren. 400 schoolchildren of the Saratov Region, the Moscow Region, Leningrad Region and the Republic of Dagestan were surveyed, who made up two groups of research: middle-school schoolchildren (grades 5–6) and high-school schoolchildren (grades 10–11 The survey was carried out by means of the standardized formalized cards which included the questions considering usage time of computers and mobile phones, complaints to a headache, hands pain, other pain and/or feeling of discomfort from visual organ and the organs of hearing, as well as a psycho-emotional state. Statistical analysis of the data was performed using the STATISTICA application software program by StatSoft Inc (USA). To compare the frequencies of a binary feature, a fourfold table of absolute frequencies was constructed and the level of statistical significance for the exact Fisher’s two-tailed test criterion was determined. The study was conducted according to the requirements of bioethics, after signing informed consent statement by teenagers and their parents. The study examined the relationship between the timing of the use of information and communication tools and the frequency of complaints in groups of schoolchildren. The results of the study should be taken into account when developing and implementing preventive measures to prevent negative effects of computers and mobile devices on the body of students.

scholarly journals Overweight/Obesity and Associated Factors Among Second Cycle Primary School Children in Kirkos Sub-City, Addis Ababa, Ethiopia

2021 ◽  
Vol 10 ◽  
pp. 216495612110178
Author(s):  
Kidus Fitsum ◽  
Gudina Egata ◽  
Melake Demena ◽  
Berhe Gebremichael
Keyword(s):  
Primary School ◽  
School Children ◽  
Low Income ◽  
Private School ◽  
Associated Factors ◽  
Addis Ababa ◽  
Statistical Significance ◽  
Primary School Children ◽  
Low Income Countries ◽  
Public Health Issue

Background Although overweight/obesity is becoming a public health issue in low income countries, there is a paucity of evidence concerning overweight/obesity in Ethiopia. The aim of the study was to assess the magnitude of overweight/obesity and associated factors among second cycle primary school children in Kirkos Sub-City, Addis Ababa, Ethiopia. Methods A school based cross-sectional study was conducted among 482 children from May to June, 2019. Data were collected using a questionnaire and checklist. Data were entered using EpiData version 3.1 and exported into SPSS version 22.0. Bivariable and multivariable logistic regression analyses were done to identify factors associated with overweight/obesity. Level of statistical significance was declared at p ≤ 0.05. Results The overall magnitude of overweight/obesity was 21.2%. The magnitude of overweight was 13.7% while obesity was 7.5%. Vehicle availability, being from private school, not having friend(s), preferring sweet foods, eating breakfast irregularly, watching movies/Television while eating and physical inactivity were the factors significantly associated with overweight/obesity among second cycle primary school children. Conclusions The magnitude of overweight/obesity was high in the study area. Therefore, health and education sectors should promote healthy lifestyle to curb child overweight/obesity.

Early onset of overweight among children from low‐income families: The role of exclusive breastfeeding and maternal intake of ultra‐processed food

2021 ◽  
Author(s):  
Jayanne Mayara Magalhães Melo ◽  
Bruna Larine Lemos Fontes Silva Dourado ◽  
Risia Cristina Egito Menezes ◽  
Giovana Longo‐Silva ◽  
Jonas Augusto Cardoso Silveira
Keyword(s):  
Low Income ◽  
Exclusive Breastfeeding ◽  
Early Onset ◽  
Processed Food ◽  
Low Income Families

scholarly journals Nutrition Standards For Infants and Young Children can be Implemented by Family Child Care Home Providers

2021 ◽  
Vol 8 ◽  
pp. 2333794X2198955
Author(s):  
Lorrene D. Ritchie ◽  
Victoria Keeton ◽  
Danielle L. Lee ◽  
Klara Gurzo ◽  
Elyse Homel Vitale ◽  
...  
Keyword(s):  
Child Care ◽  
Educational Intervention ◽  
Care Home ◽  
Family Child Care ◽  
Average Score ◽  
Post Intervention ◽  
Convenience Sample ◽  
Nutrition Standards ◽  
Infants And Young Children ◽  
Provider Surveys

The study evaluated an educational intervention with family child care home (FCCH) providers to implement nutrition standards. A convenience sample of licensed California FCCH providers (n = 30) attended a 2-hour, in-person group training in English or Spanish on nutrition standards for infants and children aged 1 to 5 years. Provider surveys and researcher observations during meals/snacks were conducted pre- and 3 months post-intervention. Providers rated the training as excellent (average score of 4.9 on a scale of 1-5). Adherence, assessed by survey and observation and compared over time using paired t-tests, increased from an average of 36% pre-intervention to 44% post-intervention ( P = .06) of providers (n = 12) for infant standards and from 59% to 68% ( P < .001) of providers (n = 30) for child standards. One-third (39%) of providers rated infant standards and 19% of providers rated child standards as difficult to implement. Nutrition standards can be implemented by FCCH providers after an educational intervention; a larger study is warranted with a representative group of providers.

scholarly journals Food insecurity among Finnish private sector service workers and food pantry clients

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Erkkola ◽  
L Uusitalo ◽  
K Puputti ◽  
T Saari ◽  
P Jallinoja ◽  
...  
Keyword(s):  
Private Sector ◽  
Food Insecurity ◽  
Low Income ◽  
Perceived Health ◽  
Resource Scarcity ◽  
Considerable Proportion ◽  
Convenience Sample ◽  
Service Workers ◽  
Food Pantry ◽  
Sector Service

Abstract Background There is a paucity of comparable quantitative data on the prevalence and predictors of food insecurity in high-income countries. We applied the Household Food Insecurity Access Scale (HFIAS) to assess food insecurity among i) the Service Union United members; female-dominated, low-income employees of the Finnish private service sector, and ii) a convenience sample of Finnish food pantry clients. Methods The HFIAS classification was based on 9 validated questions capturing respondents' perceptions on food scarcity and behavioural responses to food insecurity due to lack of resources during the past month. The resulting indicator categorized respondents as food secure, and mildly, moderately and severely food insecure. We performed cross-tabulations and regression models to assess if education, housing, self-perceived health, income, and resource scarcity associated with levels of food insecurity. In addition, gender, age, and self-perceived disadvantage were assessed among the food pantry clients. Results Among the service workers (n = 6 573, 6% of those invited), 35% were food secure, 29% mildly or moderately food insecure, and 36% severely food insecure. The respective proportions were 28%, 26%, and 46% among the 129 food pantry clients. All assessed variables were associated to food insecurity status in the service workers (p &lt; 0.01 for all). Among the food pantry clients, men (OR 1.60; 95% CI 1.09 − 4.80) and homeless/tenants in community rental units (OR 7.12; 95% CI 2.42 − 20.95) were most likely to experience severe food insecurity. Conclusions Alongside the food pantry clients the majority of the service workers demonstrated some degree of food insecurity, with a considerable proportion being severely food-insecure. This predominantly low-income group is subject to rapid changes in the labour market and social security systems. The data demonstrated that well-known SES indicators and self-perceived health are linked to food insecurity. Key messages Severe food insecurity was common among predominantly low-income private sector service workers and food pantry clients. Food insecurity is linked to SES indicators and wellbeing.

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