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01-01-2010

Health Professionals’ Perspectives on the Infant Feeding Practices of Low Income Mothers

Authors: Beth H. Olson, Mildred A. Horodynski, Holly Brophy-Herb, Krystyna C. Iwanski

Published in: Maternal and Child Health Journal | Issue 1/2010

Abstract

The purpose of this study was to determine the perspectives of health professionals on assisting low income mothers with infant feeding. Low income mothers interact with a variety of health professionals through medical care and public health programs. Mothers indicate that health professionals are an important source of infant feeding information; however, they also report this information to be conflicting or difficult to follow. Five focus groups were conducted with 36 health professionals (pediatricians, nurses, WIC professionals, and Cooperative Extension nutrition educators). Individual interviews were also conducted with WIC professionals who were unavailable to meet as a group. Focus groups and interviews were audio taped, transcribed, and analyzed for common content categories. Six major content categories emerged from focus groups and individual interviews with health professionals: (1) Mothers’ sources of infant feeding information, (2) Helping mothers deal with multiple sources of infant feeding advice, (3) Use of infant feeding recommendations by health professionals and their clients (4) Reasons mothers introduce cereal early to their infants (5) Mothers feeding infants in poor mealtime environments, and (6) Ways of providing education to mothers on infant feeding. Conclusions: A better understanding of health professionals’ perspectives on working with low income mothers on infant feeding will inform nutrition education for these mothers, and may also inform strategies to improve communication between mothers and health professionals, subsequently improving infant health.

Heinig, M. J., Follett, J. R., Ishii, K. D., Kavanagh-Prochaska, K., Cohen, R., & Panchula, J. (2006). Barriers to compliance with infant-feeding recommendations among low-income women. Journal of Human Lactation, 22(1), 27–38. doi:10.1177/0890334405284333.CrossRefPubMed

Horodynski, M., Olson, B., Arndt, M. J., Brophy-Herb, H., Shirer, K., & Shemanski, R. (2007). Low-income mothers’ decisions regarding when and why to introduce solid foods to their infants: Influencing factors. Journal of Community Health Nursing, 24(2), 101–118.PubMed

Underwood, S., Pridham, K., Brown, L., Clark, T., Frazier, W., Limbo, R., et al. (1997). Infant feeding practices of low-income African-American women in a central city community. Journal of Community Health Nursing, 14(3), 189–205. doi:10.1207/s15327655jchn1403_6.CrossRefPubMed

Baughcum, A. E., Burklow, K. A., Deeks, C. M., Powers, S. W., & Whitaker, R. C. (1998). Maternal feeding practices and childhood obesity: A focus group study of low-income mothers. Archives of Pediatrics and Adolescent Medicine, 152(10), 1010–1014.PubMed

AAP. (2005). Breastfeeding and the use of human milk. Pediatrics, 115, 496–506. doi:10.1542/peds.2004-2491.CrossRef

WHO. (2002). Growth of healthy infants and the timing, type, and frequency of complementary foods. The American Journal of Clinical Nutrition, 76(3), 620–627.

Bentley, M. G., Gavin, L., Black, M. M., & Teti, L. (1999). Infant feeding practices of low-income, African-American, adolescent mothers: An ecological, multigenerational perspective. Social Science and Medicine, 49, 1085–1100. doi:10.1016/S0277-9536(99)00198-7.CrossRefPubMed

Corbett, K. S. (2000). Explaining infant feeding style of low-income black women. Journal of Pediatric Nursing, 15(2), 73–81.CrossRefPubMed

Nevling, W., Carruth, B. R., & Skinner, J. D. (1997). How do socioeconomic status and age influence infant food patterns? Journal of the American Dietetic Association, 97(4), 418–420. doi:10.1016/S0002-8223(97)00104-1.CrossRefPubMed

10.

Fiocchi, A., Assa’ad, A., & Bahna, S. (2006). Food allergy and the introduction of solid foods to infants: A consensus document. Annals of Allergy, Asthma & Immunology, 97(1), 10–21.CrossRef

11.

Norris, J. M., Barriga, K., Klingensmith, G., Hoffman, M., Eisenbarth, G. S., Erlich, H. A., et al. (2003). Timing of initial cereal exposure in infancy and risk of islet autoimmunity. Journal of the American Medical Association, 290(13), 1713–1720. doi:10.1001/jama.290.13.1713.CrossRefPubMed

12.

Ziegler, A. G., Schmid, S., Huber, D., Hummel, M., & Bonifacio, E. (2003). Early infant feeding and risk of developing type 1 diabetes-associated autoantibodies. Journal of the American Medical Association, 290(13), 1721–1728. doi:10.1001/jama.290.13.1721.CrossRefPubMed

13.

Fisher, J. O., Birch, L. L., Smiciklas-Wright, H., & Picciano, M. F. (2000). Breast-feeding through the first year predicts maternal control in feeding and subsequent toddler energy intakes. Journal of the American Dietetic Association, 100(6), 641–646. doi:10.1016/S0002-8223(00)00190-5.CrossRefPubMed

14.

Danowski, L., & Gargiula, L. (2002). Attitudes and practices regarding the introduction of solid foods to infants. Family Practice, 19, 698–702. doi:10.1093/fampra/19.6.698.CrossRefPubMed

15.

Crocetti, M., Dudas, R., & Krugman, S. (2004). Parental beliefs and practices regarding early introduction of solid foods to their children. Clinical Pediatrics, 43(6), 541–547. doi:10.1177/000992280404300606.CrossRefPubMed

16.

Hodges, E. A., Hughes, S. O., Hopkinson, J., & Fisher, J. O. (2008). Maternal decisions about the initiation and termination of infant feeding. Appetite, 50(2), 333–339. doi:10.1016/j.appet.2007.08.010.CrossRefPubMed

17.

Black, M. M., & Nitz, K. (1996). Grandmother co-residence, parenting, and child development among low-income, urban teen mothers. The Journal of Adolescent Health, 18(3), 218–226. doi:10.1016/1054-139X(95)00168-R.CrossRefPubMed

18.

Chamberlin, L. A., Sherman, S. N., Jain, A., Powers, S. W., & Whitaker, R. C. (2002). The challenge of preventing and treating obesity in low-income, preschool children: Perceptions of WIC health care professionals. Archives of Pediatrics and Adolescent Medicine, 156(7), 662–668.PubMed

19.

Cricco-Lizza, R. (2005). The milk of human kindness: environmental and human interactions in a WIC clinic that influence infant feeding decisions of Black women. Qualitative Health Research, 15, 525–538. doi:10.1177/1049732304273030.CrossRefPubMed

20.

Cegala, D. J., Marinelli, T., & Post, D. (2000). The effects of patient communication skills training on compliance. Archives of Family Medicine, 9(1), 57–64. doi:10.1001/archfami.9.1.57.CrossRefPubMed

21.

Beck, R. S., Daughtridge, R., & Sloane, P. D. (2002). Physician-patient communication in the primary care office: A systematic review. The Journal of the American Board of Family Practice, 15(1), 25–38.PubMed

22.

Hanson, J. L., & Randall, V. F. (2007). Advancing a partnership: Patients, families, and medical educators. Teaching and Learning in Medicine, 19(2), 191–197.PubMed

23.

Kruger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research (3rd ed.). California: Sage Publications, Inc.

24.

Morgan, D., & Krueger, R. (1997). The focus group kit 6: Volume D. California: Sage Publications, Inc.

25.

Berg, B. L. (2007). Qualitative research methods for the social sciences (6th ed.). Boston: Pearson Education, Inc.

26.

Hsieh, H.-F. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. doi:10.1177/1049732305276687.CrossRefPubMed

27.

Olds, D. L., Kitzman, H., Cole, R., Robinson, J., Sidora, K., Luckey, D. W., et al. (2004). Effects of nurse home-visiting on maternal life course and child development: Age 6 follow-up results of a randomized trial. Pediatrics, 114(6), 1550–1559. doi:10.1542/peds.2004-0962.CrossRefPubMed

28.

Williams, A., & Pinnington, L. L. (2003). Nurses’ knowledge of current guidelines for infant feeding and weaning. Journal of Human Nutrition & Dietetics, 16(2), 73–80. doi:10.1046/j.1365-277X.2003.00430.x.CrossRef

29.

Nevo, N., Rubin, L., Tamir, A., Levine, A., & Shaoul, R. (2007). Infant feeding patterns in the first 6 months: An assessment in full-tern infants. Journal of Pediatric Gastroenterology and Nutrition, 45(2), 234–239. doi:10.1097/MPG.0b013e31803e1706.CrossRefPubMed

30.

Anderson, A. S., Guthrie, C.-A., Alder, E. M., Forsyth, S., Howie, P. W., & Williams, F. L. R. (2001). Rattling the plate-reasons and rationales for early weaning. Health Education Research, 16(4), 471–479. doi:10.1093/her/16.4.471.CrossRefPubMed

31.

Barton, S. J. (2001). Infant feeding practices of low-income rural mothers. The American Journal of Maternal Child Nursing, 26(2), 93–97. doi:10.1097/00005721-200103000-00008.CrossRef

32.

Black, M. M., Siegel, E. H., Abel, Y., & Bentley, M. E. (2001). Home and videotape intervention delays early complementary feeding among adolescent mothers. Pediatrics, 107(5), e67. doi:10.1542/peds.107.5.e67.CrossRefPubMed

33.

El-Mohandes, A. A. E., Katz, K. S., El-Khorazaty, M. N., McNeely-Johnson, D., Sharps, P. W., Jarrett, M. H., et al. (2003). The effect of a parenting education program on the use of preventive pediatric health care services among low-income, minority mothers: A randomized, controlled study. Pediatrics, 111(6), 1324–1332. doi:10.1542/peds.111.6.1324.CrossRefPubMed

34.

Olds, D. L., Robinson, J., Pettitt, L., Luckey, D. W., Holmberg, J., Ng, R. K., et al. (2004). Effects of home visits by paraprofessionals and by nurses: Age 4 follow-up results of a randomized trial. Pediatrics, 114(6), 1560–1568. doi:10.1542/peds.2004-0961.CrossRefPubMed

Title: Health Professionals’ Perspectives on the Infant Feeding Practices of Low Income Mothers
Authors: Beth H. Olson
Mildred A. Horodynski
Holly Brophy-Herb
Krystyna C. Iwanski
Publication date: 01-01-2010
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue 1/2010
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-008-0425-2

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Health Professionals’ Perspectives on the Infant Feeding Practices of Low Income Mothers

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