Skip to main content
Top
Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

Mothers’ Facebook posts about infant health: findings from the Grow2Gether study

Authors: Stacey Kallem, Rachel S. Gruver, Senbagam Virudachalam, Alexander G. Fiks

Published in: BMC Pediatrics | Issue 1/2018

Login to get access

Abstract

Background

Social media is a common way for mothers to seek advice about their infants. However, little is known about how low-income urban mothers use social media to obtain infant health information and whether this information is consistent with expert pediatric recommendations.

Objectives

(1) identify the types of health questions asked by low-income mothers of infants in a social media parenting group; (2) describe whether peer answers are consistent with or contradict AAP guidelines; (3) identify the practices that mothers post about that are inconsistent with AAP guidelines.

Methods

Forty-three low-income mothers were enrolled in Grow2Gether, a private Facebook group intervention focused on infant care and moderated by a psychologist. All health questions posted by mothers were coded thematically; answers to questions from the group were assessed for consistency with American Academy of Pediatrics (AAP) guidelines related to infant feeding, sleep, screen time, and safety. Additionally, all unique posts that contained practices inconsistent with these AAP guidelines were thematically coded.

Results

In total, 215 posts were coded. Participants posted 61 questions related to infant health, most commonly solid food introduction (8/61), teething (8/61), and breastfeeding (7/61). Of the 77 answers given by peers, 6 contradicted guidelines. Separately, mothers had 73 posts demonstrating practices inconsistent with AAP guidelines [safe sleep (43/73) and screen time (21/73)].

Conclusions

Mothers’ Facebook group interactions in the context of an infant care intervention revealed that when mothers posed direct questions regarding infant health, their peers generally gave answers that did not contradict AAP guidelines. In contrast, mothers’ posts simply describing sleep and screen time practices commonly contradicted guidelines.
Literature
3.
go back to reference Claxton A, Perry-Jenkins M. No fun anymore: leisure and marital quality across the transition to parenthood. J Marriage Fam. 2008;70:28–43.CrossRef Claxton A, Perry-Jenkins M. No fun anymore: leisure and marital quality across the transition to parenthood. J Marriage Fam. 2008;70:28–43.CrossRef
4.
go back to reference Bartholomew MK, Schoppe-Sullivan SJ, Glassman M, Kamp Dush CM, Sullivan JM. New parents’ Facebook use at the transition to parenthood. Fam Relat. 2012;61:455–69.CrossRef Bartholomew MK, Schoppe-Sullivan SJ, Glassman M, Kamp Dush CM, Sullivan JM. New parents’ Facebook use at the transition to parenthood. Fam Relat. 2012;61:455–69.CrossRef
5.
go back to reference Asiodu IV, Waters CM, Dailey DE, Lee KA, Lyndon A. Breastfeeding and social media among first-time African American mothers. J Obstet Gynecol Neonatal Nurs. 2015;44:268–78.CrossRef Asiodu IV, Waters CM, Dailey DE, Lee KA, Lyndon A. Breastfeeding and social media among first-time African American mothers. J Obstet Gynecol Neonatal Nurs. 2015;44:268–78.CrossRef
6.
go back to reference Thoren EM, Metze B, Bührer C, Garten L. Online support for parents of preterm infants: a qualitative and content analysis of Facebook “preemie” groups. Arch Dis Child Fetal Neonatal Ed. 2013;98:F534–8.CrossRef Thoren EM, Metze B, Bührer C, Garten L. Online support for parents of preterm infants: a qualitative and content analysis of Facebook “preemie” groups. Arch Dis Child Fetal Neonatal Ed. 2013;98:F534–8.CrossRef
7.
go back to reference Holtz B, Smock A, Reyes-Gastelum D. Connected motherhood: social support for moms and moms-to-be on Facebook. Telemed J E Health. 2015;21:415–21.CrossRef Holtz B, Smock A, Reyes-Gastelum D. Connected motherhood: social support for moms and moms-to-be on Facebook. Telemed J E Health. 2015;21:415–21.CrossRef
9.
go back to reference Sword W, Watt S. Learning needs of postpartum women: does socioeconomic status matter? Birth. 2005;32:86–92.CrossRef Sword W, Watt S. Learning needs of postpartum women: does socioeconomic status matter? Birth. 2005;32:86–92.CrossRef
10.
go back to reference Bridges N. The faces of breastfeeding support: experiences of mothers seeking breastfeeding support online. Breastfeed Rev. 2016;24:11–20.PubMed Bridges N. The faces of breastfeeding support: experiences of mothers seeking breastfeeding support online. Breastfeed Rev. 2016;24:11–20.PubMed
11.
go back to reference Prabhakar A, Guerra-Reyes L, Effron A, M Kleinschmidt V, Driscoll M, Peters C, et al. Let me know if you need anything. In: Support realities of new mothers; 2017. Prabhakar A, Guerra-Reyes L, Effron A, M Kleinschmidt V, Driscoll M, Peters C, et al. Let me know if you need anything. In: Support realities of new mothers; 2017.
12.
go back to reference Baker B, Yang I. Social media as social support in pregnancy and the postpartum. Sex Reprod Healthc. 2018;17:31–4.CrossRef Baker B, Yang I. Social media as social support in pregnancy and the postpartum. Sex Reprod Healthc. 2018;17:31–4.CrossRef
13.
go back to reference Williams N, Mughal S, Blair M. “Is my child developing normally?”: a critical review of web-based resources for parents. Dev Med Child Neurol. 2008;50:893–7.CrossRef Williams N, Mughal S, Blair M. “Is my child developing normally?”: a critical review of web-based resources for parents. Dev Med Child Neurol. 2008;50:893–7.CrossRef
14.
go back to reference Oncel S, Alvur M. How reliable is the internet for caregivers on their decision to vaccinate their child against influenza? Results from googling in two languages. Eur J Pediatr. 2013;172:401–4.CrossRef Oncel S, Alvur M. How reliable is the internet for caregivers on their decision to vaccinate their child against influenza? Results from googling in two languages. Eur J Pediatr. 2013;172:401–4.CrossRef
15.
go back to reference Chung M, Oden RP, Joyner BL, Sims A, Moon RY. Safe infant sleep recommendations on the internet: let’s Google it. J Pediatr. 2012;161:1080–4.CrossRef Chung M, Oden RP, Joyner BL, Sims A, Moon RY. Safe infant sleep recommendations on the internet: let’s Google it. J Pediatr. 2012;161:1080–4.CrossRef
16.
go back to reference Drayton AK, Andersen MN, Knight RM, Felt BT, Fredericks EM, Dore-Stites DJ. Internet guidance on time out: inaccuracies, omissions, and what to tell parents instead. J Dev Behav Pediatr. 2014;35:239–46.CrossRef Drayton AK, Andersen MN, Knight RM, Felt BT, Fredericks EM, Dore-Stites DJ. Internet guidance on time out: inaccuracies, omissions, and what to tell parents instead. J Dev Behav Pediatr. 2014;35:239–46.CrossRef
17.
go back to reference Taki S, Campbell KJ, Russell CG, Elliott R, Laws R, Denney-Wilson E. Infant feeding websites and apps: a systematic assessment of quality and content. Interact J Med Res. 2015;4:e18.CrossRef Taki S, Campbell KJ, Russell CG, Elliott R, Laws R, Denney-Wilson E. Infant feeding websites and apps: a systematic assessment of quality and content. Interact J Med Res. 2015;4:e18.CrossRef
18.
go back to reference Scullard P, Peacock C, Davies P. Googling children’s health: reliability of medical advice on the internet. Arch Dis Child. 2010;95:580–2.CrossRef Scullard P, Peacock C, Davies P. Googling children’s health: reliability of medical advice on the internet. Arch Dis Child. 2010;95:580–2.CrossRef
19.
go back to reference Eisenberg SR, Bair-Merritt MH, Colson ER, Heeren TC, Geller NL, Corwin MJ. Maternal report of advice received for infant care. Pediatrics. 2015;136:e315–22.CrossRef Eisenberg SR, Bair-Merritt MH, Colson ER, Heeren TC, Geller NL, Corwin MJ. Maternal report of advice received for infant care. Pediatrics. 2015;136:e315–22.CrossRef
20.
go back to reference Gruver RS, Bishop-Gilyard CT, Lieberman A, Gerdes M, Virudachalam S, Suh AW, et al. A social media peer group intervention for mothers to prevent obesity and promote healthy growth from infancy: development and pilot trial. JMIR Res Protoc. 2016;5:e159.CrossRef Gruver RS, Bishop-Gilyard CT, Lieberman A, Gerdes M, Virudachalam S, Suh AW, et al. A social media peer group intervention for mothers to prevent obesity and promote healthy growth from infancy: development and pilot trial. JMIR Res Protoc. 2016;5:e159.CrossRef
22.
go back to reference Hagan JF, Shaw JS, Bright Futures DPM. Guidelines for the health supervision of infants, children, and adolescents. 3rd ed. Elk Grove Village, IL: The American Academy of Pediatrics; 2008. Hagan JF, Shaw JS, Bright Futures DPM. Guidelines for the health supervision of infants, children, and adolescents. 3rd ed. Elk Grove Village, IL: The American Academy of Pediatrics; 2008.
23.
go back to reference Ball J. Baby teething gels not recommended. AAP News. 2014;35:32. Ball J. Baby teething gels not recommended. AAP News. 2014;35:32.
25.
go back to reference Clinical Affairs Committee- Infant Oral Health Subcomittee, American Academy of Pediatric Dentistry. Guideline on infant Oral health care. Clin Pract Guidel. 2014:37. Clinical Affairs Committee- Infant Oral Health Subcomittee, American Academy of Pediatric Dentistry. Guideline on infant Oral health care. Clin Pract Guidel. 2014:37.
26.
go back to reference Task Force on Sudden Infant Death Syndrome. SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment. Pediatrics. 2011;128:1030–9.CrossRef Task Force on Sudden Infant Death Syndrome. SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment. Pediatrics. 2011;128:1030–9.CrossRef
27.
go back to reference Hager ER, Quigg AM, Black MM, Coleman SM, Heeren T, Rose-Jacobs R, et al. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics. 2010;126:e26–32.CrossRef Hager ER, Quigg AM, Black MM, Coleman SM, Heeren T, Rose-Jacobs R, et al. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics. 2010;126:e26–32.CrossRef
28.
go back to reference Guerra-Reyes L, Christie VM, Prabhakar A, Harris AL, Siek KA. Postpartum health information seeking using Mobile phones: experiences of low-income mothers. Matern Child Health J. 2016;20(Suppl 1):13–21.CrossRef Guerra-Reyes L, Christie VM, Prabhakar A, Harris AL, Siek KA. Postpartum health information seeking using Mobile phones: experiences of low-income mothers. Matern Child Health J. 2016;20(Suppl 1):13–21.CrossRef
29.
go back to reference Batra EK, Teti DM, Schaefer EW, Neumann BA, Meek EA, Paul IM. Nocturnal video assessment of infant sleep environments. Pediatrics. 2016. Batra EK, Teti DM, Schaefer EW, Neumann BA, Meek EA, Paul IM. Nocturnal video assessment of infant sleep environments. Pediatrics. 2016.
30.
go back to reference Parks SE, Lambert ABE, Shapiro-Mendoza CK. Racial and ethnic trends in sudden unexpected infant deaths: United States, 1995–2013. Pediatrics. 2017:e20163844.CrossRef Parks SE, Lambert ABE, Shapiro-Mendoza CK. Racial and ethnic trends in sudden unexpected infant deaths: United States, 1995–2013. Pediatrics. 2017:e20163844.CrossRef
31.
go back to reference Colson ER, Rybin D, Smith LA, Colton T, Lister G, Corwin MJ. Trends and factors associated with infant sleeping position: the national infant sleep position study, 1993-2007. Arch Pediatr Adolesc Med. 2009;163:1122–8.CrossRef Colson ER, Rybin D, Smith LA, Colton T, Lister G, Corwin MJ. Trends and factors associated with infant sleeping position: the national infant sleep position study, 1993-2007. Arch Pediatr Adolesc Med. 2009;163:1122–8.CrossRef
32.
go back to reference Shapiro-Mendoza CK, Colson ER, Willinger M, Rybin DV, Camperlengo L, Corwin MJ. Trends in infant bedding use: National Infant Sleep Position study, 1993-2010. Pediatrics. 2015;135:10–7.CrossRef Shapiro-Mendoza CK, Colson ER, Willinger M, Rybin DV, Camperlengo L, Corwin MJ. Trends in infant bedding use: National Infant Sleep Position study, 1993-2010. Pediatrics. 2015;135:10–7.CrossRef
33.
go back to reference Colson ER, Willinger M, Rybin D, Heeren T, Smith LA, Lister G, et al. Trends and factors associated with infant bed sharing, 1993-2010: the National Infant Sleep Position Study. JAMA Pediatr. 2013;167:1032–7.CrossRef Colson ER, Willinger M, Rybin D, Heeren T, Smith LA, Lister G, et al. Trends and factors associated with infant bed sharing, 1993-2010: the National Infant Sleep Position Study. JAMA Pediatr. 2013;167:1032–7.CrossRef
34.
go back to reference AAP Council on Communications and Media. Media use by children younger than 2 years. Pediatrics. 2011;128:1040–5. AAP Council on Communications and Media. Media use by children younger than 2 years. Pediatrics. 2011;128:1040–5.
35.
go back to reference AAP Council on Communications and Media. Media and young minds. Pediatrics. 2016;138(5):e20162591. AAP Council on Communications and Media. Media and young minds. Pediatrics. 2016;138(5):e20162591.
36.
go back to reference Kabali HK, Irigoyen MM, Nunez-Davis R, Budacki JG, Mohanty SH, Leister KP, et al. Exposure and use of Mobile media devices by young children. Pediatrics. 2015;136:1044–50.CrossRef Kabali HK, Irigoyen MM, Nunez-Davis R, Budacki JG, Mohanty SH, Leister KP, et al. Exposure and use of Mobile media devices by young children. Pediatrics. 2015;136:1044–50.CrossRef
37.
go back to reference Vijakkhana N, Wilaisakditipakorn T, Ruedeekhajorn K, Pruksananonda C, Chonchaiya W. Evening media exposure reduces night-time sleep. Acta Paediatr. 2015;104:306–12.CrossRef Vijakkhana N, Wilaisakditipakorn T, Ruedeekhajorn K, Pruksananonda C, Chonchaiya W. Evening media exposure reduces night-time sleep. Acta Paediatr. 2015;104:306–12.CrossRef
38.
go back to reference Tomopoulos S, Dreyer BP, Berkule S, Fierman AH, Brockmeyer C, Mendelsohn AL. Infant media exposure and toddler development. Arch Pediatr Adolesc Med. 2010;164:1105–11.CrossRef Tomopoulos S, Dreyer BP, Berkule S, Fierman AH, Brockmeyer C, Mendelsohn AL. Infant media exposure and toddler development. Arch Pediatr Adolesc Med. 2010;164:1105–11.CrossRef
39.
go back to reference Zimmerman FJ, Christakis DA, Meltzoff AN. Associations between media viewing and language development in children under age 2 years. J Pediatr. 2007;151:364–8.CrossRef Zimmerman FJ, Christakis DA, Meltzoff AN. Associations between media viewing and language development in children under age 2 years. J Pediatr. 2007;151:364–8.CrossRef
40.
go back to reference Hwang SS, Rybin DV, Heeren TC, Colson ER, Corwin MJ. Trust in Sources of advice about infant care practices: the SAFE study. Matern Child Health J. 2016. Hwang SS, Rybin DV, Heeren TC, Colson ER, Corwin MJ. Trust in Sources of advice about infant care practices: the SAFE study. Matern Child Health J. 2016.
41.
go back to reference Johnson TJ, Winger DG, Hickey RW, Switzer GE, Miller E, Nguyen MB, et al. Comparison of physician implicit racial Bias toward adults versus children. Acad Pediatr. 2017;17:120–6.CrossRef Johnson TJ, Winger DG, Hickey RW, Switzer GE, Miller E, Nguyen MB, et al. Comparison of physician implicit racial Bias toward adults versus children. Acad Pediatr. 2017;17:120–6.CrossRef
42.
go back to reference Sabin JA, Rivara FP, Greenwald AG. Physician implicit attitudes and stereotypes about race and quality of medical care. Med Care. 2008;46:678–85.CrossRef Sabin JA, Rivara FP, Greenwald AG. Physician implicit attitudes and stereotypes about race and quality of medical care. Med Care. 2008;46:678–85.CrossRef
43.
go back to reference Blair IV, Havranek EP, Price DW, Hanratty R, Fairclough DL, Farley T, et al. Assessment of biases against Latinos and African Americans among primary care providers and community members. Am J Public Health. 2013;103:92–8.CrossRef Blair IV, Havranek EP, Price DW, Hanratty R, Fairclough DL, Farley T, et al. Assessment of biases against Latinos and African Americans among primary care providers and community members. Am J Public Health. 2013;103:92–8.CrossRef
44.
go back to reference FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18:19.CrossRef FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017;18:19.CrossRef
45.
go back to reference Sabin JA, Greenwald AG. The influence of implicit bias on treatment recommendations for 4 common pediatric conditions: pain, urinary tract infection, attention deficit hyperactivity disorder, and asthma. Am J Public Health. 2012;102:988–95.CrossRef Sabin JA, Greenwald AG. The influence of implicit bias on treatment recommendations for 4 common pediatric conditions: pain, urinary tract infection, attention deficit hyperactivity disorder, and asthma. Am J Public Health. 2012;102:988–95.CrossRef
46.
go back to reference Cricco-Lizza R. Black non-Hispanic mothers’ perceptions about the promotion of infant-feeding methods by nurses and physicians. J Obstet Gynecol Neonatal Nurs. 2006;35:173–80.CrossRef Cricco-Lizza R. Black non-Hispanic mothers’ perceptions about the promotion of infant-feeding methods by nurses and physicians. J Obstet Gynecol Neonatal Nurs. 2006;35:173–80.CrossRef
47.
go back to reference Lind JN, Perrine CG, Li R, Scanlon KS, Grummer-Strawn LM. Racial disparities in access to maternity care practices that support breastfeeding - United States, 2011., racial disparities in access to maternity care practices that support breastfeeding — United States, 2011. MMWR Morb Mortal Wkly Rep. 2014;63:725–8.PubMedPubMedCentral Lind JN, Perrine CG, Li R, Scanlon KS, Grummer-Strawn LM. Racial disparities in access to maternity care practices that support breastfeeding - United States, 2011., racial disparities in access to maternity care practices that support breastfeeding — United States, 2011. MMWR Morb Mortal Wkly Rep. 2014;63:725–8.PubMedPubMedCentral
48.
go back to reference Mathews A, Joyner BL, Oden RP, He J, McCarter R, Moon RY. Messaging affects the behavior of African American parents with regards to soft bedding in the infant sleep environment: a randomized controlled trial. J Pediatr. 2016;175:79–85.e2.CrossRef Mathews A, Joyner BL, Oden RP, He J, McCarter R, Moon RY. Messaging affects the behavior of African American parents with regards to soft bedding in the infant sleep environment: a randomized controlled trial. J Pediatr. 2016;175:79–85.e2.CrossRef
49.
go back to reference D’Angelo J, Kerr B, Moreno MA. Facebook displays as predictors of binge drinking: from the virtual to the visceral. Bull Sci Technol Soc. 2014;34:159–69.CrossRef D’Angelo J, Kerr B, Moreno MA. Facebook displays as predictors of binge drinking: from the virtual to the visceral. Bull Sci Technol Soc. 2014;34:159–69.CrossRef
50.
go back to reference AAP Committee on Injury and Poison Prevention. Injuries associated with infant walkers. Pediatrics. 2001;108:790–2. AAP Committee on Injury and Poison Prevention. Injuries associated with infant walkers. Pediatrics. 2001;108:790–2.
51.
go back to reference AAP Committee on Nutrition Pediatric Nutrition Handbook. 6 edition. Elk Grove Village, IL: Am Acad Pediatr; 2008. AAP Committee on Nutrition Pediatric Nutrition Handbook. 6 edition. Elk Grove Village, IL: Am Acad Pediatr; 2008.
52.
go back to reference AAP Committee on Nutrition. The use and misuse of fruit juice in pediatrics. Pediatrics. 2001;107:1210–3. AAP Committee on Nutrition. The use and misuse of fruit juice in pediatrics. Pediatrics. 2001;107:1210–3.
Metadata
Title
Mothers’ Facebook posts about infant health: findings from the Grow2Gether study
Authors
Stacey Kallem
Rachel S. Gruver
Senbagam Virudachalam
Alexander G. Fiks
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-1315-4

Other articles of this Issue 1/2018

BMC Pediatrics 1/2018 Go to the issue