Exploring how Brazilian immigrant mothers living in the USA obtain information about physical activity and screen time for their preschool-aged children: a qualitative study

Lindsay, Ana Cristina; Arruda, Carlos André Moura; Machado, Márcia Maria Tavares; Andrade, Gabriela; Greaney, Mary L.

doi:10.1136/bmjopen-2018-021844

Cited by 16 publications

(27 citation statements)

References 63 publications

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“…One author (ACL), a native Brazilian-Portuguese speaker and qualitative researcher, moderated all FGDs in Portuguese using a semi-structured discussion guide that explored participants’: (1) sleep-related beliefs in general and for young children; (2) attitudes toward bedtime routines; and (3) practices related to their preschool-age children’s bedtime routines. The guide also explored physical activity, and sedentary behaviors including screen time, as well as sources of information used to obtain information about these behaviors with those results reported elsewhere [ 57 , 58 ]. The guide was pilot tested in a FGD with Brazilian immigrant mothers ( n = 4) and refined before use in the current study.…”

Section: Methodsmentioning

confidence: 99%

Exploring Brazilian Immigrant Mothers’ Beliefs, Attitudes, and Practices Related to Their Preschool-Age Children’s Sleep and Bedtime Routines: A Qualitative Study Conducted in the United States

Lindsay

Arruda

Machado

et al. 2018

IJERPH

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In the United States (US), racial/ethnic minority children, low-income children, and children of immigrant families are at increased risk of childhood obesity. Mounting evidence documents that sleep duration and sleep quality are important modifiable factors associated with increased risk of obesity among preschool-aged children. The number of Brazilian immigrants in the US is increasing, yet no existing research, to our knowledge, has examined factors affecting sleep and bedtime routines of children of Brazilian immigrant families. Therefore, the purpose of this qualitative study was to explore Brazilian immigrant mothers’ beliefs, attitudes, and practices related to sleep and bedtime routines among preschool-aged children. Seven focus group discussions (FGDs) were conducted with 37 Brazilian immigrant mothers of preschool-age children living in the US. The audio-recordings of the FGDs were transcribed verbatim in Portuguese without identifiers and analyzed using thematic analyses. Mothers also completed a brief questionnaire assessing socio-demographic and acculturation. Analyses revealed that most mothers were aware of the importance of sleep and sleep duration for their children’s healthy growth and development. Mothers also spoke of children needing consistent bedtime routines. Nevertheless, many mothers reported inconsistent and suboptimal bedtime routines (e.g., lack of predictable and orderly bedtime activities such as bath, reading, etc. and use of electronics in bed). These suboptimal routines appeared to be influenced by day-to-day social contextual and environmental factors that are part of Brazilian immigrant families’ lives such as parents’ work schedule, living with extended family, living in multi-family housing, neighborhood noise, etc. Analyses identified several modifiable parenting practices related to young children’s sleep and bedtime routines (e.g., irregular bedtime, late bedtime, inconsistent bedtime routines, use of electronics in bed, etc.) that can be addressed in parenting- and family-based obesity prevention interventions. Interventions should consider the social context of the home/family (e.g., parents’ work schedules) and the environment (e.g., multi-family housing; neighborhood noise, etc.) faced by Brazilian immigrant families when developing health promotion messages and parenting interventions tailored to this ethnic group.

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Section: Methodsmentioning

confidence: 99%

Exploring Brazilian Immigrant Mothers’ Beliefs, Attitudes, and Practices Related to Their Preschool-Age Children’s Sleep and Bedtime Routines: A Qualitative Study Conducted in the United States

Lindsay

Arruda

Machado

et al. 2018

IJERPH

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“…Parents were eligible to participate if they: (a) self-identified as Central American; (b) had at least one child aged 11-19 years; (c) lived in MA or RI; and (d) had resided in the US for at least 12 months. We recruited participants using strategies successfully employed in our previous studies with similar Latino populations, and these included: (1) posting flyers inside local Latino businesses, and community-based social and health services agencies, and (2) making announcement and posting flyers at predominantly Spanish-speaking churches [30][31][32][33][34]. Interested individuals spoke to study staff at church events or called the telephone number listed on the flyers disseminated at local Latino businesses, community-based social and health services agencies, and churches.…”

Section: Ethics Consent and Permissionsmentioning

confidence: 99%

Central American Immigrant Parents’ Awareness, Acceptability, and Willingness to Vaccinate Their Adolescent Children Against Human Papillomavirus: A Pilot Cross-Sectional Study

Lindsay

Pineda

Valdez

et al. 2020

IJERPH

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Despite increasing interest in understanding the factors influencing awareness and acceptability of the human papillomavirus (HPV) vaccine among Latino parents, to date limited information is available specific to Central American parents living in the United States (US). Therefore, this pilot cross-sectional study was designed to explore and assess Central American immigrant parents’ awareness, acceptability, and willingness to vaccinate their children against HPV, and interest in participating in future HPV-associated cancer prevention study. Fifty-six Central American parents, majority immigrant (96.4%; n = 54) from four countries, El Salvador—50% (n = 27); Guatemala—25.9% (n = 14); Honduras—22.2% (n = 12); and Panama—1.9% (n = 1) participated in this study. Participants completed an interviewer-administered questionnaire survey in their preferred language (i.e., Spanish or English). A little over half of the participants were mothers (57.1%; n = 32) and parents’ mean age was 43.2 years (SD = 6.4). The majority was married or cohabitating (76.8%, n = 43), and 39.3% (n = 22) reported having two children. Seventy-five percent (n = 42) of parents reported they had heard of the HPV vaccine. Fewer fathers were aware of the HPV vaccine (58.3%; n = 14 vs.87.5%, n = 28; p = 0.01) than mothers. Among parents who had heard of the HPV vaccine (n = 42), 85.7% (n = 36) reported their children had received at least one dose of the HPV vaccine. Fewer fathers reported their child had been vaccinated against HPV (64.3%, n = 9 vs. 96.4%, n = 27; p = 0.06) than mothers. Moreover, 90% of parents (n = 18) whose children were unvaccinated reported willingness to vaccinate their adolescent children against HPV if recommended by their child’s physician. Findings indicate parents’ low to moderate awareness of the HPV vaccine, and high willingness to vaccinate their adolescent children if recommended by their child’s physician. Findings also demonstrate fathers’ lower awareness and acceptability of the HPV vaccine than mothers. Despite limitations and the need for more research, findings of this pilot study serve as a valuable first step toward building a knowledge foundation that is needed for developing future studies and interventions targeting Central American immigrant parents living in the US. Future studies can build on the findings of this exploratory study with other research designs and address its limitations by having a larger sample size and accounting for additional factors associated with Central American immigrant parents’ HPV awareness, knowledge, beliefs, attitudes, and vaccine acceptability from other communities across the US.

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“…The FGD guide explored participants' beliefs, attitudes, and parenting practices related to their preschool-age children's ST. The guide also explored mothers' beliefs, attitudes, and practices related to PA and sleep [43,44]. The guide was piloted in a FGD with four Brazilian immigrant mothers and then refined (e.g., rewording some questions and changing the order of some questions) prior to use.…”

Section: Data Collectionmentioning

confidence: 99%

“…This study was conducted in two MA cities, and is part of a larger ongoing mixedmethods research study (to date 113 unique families) with Brazilian immigrant families living in the Greater Boston, MA examining parenting styles and parenting practices related to the risk of childhood obesity (e.g., promoting healthy eating, physical activity, sleep and ST) [40][41][42][43][44].…”

Section: Study Design Setting and Samplementioning

confidence: 99%

“…Study staff assessed eligibility, and invited women to participate if they: had at least one child aged 2-5 years; were of Brazilian ethnicity; born in Brazil; and had been living in the US for at least 12 months. In addition, participants were recruited using a snowball technique [43], with women enrolled in the study asking their Brazilian friends with preschool-aged children if they would be interested in participating in the study [43].…”

Section: Data Collectionmentioning

confidence: 99%

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“If You Let Them, They Will Be on It 24 Hours a Day”: Qualitative Study Conducted in the United States Exploring Brazilian Immigrant Mothers’ Beliefs, Attitudes, and Practices Related to Screen Time Behaviors of Their Preschool-Age Children (Preprint)

Lindsay¹,

Arruda²,

Machado³

et al. 2018

Preprint

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Background: The increasing prevalence of excessive screen time (ST) among children is a growing public health concern due the associated risk of overweight and obesity in children. Increasing ST among preschool-age children (2-5 years of age) has prompted several countries including the United States (US) to develop ST guidelines. In 2016, the American Academy of Pediatrics (AAP) released updated guidelines that encourage parents of preschool-age children to limit ST to < 1 hour per day. Objective: To explore the beliefs, attitudes, and practices of Brazilian-born immigrant mothers' living in the US related to their preschool-aged children's ST. Methods: Qualitative study with seven focus group discussions (FGDs) conducted with Brazilian immigrant mothers to gain an in-depth understanding of the research topics. All FGDs were audio-recorded and professionally transcribed verbatim. The Portuguese transcripts were analyzed using thematic analysis. Results: In total, 37 women participated in the FGDs. Analyses revealed that although most mothers expressed concerns for their children's ST, nearly all viewed ST as an acceptable part of children's daily lives. Furthermore, mothers perceived more benefits than disadvantages associated with ST. Mothers' positive beliefs (e.g., educational purposes, entertainment) and their perceived functional benefits of ST (e.g., ability to keep children occupied so tasks can be completed, regular communication with family outside the US) contributed to their acceptance of ST for their young children. Nevertheless, most mothers spoke of the need to find a balance between their children's ST and other activities, and reported using several parenting practices to manage ST including monitoring time and content, setting limits and rules, and prompting their children to do something else. Conclusions:The present study provides new information on the beliefs, attitudes, and practices of Brazilian immigrant mothers living in the US related to their preschool-aged children's ST. Study findings revealed several potentially modifiable maternal beliefs and parenting practices that may provide important targets for parenting-and familybased interventions aimed at promoting adequate preschool-age children's ST.

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Exploring how Brazilian immigrant mothers living in the USA obtain information about physical activity and screen time for their preschool-aged children: a qualitative study

Cited by 16 publications

References 63 publications

Exploring Brazilian Immigrant Mothers’ Beliefs, Attitudes, and Practices Related to Their Preschool-Age Children’s Sleep and Bedtime Routines: A Qualitative Study Conducted in the United States

Exploring Brazilian Immigrant Mothers’ Beliefs, Attitudes, and Practices Related to Their Preschool-Age Children’s Sleep and Bedtime Routines: A Qualitative Study Conducted in the United States

Central American Immigrant Parents’ Awareness, Acceptability, and Willingness to Vaccinate Their Adolescent Children Against Human Papillomavirus: A Pilot Cross-Sectional Study

“If You Let Them, They Will Be on It 24 Hours a Day”: Qualitative Study Conducted in the United States Exploring Brazilian Immigrant Mothers’ Beliefs, Attitudes, and Practices Related to Screen Time Behaviors of Their Preschool-Age Children (Preprint)

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