Marshallese Beliefs, Perceptions, and Practices Related to Child Feeding Among Marshallese in the United States: Implications for Childhood Obesity

Johnson, Kelly Vowell; Scott, Allison; Shreve, Marilou; Ayers, Britni L; Seaton, Victoria S

doi:10.1177/1178638819827609

Cited by 7 publications

(12 citation statements)

References 23 publications

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“…Family, tradition, and culture (social norms within the parent's environment) shaped parental infant feeding beliefs and perceptions about when to begin complementary feeding, and what first foods to offer. Of the studies in this review addressing introduction of solid or semi-solid foods, "beliefs, values, and perceived norms" were a central influence on complementary feeding practices [43,44,49,51,55,59,85,88,89,[91][92][93][94][95][96][97][98][99], which brought challenges to immigrant mothers of children who were culturally separated [100,101]. Parents perceived that "everyone gives you advice" [102], and complementary feeding was viewed as a natural progression with the goal of enjoyment of food and development of an expansive palate [95].…”

Section: Infant Feeding Behaviors Are Influenced By the Socio-culturamentioning

confidence: 99%

Hidden Realities of Infant Feeding: Systematic Review of Qualitative Findings from Parents

Dattilo

Carvalho

Feferbaum

et al. 2020

Behavioral Sciences

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A growing, global conversation, regarding realities and challenges that parents experience today is ever-present. To understand recent parent’s attitudes, beliefs, and perceptions regarding infant feeding, we sought to systematically identify and synthesize original qualitative research findings. Following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) framework, electronic databases were searched with a priori terms applied to title/abstract fields and limited to studies published in English from 2015 to 2019, inclusive. Study quality assessment was conducted using the Critical Appraisal Skills Programme (CASP) checklist, and thematic analyses performed. Of 73 studies meeting inclusion criteria, four major themes emerged. (1) Breastfeeding is best for an infant; (2) Distinct attitudes, beliefs, and perceptions of mothers that breastfeed, and those that could not or chose not to breastfeed, are evident; (3) Infant feeding behaviors are influenced by the socio-cultural environment of the family, and (4) Parent’s expectations of education and support addressing personal infant feeding choices from health care providers are not always met. This systematic review, guided by constructs within behavioral models and theories, provides updated findings to help inform the development of nutrition education curricula and public policy programs. Results can be applied within scale-up nutrition and behavioral education interventions that support parents during infant feeding.

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Section: Infant Feeding Behaviors Are Influenced By the Socio-culturamentioning

confidence: 99%

Hidden Realities of Infant Feeding: Systematic Review of Qualitative Findings from Parents

Dattilo

Carvalho

Feferbaum

et al. 2020

Behavioral Sciences

View full text Add to dashboard Cite

show abstract

“…The majority of studies targeted specific populations within the United States including a particular racial, ethnic, or socioeconomic group ( Table 3 ) or a particular maternal or infant health characteristic ( Table 2 ). Most studies sampled only mothers, although six sampled caregivers or guardians, one sampled co-parenting mothers and fathers ( Thullen et al, 2016 ), and one sampled pairs of mothers and caregivers ( Johnson et al, 2019 ). Six studies utilized nationally representative samples ( Barrera et al, 2018 ; Braid et al, 2015 ; Clayton et al, 2013 ; Gaffney et al, 2014 ; Kim & Gallien, 2016 ; Roess et al, 2018 ), but most studies (23/29) recruited from a single geographic area.…”

Section: Resultsmentioning

confidence: 99%

Parental Decision-Making Around Introducing Complementary Foods: An Integrative Review

2023

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A primary role in infant parenting is feeding, and this role undergoes a significant transition when introducing complementary foods (CF), with important long-term health implications. Understanding the influences on parental decision-making around timing the introduction to CF can help health care providers provide parents with effective support for feeding; however, the factors that influence parental decision-making have not been recently reviewed in the United States. To determine influences and information sources, this integrative review examined the literature from 2012 to 2022. Results indicated that parents are confused and distrustful of inconsistent and changing guidelines around CF introduction. Instead, developmental readiness signs may be a more appropriate way for practitioners and researchers to support parents in appropriate CF introduction. Future work is needed to evaluate interpersonal and societal influences on parental decision-making, as well as to develop culturally sensitive practices to support healthful parental decisions.

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“…This level of food insecurity among pregnant women is much higher than it has been documented in other populations [ 30 , 31 , 32 ]. The previous qualitative literature with the Marshallese in Arkansas has identified a strong desire for both healthy and traditional foods and financial barriers to obtaining them [ 19 , 33 ]. This is the first article to document this qualitative concern among pregnant Marshallese and the first study among pregnant Marshallese to document the high level of food insecurity risk using Hager et al’s 2-item screening measure [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Dietary Practices during Pregnancy in a Marshallese Community: A Mixed Methods Analysis

Ayers

Bogulski

Milburn

et al. 2022

IJERPH

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Dietary practices during pregnancy play a pivotal role in the health of women and their children and set the foundation for long-term health. Marshallese women have disproportionally higher rates of maternal and infant health disparities, yet little is known about the dietary practices during their pregnancy. The purpose of this study was to identify dietary practices during pregnancy among Marshallese women. From March 2019 to March 2020, a purposive sample of 33 pregnant Marshallese participants participated in a mixed methods study. Two primary themes emerged: (1) traditional beliefs about a healthy diet during pregnancy; and (2) dietary change during pregnancy. Within the first theme, four subthemes emerged: (1) should eat; (2) should not eat; (3) challenges to traditional diet; and (4) spiritual dietary customs during pregnancy. Within the second theme, three subthemes emerged: (1) a healthy diet for my baby; (2) autonomy and diet; and (3) sugar-sweetened beverages. The transition in discourse from traditional customs of dietary practices to an individualistic discourse highlights that acculturation is a complex process that should be included in maternal health education and interventions. Findings from this study provide insight into potential considerations for future interventions aiming to improve maternal and child health outcomes among Marshallese.

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Marshallese Beliefs, Perceptions, and Practices Related to Child Feeding Among Marshallese in the United States: Implications for Childhood Obesity

Cited by 7 publications

References 23 publications

Hidden Realities of Infant Feeding: Systematic Review of Qualitative Findings from Parents

Hidden Realities of Infant Feeding: Systematic Review of Qualitative Findings from Parents

Parental Decision-Making Around Introducing Complementary Foods: An Integrative Review

Dietary Practices during Pregnancy in a Marshallese Community: A Mixed Methods Analysis

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