Poverty as Context for the Parenting Experience of Low-Income Lumbee Indian Mothers with a Medically Fragile Infant

Docherty, Sharron L.; Lowry, Candace; Miles, Margaret Shandor

doi:10.1891/0730-0832.26.6.361

Cited by 7 publications

(13 citation statements)

References 25 publications

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Section: Barriersmentioning

confidence: 99%

“…54 55 Single mothers with medically fragile children reported being watched or treated differently by healthcare providers. 50 Mothers also reported experiencing discrimination from healthcare providers for having children at a young age. 42 52 Parents experienced fear, judgement and shame when accessing healthcare for their children, which influenced when, where, or if they accessed healthcare.…”

Section: Barriers Racism and Discrimination During Healthcare Visitsmentioning

confidence: 99%

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Examining the experiences of Indigenous families seeking health information about caring for sick or injured children: a scoping review

et al. 2023

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ObjectiveMapping literature on Indigenous families’ experiences seeking child health information and identifying barriers and facilitators to information access.DesignScoping review.Data sourcesWe searched Medline, EMBASE, PsycINFO, Scopus and CINAHL for peer-reviewed literature and Google Advanced for grey literature. We screened tables of contents of two Indigenous research journals not consistently indexed in online health databases and used snowball sampling to supplement searches.Eligibility criteriaWe included full-text, English-language articles, published from 2000 to the time of the search in April 2021, based on: participants (Indigenous families), concept (experiences of families seeking health information) and context (child health).Data extraction and synthesisTwo independent reviewers extracted: citation details, study purpose, country of study, publication type, study design, data collection method, Indigenous group, family member participants, home/healthcare setting, child health area, how health information was accessed, and information-seeking barriers and facilitators. Data were examined for patterns and trends, results and implications.ResultsAmong 19 papers (representing 16 research projects) included, nine described family/friends and 19 described healthcare professionals as sources of child health information. Barriers include racism/discrimination during healthcare visits, ineffective communication with healthcare providers and structural barriers (eg, transportation). Facilitators include easy access, improved communication and relationships with healthcare providers, and culturally safe healthcare.ConclusionIndigenous families perceive they do not have access to necessary child health information, which can lead to insensitive, ineffective and unsafe healthcare. A critical gap exists in understanding Indigenous families’ information needs and preferences when making decisions about children’s health.

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Section: Barriersmentioning

confidence: 99%

Section: Barriers Racism and Discrimination During Healthcare Visitsmentioning

confidence: 99%

Examining the experiences of Indigenous families seeking health information about caring for sick or injured children: a scoping review

et al. 2023

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“…Despite the high rates of prematurity in American Indians, only a few studies have examined the interactive behaviors of American Indian mothers and their premature infants (Docherty, Lowry, & Miles, 2007; MacDonald-Clark & Boffman, 1995; MacDonald-Clark & Harney-Boffman, 1994; Nichols, 2004; Seideman et al, 1994). Given the importance of mother-infant interactions for child development (Forcada-Guex et al, 2006; McGroder, 2000; Smith, Landry, & Swank, 2006), examining American Indian mothers’ parenting practices with their premature infants is needed.…”

mentioning

confidence: 99%

“…Although factors affecting interactions between mothers and their premature infants have been studied, nearly all studies focused on mother/infant interactions among Whites and African Americans (Cho, Holditch‐Davis, & Belyea, ; Holditch‐Davis, Bartlett, & Belyea, ; McGrath, Sullivan, & Seifer, ). Despite the high rates of prematurity in American Indians, only a few studies have examined the interactive behaviors of American Indian mothers and their premature infants (Docherty, Lowry, & Miles, ; MacDonald‐Clark & Boffman, ; MacDonald‐Clark & Harney‐Boffman, ; Nichols, ; Seideman et al, ). Given the importance of mother/infant interactions for child development (Forcada‐Guex et al, ; McGroder, ; Smith, Landry, & Swank, ), examining American Indian mothers’ parenting practices with their premature infants is needed.…”

mentioning

confidence: 99%

Interactive Behaviors of Ethnic Minority Mothers and their Premature Infants

Brooks¹,

Holditch‐Davis²,

Landerman³

2013

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective To compare the interactive behaviors of American Indian mothers and their premature infants with those of African American mothers and their premature infants. Design Descriptive, comparative study. Setting Three neonatal intensive care units and two pediatric clinics in the southeast. Participants Seventy-seven mother-infant dyads: 17 American Indian mother-infant dyads and 60 African American mother-infant dyads. Methods Videotapes of mother-infant interactions and the Home Observation for Measurement of the Environment (HOME) were used to assess the interactions of the mothers and their premature infants at six months corrected age. Results American Indian mothers looked more, gestured more, and were more often the primary caregivers to their infants than the African American mothers. American Indian infants expressed more positive affect and gestured more to their mothers, whereas African American infants engaged in more non-negative vocalization toward their mothers. African American mothers scored higher on the HOME subscales of provision of appropriate play materials and parental involvement with the infant. American Indian mothers scored higher on the opportunities for variety in daily living subscale. Conclusion Although many of the interactive behaviors of American Indian and African American mother-infant dyads were similar, some differences did occur. Clinicians need to be aware of the cultural differences in mother-infant interactions. To optimize child developmental outcomes, nurses need to support mothers in their continuation or adoption of positive interactive behaviors.

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“…When compared to middle class mothers, mothers living in poverty were less sensitive to their infants' cues, used less verbal and nonverbal communication when interacting with their infants (Schiffman et al, 2003), provided less help to infants who were nonmobile (Roopnarine et al, 2005), and provided less stimulation to their infants (Bradley, Mundfrom, Whiteside, Casey, & Barrett, 1994). These factors are likely to be important for American Indian mothers of premature infants living in poverty, who report lack of access to health care and challenges in establishing consistent visitation in the neonatal intensive care unit (NICU) (Docherty, Lowry, & Miles, 2007).…”

mentioning

confidence: 99%

Interactive Behaviors of American Indian Mothers and Their Premature Infants

Brooks

Holditch‐Davis

Landerman

2013

Research in Nursing & Health

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The interactive behaviors of 17 American Indian mothers and their premature infants and selected maternal and infant factors affecting those behaviors were measured using naturalistic observation and the Home Observation for Measurement of the Environment (HOME) Inventory at 3, 6, and 12 months corrected infant age. The frequency of some maternal behaviors changed over the first 12 months. Mothers spent less time holding, looking at, touching, and interacting with their premature infants and more time uninvolved as the infant aged. Maternal education and infant illness severity were associated with mother–infant interactive behaviors and HOME Inventory scores. These findings emphasize the importance of maternal and infant factors affecting the interactions between American Indian premature infants and their mothers.

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Poverty as Context for the Parenting Experience of Low-Income Lumbee Indian Mothers with a Medically Fragile Infant

Cited by 7 publications

References 25 publications

Examining the experiences of Indigenous families seeking health information about caring for sick or injured children: a scoping review

Examining the experiences of Indigenous families seeking health information about caring for sick or injured children: a scoping review

Interactive Behaviors of Ethnic Minority Mothers and their Premature Infants

Interactive Behaviors of American Indian Mothers and Their Premature Infants

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