Kathleen F Gaffney1, Albert V Brito2, Panagiota Kitsantas3, Deborah A Kermer4, Graciela Pereddo5, Katya M Ramos6. 1. School of Nursing, George Mason University, Fairfax, VA, United States. Electronic address: kgaffney@gmu.edu. 2. Inova Cares Clinic for Children, Falls Church, VA, United States. Electronic address: Albert.Brito@inova.org. 3. Health Administration and Policy Department, George Mason University, Fairfax, VA, United States. Electronic address: pkitsant@gmu.edu. 4. University Libraries, Data Services, George Mason University, Fairfax, VA, United States. Electronic address: dekermer@gmu.edu. 5. Global and Community Health Department, George Mason University, Fairfax, VA, United States. Electronic address: gpereddo@masonlive.gmu.edu. 6. School of Nursing, George Mason University, Fairfax, VA, United States. Electronic address: kramosma@masonlive.gmu.edu.
Abstract
PURPOSES: Describe implementation of Institute of Medicine (IOM) early infant feeding recommendations for child obesity prevention by immigrant mothers from Central America; examine potential relationships with food insecurity and postpartum depressive symptoms. DESIGN AND METHODS: Using a cross-sectional, descriptive design, face-to-face interviews were conducted with 318 mothers of 2month old infants at a large pediatric setting for low income families. Logistic regression models assessed feeding practices, food insecurity and postpartum depressive symptoms. RESULTS: Exclusive breastfeeding rates were low (9.4%); most mothers (62.7%) both breastfed and bottle fed their infants. Mothers who bottle fed at moderate and high intensity were twice as likely to affirm that if you give a baby a bottle, you should always make sure s/he finishes it (OR=2.30, 95% CI=1.13, 4.69; OR=2.29, 95% CI=1.26, 4.14). Food insecurity was experienced by 57% of mothers but postpartum depressive symptoms were low (Possible range=0-30; M=2.96, SD =3.6). However, for each increase in the postpartum depressive symptoms score, the likelihood of affirming a controlling feeding style increased by 11-13%. CONCLUSIONS: Immigrant mothers from Central America were more likely to both breastfeed and bottle feed (las dos cosas) than implement exclusive breastfeeding. Bottle feeding intensity was associated with a controlling feeding style. PRACTICE IMPLICATIONS: Infant well visits provide the ideal context for promoting IOM recommendations for the prevention of obesity among children of immigrant mothers from Central America.
PURPOSES: Describe implementation of Institute of Medicine (IOM) early infant feeding recommendations for childobesity prevention by immigrant mothers from Central America; examine potential relationships with food insecurity and postpartum depressive symptoms. DESIGN AND METHODS: Using a cross-sectional, descriptive design, face-to-face interviews were conducted with 318 mothers of 2month old infants at a large pediatric setting for low income families. Logistic regression models assessed feeding practices, food insecurity and postpartum depressive symptoms. RESULTS: Exclusive breastfeeding rates were low (9.4%); most mothers (62.7%) both breastfed and bottle fed their infants. Mothers who bottle fed at moderate and high intensity were twice as likely to affirm that if you give a baby a bottle, you should always make sure s/he finishes it (OR=2.30, 95% CI=1.13, 4.69; OR=2.29, 95% CI=1.26, 4.14). Food insecurity was experienced by 57% of mothers but postpartum depressive symptoms were low (Possible range=0-30; M=2.96, SD =3.6). However, for each increase in the postpartum depressive symptoms score, the likelihood of affirming a controlling feeding style increased by 11-13%. CONCLUSIONS: Immigrant mothers from Central America were more likely to both breastfeed and bottle feed (las dos cosas) than implement exclusive breastfeeding. Bottle feeding intensity was associated with a controlling feeding style. PRACTICE IMPLICATIONS: Infant well visits provide the ideal context for promoting IOM recommendations for the prevention of obesity among children of immigrant mothers from Central America.
Authors: Rachel S Gross; Alan L Mendelsohn; Arthur H Fierman; Andrew D Racine; Mary Jo Messito Journal: Pediatrics Date: 2012-07-23 Impact factor: 7.124
Authors: Rachel S Gross; Arthur H Fierman; Alan L Mendelsohn; Mary Ann Chiasson; Terry J Rosenberg; Roberta Scheinmann; Mary Jo Messito Journal: Acad Pediatr Date: 2009-12-10 Impact factor: 3.107
Authors: Kathleen F Gaffney; Panagiota Kitsantas; Albert Brito; Carol S S Swamidoss Journal: J Pediatr Health Care Date: 2012-12-23 Impact factor: 1.812