Responsive feeding (RF), the reciprocal feeding approach between caregiver and child that promotes child health, is understudied among low-income caregivers. This mixed methods study with low-income caregivers of 12-to-36-month-olds aimed to (1) assess variability in RF and associations with children's dietary intake, and (2) explore caregivers' perceptions of RF. Caregivers ( = 134) completed an online survey with RF questions ( = 25), grouped into environmental (meal environment, caregiver modeling, caregiver beliefs) and child (self-regulation, hunger/satiety cues, food for reward, food acceptance) influences scores. Children's recent food group consumption was loaded onto healthy and less healthy intake scores. In an adjusted multiple linear regression analysis, greater RF scores for environmental and child influences were associated with greater healthy intake scores ('s < 0.01). Greater scores for environmental influences were also associated with lower scores for unhealthy intake ( < 0.01). From focus groups with a separate sample of caregivers ( = 24), thematic analysis uncovered that two themes aligned (trust in child cues, positive strategies to encourage children to eat non-preferred foods) and two misaligned (lack of trust in child cues, use of force/bribery) with RF. Complementary integration of quantitative and qualitative findings can inform future interventions with low-income caregivers, encouraging trust in young children's hunger/satiety cues and positive strategies for food acceptance to improve diet quality.
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http://dx.doi.org/10.3390/nu16060863 | DOI Listing |
Public Health Res (Southampt)
December 2024
Edinburgh Clinical Trials Unit, Usher Institute, University of Edinburgh, Edinburgh, UK.
Background: Problems in children's early social and emotional development are likely to have major long-term consequences for the individual and society: maternal emotional well-being is associated with better outcomes. Interventions designed to improve both maternal mental health and the mother-child relationship are thus likely to benefit both maternal health and child development.
Objectives: To establish the clinical and cost-effectiveness of the Mellow Babies parenting intervention for women experiencing psychosocial stress and their 6- to 18-month-old babies.
J Surg Res
December 2024
Pediatric Surgery, McGill University, Montreal, Quebec, Canada.
Introduction: Disparities in anorectal malformation (ARM) outcomes between high- and low-income countries may be due to delayed diagnosis in the latter setting. The Three Delays model, comprising delays in seeking, accessing, and receiving care, provides a framework for exploring these challenges. We sought to examine the frequency and nature of the preoperative delays in children presenting for surgical correction of low ARMs.
View Article and Find Full Text PDFAdv Life Course Res
December 2024
GAGE, Lebanon. Electronic address:
Young adults living in Lebanon are experiencing the impacts of compounded crises during a critical juncture in the life course. Transitions into young adulthood are complex, unfolding in diverse ways for each individual. Using the concept of vital conjunctures, and a qualitative longitudinal research approach, this article explores how intersecting economic, political and refugee crises in Lebanon are impacting transitions to young adulthood.
View Article and Find Full Text PDFFront Sociol
December 2024
Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Spain.
Lone mothers have been found to report lower average mental health than partnered mothers. Following the 'stress process model', disparities in women's mental health by family structure could be explained by lone mothers' higher exposure to multiple forms of stressors, compared to partnered mothers. Yet, this hypothesis has not been tested in previous studies.
View Article and Find Full Text PDFInj Epidemiol
December 2024
Department of Management, Policy and Community Health, University of Texas Health Science Center at Houston, 1200 Pressler Street, Houston, TX, 77030, USA.
Objectives: Functional limitations may be associated with firearm ownership among veterans by amplifying perceptions of vulnerability and the need for security, yet their role remains underexplored despite emerging research on health-related factors influencing firearm acquisition in this group. This study examines the relationship between the number of functional limitations and recent firearm purchasing among a sample of low-income US military veterans.
Methods: Data are from the National Veteran Homeless and Other Poverty Experiences (NV-HOPE) study, which surveyed US veterans in households under 300% of the US federal poverty level.
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