Maternal Stress and Infant Feeding in Hispanic Families Experiencing Poverty.
Maternal Stress and Infant Feeding in Hispanic Families Experiencing Poverty.
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DOI：
10.1016/j.acap.2021.04.022
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发表时间：
2022-01
影响因子：
3.1
通讯作者：
Messito MJ
中科院分区：
文献类型：
--
作者：
Gross RS;Brown NM;Mendelsohn AL;Katzow MW;Arana MM;Messito MJ
母亲的压力通过与纯母乳喂养减少和无反应母婴喂养方式增加相关的途径与早期儿童肥胖相关。我们试图深入了解母亲的压力、悲伤和孤立如何影响喂养，以便为可修改的干预目标提供信息。我们对来自早期儿童肥胖预防干预（早期开始计划）随机对照试验干预组的生活贫困且有 3 至 7 个月大婴儿的西班牙裔母亲 (n=32) 进行了半结构化定性访谈。英语-西班牙语双语采访员进行了采访，并对采访进行录音、转录和翻译。基于国家儿童发展科学委员会开发的现有理论框架，我们使用文本分析的迭代过程对文字记录进行编码，直到达到主题饱和。描述了三个关键主题：1）产妇应激反应多种多样，包括：积极（短暂和轻微）、可忍受（持续但有限的长期影响）或有毒应激（持续和严重）； 2) 缓冲包括来自家庭、婴儿、医疗保健提供者、社会服务计划和社区组织的支持； 3）对婴儿喂养的感知影响：由于担心直接通过母乳和间接通过身体亲密传递压力而减少母乳喂养，以及增加无反应喂养方式。母亲的压力，特别是毒性压力，被认为会对婴儿喂养产生负面影响。母亲们报告称，为了避免婴儿承受压力，他们扰乱了健康喂养。增强缓冲的干预措施可能有助于减轻毒性应激并促进健康的喂养互动。
Maternal stress has been associated with early child obesity through pathways related to decreased exclusive breastfeeding and increased non-responsive maternal-infant feeding styles. We sought to gain an in-depth understanding of how maternal stress, sadness, and isolation are perceived to affect feeding, in order to inform modifiable targets of intervention. We conducted semi-structured qualitative interviews with Hispanic mothers living in poverty with young infants between 3 and 7 months old (n=32) from the intervention group of a randomized controlled trial of an early child obesity prevention intervention (Starting Early Program). Bilingual English-Spanish interviewers conducted the interviews, which were audio recorded, transcribed, and translated. Building on an existing theoretical framework developed by the National Scientific Council on the Developing Child, we used an iterative process of textual analysis to code the transcripts, until thematic saturation was reached. Three key themes were described: 1) maternal stress responses were varied and included: positive (brief and mild), tolerable (sustained but limited long-term impacts), or toxic stress (sustained and severe); 2) buffers included support from family, infants, health care providers, social service programs, and community organizations; 3) perceived effects on infant feeding: decreased breastfeeding due to concerns about stress passing directly through breast milk and indirectly through physical closeness, and increased non-responsive feeding styles. Maternal stress, particularly toxic stress, was perceived to negatively affect infant feeding. Mothers reported disrupting healthy feeding to avoid infant exposure to stress. Interventions to enhance buffering may help to mitigate toxic stress and promote healthy feeding interactions.
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影响因子：
22.4
作者：
Bridgett, David J.;Burt, Nicole M.;Edwards, Erin S.;Deater-Deckard, Kirby
通讯作者：
Deater-Deckard, Kirby
DOI：
10.1111/obr.12681
发表时间：
2018-07
期刊：
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子：
--
作者：
Lyons S;Currie S;Peters S;Lavender T;Smith DM
通讯作者：
Smith DM
影响因子：
5.1
作者：
Koch, Felix-Sebastian;Sepa, Anneli;Ludvigsson, Johnny
通讯作者：
Ludvigsson, Johnny
影响因子：
3.6
作者：
El-Behadli, Ana F.;Sharp, Carla;Nicklas, Theresa A.
通讯作者：
Nicklas, Theresa A.
影响因子：
3.1
作者：
Gross, Rachel S.;Velazco, Nerissa K.;Racine, Andrew D.
通讯作者：
Racine, Andrew D.