A qualitative study of the aspirations and challenges of low-income mothers in feeding their preschool-aged children.
A qualitative study of the aspirations and challenges of low-income mothers in feeding their preschool-aged children.
复制标题
DOI：
10.1186/1479-5868-9-132
复制
发表时间：
2012-11-16
期刊：
影响因子：
--
通讯作者：
Whitaker RC
中科院分区：
文献类型：
--
作者：
Herman AN;Malhotra K;Wright G;Fisher JO;Whitaker RC
学龄前儿童的肥胖症发病率有所上升，特别是在低收入家庭中。预防肥胖的两个有希望的行为目标包括限制儿童的份量和他们摄入高固体脂肪和/或添加糖的食物，但这些方法尚未在家庭环境中的低收入学龄前儿童中进行研究。本研究的目的是了解可能影响低收入母亲如何看待这些行为目标和母亲喂养孩子的愿望的背景因素。我们在宾夕法尼亚州费城招募了32名讲英语的妇女，她们有资格参加补充营养援助计划，并且是36至66个月大的孩子的生物学母亲。每个母亲参加了7个焦点小组之一，并完成了简短的社会人口调查问卷。焦点小组的问题集中在吃饭的场合，食物和饮料消耗在家里，和部分大小。每个焦点小组持续90分钟，并进行数字记录和逐字转录。三位作者独立确定了关键主题和支持引文。通过所有作者之间的讨论，对主题进行了浓缩和修改。31名母亲认为自己是黑人，15名母亲受过高中或更低的教育，22名母亲与另一名成年人住在一起。会议提出了六个主题，其中三个是关于母亲在喂养子女方面的愿望，三个是关于实现这些愿望的挑战。母亲们的愿望是：1）通过限制儿童的糖摄入量来预防多动症和蛀牙，2）使用喂养来教他们的孩子关于限制设置和结构的生活课程，以及3）在用餐时间对孩子做出反应，以指导他们对部分的决定。特别是在限制糖果和零食方面，母亲们面临着以下挑战：1）被孩子的食物要求唠叨，2）被家庭中的其他成年人破坏，3）童年时期的不好记忆使其难以拒绝孩子的食物要求。虽然低收入母亲喂养学龄前儿童的主要愿望并不集中在儿童的体重上，但这些愿望与限制儿童份量及其固体脂肪和/或添加糖摄入量的肥胖预防战略是一致的。
The prevalence of obesity among preschool-aged children has increased, especially among those in low-income households. Two promising behavioral targets for preventing obesity include limiting children’s portion sizes and their intake of foods high in solid fats and/or added sugars, but these approaches have not been studied in low-income preschoolers in the home setting. The purpose of this study was to understand the contextual factors that might influence how low-income mothers felt about addressing these behavioral targets and mothers’ aspirations in feeding their children. We recruited 32 English-speaking women in Philadelphia, Pennsylvania who were eligible for the Supplemental Nutrition Assistance Program and who were the biologic mothers of children 36 to 66 months of age. Each mother participated in 1 of 7 focus groups and completed a brief socio-demographic questionnaire. Focus group questions centered on eating occasions, foods and drinks consumed in the home, and portion sizes. Each focus group lasted 90 minutes and was digitally recorded and transcribed verbatim. Three authors independently identified key themes and supporting quotations. Themes were condensed and modified through discussion among all authors. Thirty-one mothers identified themselves as black, 15 had a high school education or less, and 22 lived with another adult. Six themes emerged, with three about aspirations mothers held in feeding their children and three about challenges to achieving these aspirations. Mothers’ aspirations were to: 1) prevent hyperactivity and tooth decay by limiting children’s sugar intake, 2) use feeding to teach their children life lessons about limit setting and structure, and 3) be responsive to children during mealtimes to guide decisions about portions. Especially around setting limits with sweets and snacks, mothers faced the challenges of: 1) being nagged by children’s food requests, 2) being undermined by other adults in the family, and 3) having bad memories from childhood that made it hard to deny children’s food requests. Although the primary aspirations of low-income mothers in feeding their preschool-aged children were not focused on children’s weight, these aspirations were compatible with obesity prevention strategies to limit children’s portion sizes and their intake of solid fats and/or added sugars.
登录
查看更多内容
影响因子：
7.1
作者：
Fisher, Jennifer;Liu, Yan;Rolls, Barbara J.
通讯作者：
Rolls, Barbara J.
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.
影响因子：
4
作者：
BAUMRIND, D
通讯作者：
BAUMRIND, D
影响因子：
--
作者：
Chamberlin, LA;Sherman, SN;Whitaker, RC
通讯作者：
Whitaker, RC
影响因子：
--
作者：
Crawford, PB;Gosliner, W;Ritchie, LD
通讯作者：
Ritchie, LD