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Published on: September 22, 2023
Infant feeding practices of low-income, African-American, adolescent mothers: an ecological, multigenerational
M Bentley1, L Gavin, M M Black
1Department of Nutrition, School of Public Health, University of North Carolina, Chapel Hill 27599-7400, USA. pbentley@unc.edu
Insights
Grandmothers often dictate infant feeding practices, introducing solids early to African-American infants. This intergenerational influence shapes cultural norms around early infant nutrition and feeding decisions.
Area of Science:
- Pediatrics
- Sociology
- Public Health
Background:
- Early introduction of non-milk foods is common in African-American infants, with semi-solids sometimes given as early as 1-2 weeks.
- Understanding the determinants and intergenerational factors influencing these feeding practices is crucial for public health interventions.
Purpose of the Study:
- To investigate the determinants of early non-milk food introduction in African-American infants.
- To explore the intergenerational factors influencing infant feeding decision-making among teen mothers and grandmothers.
Main Methods:
- Qualitative ethnographic study using repeat in-depth interviews with 19 adolescent mothers and their infants' grandmothers.
- Interviews conducted in participants' homes, focusing on infant feeding practices, parenting ethnotheories, and decision-making processes.
- Data analysis involved taped interviews, transcription, and text retrieval software.
Main Results:
- Early introduction of semi-solid foods within the first month of life, including cereal in bottles, is a cultural norm.
- Grandmothers predominantly influenced infant feeding decisions due to their access and teen mothers' dependence.
- Qualitative methods provided rich contextual data on multi-generational infant care practices.
Conclusions:
- Grandmother's influence is a significant factor in early infant feeding decisions among African-American teen mothers.
- Cultural norms and intergenerational dynamics play a key role in infant nutrition practices.
- Ecological, multi-generational qualitative research offers valuable insights into complex infant feeding behaviors.
Abstract:
The early introduction of non-milk foods among African-American infants has been well documented. Several studies report the addition of semi-solids as early as 1-2 weeks of age. This study investigated, through ethnographic, repeat indepth interviews with teen mothers and grandmothers of infants, the determinants of such feeding practices and the inter-generational factors involved in infant feeding decision-making. Nineteen adolescent mothers were recruited from Baltimore City WIC programs. The teen mothers were interviewed in their homes during four separate visits and the grandmothers at least twice. Ethnographic field guides focused on questions about what, why and how infants were fed and on the 'ethnotheories' of parenting and infant care in this population. All interviews were taped and transcripts were analyzed using text retrieval software. Results confirmed that it is the cultural norm to feed cereal in the bottle and to feed other semi-solid foods within the first month of life. Most grandmothers played the dominant role in deciding what the infant should eat and the timing of the introduction of solids. This pattern occurred both because grandmothers had extensive physical access to their grandchildren and because teen mothers were dependent upon grandmothers. The use of qualitative research methods, with an ecological, multi-generational focus, provides a rich description of the context within which infant feeding decisions are made.
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