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.

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