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Published on: September 22, 2023
Maternal Characteristics and Social Risk Factors Linked to Nonresponsive Feeding Styles in Early Childhood Within a
Catherine A Serwatka1, Lauren M Smith1, Amy M Moore2
1Baby Health Behavior Lab, Division of Health Services and Outcomes Research, Children's Mercy Research Institute, Children's Mercy Hospital, Kansas City, MO.
Objective:
To determine how maternal characteristics vs maternal social risk factors influence the practice of nonresponsive feeding styles among socioeconomically and racially diverse samples.
Design:
Cross-sectional analysis.
Participants:
One hundred and seven mothers of infants aged 9-24 months.
Variables Measured:
The Infant Feeding Styles Questionnaire, assessing responsive, indulgent, laissez-faire, pressuring, and restrictive styles, and socioeconomic and food security questionnaires to measure social risk factors.
Analyses:
Hierarchical regression models assessed the contributions of maternal characteristics (step 1: prepregnancy body mass index [BMI], breastfeeding duration, and age) and social risk factors (step 2: employment status, marital status, minority status, education, poverty, and food insecurity).
Results:
Higher maternal prepregnancy BMI and younger age were significantly associated with greater indulgent (BMI: β = 0.31, P = 0.003; age: β = -0.31, P = 0.002) and laissez-faire (BMI: β = 0.21, P = 0.05; age: β = -0.31, P = 0.003) feeding styles. Longer breastfeeding duration (β = -0.23, P = 0.04) and older age (β = -0.24, P = 0.02) were associated with lower use of pressuring feeding styles. After accounting for maternal characteristics, social risk factors, including poverty (β = 0.28, P = 0.04) and employment status (β = -0.28, P = 0.006), significantly predicted greater use of pressuring feeding styles.
Conclusions:
Maternal characteristics and social risk factors influence the use of nonresponsive feeding styles during infancy. Findings highlight the need for tailored interventions addressing both individual maternal factors and broader socioeconomic conditions.
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