School of Nursing, Vanderbilt University, Nashville, TN, 37235, United States.
School of Nursing, Vanderbilt University, Nashville, TN, 37235, United States.
Appetite. 2022 Apr 1;171:105914. doi: 10.1016/j.appet.2022.105914. Epub 2022 Jan 7.
An infant's early eating experiences influence later growth and health. However, motivators for mothers' complementary feeding decisions for their infants, such as the process of introducing solid foods, remains unclear. This qualitative study identified maternal perceived threats surrounding complementary feeding and strategies mothers use to mitigate perceived threats of adverse feeding-related health outcomes for their infants. Twenty-seven mothers participated in private, semi-structured interviews. Inductive and deductive qualitative content analysis revealed three primary themes of maternal perceived threats: a) choking, b) allergic reaction, and c) pickiness. Within each primary theme were sub-themes that further delineated the perceived threats and outlined specific and focused complementary feeding practices (CFPs) mothers used for each type of perceived threat. Findings suggest mothers have difficulty with estimating the likelihood and severity of risks and rely on elevated threat perception to guide their feeding decisions. CFPs used to prevent perceived threats were disproportionate to risks, and, at times, actually introduced additional, alternative risks.
婴儿早期的饮食经验会影响其后期的生长和健康。然而，母亲在为婴儿进行补充喂养决策时的动机，例如引入固体食物的过程，仍然不清楚。本定性研究确定了母亲在补充喂养方面感知到的威胁，以及母亲为减轻与喂养相关的不良健康后果的感知威胁而采用的策略。27 位母亲参加了私人的半结构化访谈。归纳和演绎的定性内容分析揭示了母亲感知到的三个主要威胁主题：a）窒息，b）过敏反应，和 c）挑食。在每个主要主题中，都有进一步详细说明感知威胁的子主题，并概述了母亲针对每种感知威胁所使用的具体和集中的补充喂养实践（CFPs）。研究结果表明，母亲很难估计风险的可能性和严重程度，并且依赖于升高的威胁感知来指导其喂养决策。用于预防感知威胁的 CFPs 与风险不成比例，有时实际上引入了额外的替代风险。
