Division of Nutritional Sciences, Cornell University, Ithaca, New York, USA.
Institute for Advancing Health Through Agriculture, Texas A&M AgriLife Research, Dallas, Texas, United States.
Matern Child Nutr. 2022 Oct;18(4):e13342. doi: 10.1111/mcn.13342. Epub 2022 Jun 15.
Latinx infants and toddlers experience higher obesity rates than their black or white counterparts, increasing chronic disease risk later in life. Infant and toddler feeding (ITF) interventions are shown to improve dietary behaviours, but few studies target Latinx populations. Culturally tailoring such interventions is imperative, but cultural influences on Latinx ITF practices remain unclear. The purpose of this study was to characterize how culture influences ITF practices among Latinx mothers of low income. A brief survey and semistructured interview informed by the theory of planned behaviour (TPB) were conducted on Zoom with New York City-based Latinx mothers of children 4 to 24 months old. A directed content analysis approach was used to identify themes using TPB theoretical codes and inductive codes. Transcripts were coded independently by two researchers using NVivo 12. Survey data were analyzed using descriptive statistics in Excel. Participants (n = 19) were of Dominican, Mexican and Central and South American origin, had low acculturation scores and mean child age was 16.7 months (range: 5-24 months old). The central theme identified was that participants balanced cultural information with evidence-based health information to determine which ITF practices were most beneficial to infant/toddler health. This resulted in the adoption of evidence-based ITF recommendations, adoption of cultural practices that aligned with evidence-based recommendations and dismissal or postponement of cultural ITF practices that contradicted evidence-based recommendations. The present results can be applied to culturally relevant ITF education as follows: emphasizing the benefits of desirable ITF practices on children's health and promoting healthy cultural ITF practices.
拉丁裔婴儿和幼儿的肥胖率高于黑人和白人婴儿和幼儿，这增加了他们日后患慢性病的风险。婴儿和幼儿喂养（ITF）干预措施已被证明可以改善饮食行为，但很少有研究针对拉丁裔人群。对这些干预措施进行文化调整是至关重要的，但拉丁裔 ITF 实践中的文化影响仍不清楚。本研究的目的是描述文化如何影响收入较低的拉丁裔母亲的 ITF 实践。在 Zoom 上，采用计划行为理论（TPB）对纽约市的 4 至 24 个月大的儿童的拉丁裔母亲进行了简短的调查和半结构化访谈。采用有针对性的内容分析方法，使用 TPB 理论代码和归纳代码来识别主题。使用 NVivo 12 由两位研究人员独立对转录本进行编码。在 Excel 中使用描述性统计分析对调查数据进行分析。参与者（n=19）来自多米尼加、墨西哥和中美洲及南美洲，文化融合度得分较低，孩子的平均年龄为 16.7 个月（范围：5-24 个月）。确定的中心主题是，参与者平衡文化信息和基于证据的健康信息，以确定哪些 ITF 实践对婴儿/幼儿健康最有益。这导致采用基于证据的 ITF 建议、采用与基于证据的建议一致的文化实践以及拒绝或推迟与基于证据的建议相矛盾的文化 ITF 实践。目前的结果可以应用于相关的 ITF 教育，如下所示：强调可取的 ITF 实践对儿童健康的益处，并促进健康的文化 ITF 实践。
