Document Detail

Understanding infant feeding beliefs, practices and preferred nutrition education and health provider approaches: an exploratory study with Somali mothers in the USA.
MedLine Citation:
PMID:  20055931     Owner:  NLM     Status:  MEDLINE    
The objective of this study was to explore Somali mothers' beliefs and practices around infant feeding and education, towards developing a culturally informed infant nutrition curriculum for health providers. Four focus groups were conducted to explore: (1) beliefs about infant feeding, hunger and ideal weight; (2) feeding practices; (3) nutrition education approaches; and (4) provider/mother interactions. Thirty-seven Somali mother participants identified the following themes within these topics: (1) strategies for assessing hunger, satiety and when to feed; shared beliefs that plump babies are healthy, leading to worry about infant weight; (2) context of breast milk adequacy, difficulties breastfeeding and environmental and cultural barriers to breastfeeding, leading to nearly universal early supplementation with formula; (3) preferred education approaches include provider visits with interpreters, Somali language educational materials and advice from older, experienced family members; and (4) desired health provider skills include: listening, explaining, empathy, addressing specific concerns, repeating important information, offering preventive advice and sufficient visit time. This study presents knowledge about Somali beliefs and practices that can directly guide discussions with these families. Given that these infants appear on a trajectory towards obesity, influencing infant feeding practices in the Somali community is a good upstream approach to preventing obesity. These findings will underpin a new infant nutrition curriculum for health providers.
Lesley Steinman; Mark Doescher; Gina A Keppel; Suzinne Pak-Gorstein; Elinor Graham; Aliya Haq; Donna B Johnson; Paul Spicer
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Maternal & child nutrition     Volume:  6     ISSN:  1740-8709     ISO Abbreviation:  Matern Child Nutr     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-08     Completed Date:  2010-03-11     Revised Date:  2014-09-22    
Medline Journal Info:
Nlm Unique ID:  101201025     Medline TA:  Matern Child Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  67-88     Citation Subset:  IM    
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MeSH Terms
Breast Feeding
Health Education*
Health Knowledge, Attitudes, Practice*
Infant Food*
Infant Formula
Infant Nutritional Physiological Phenomena*
Middle Aged
Milk, Human
Obesity / prevention & control
Somalia / ethnology
United States
Grant Support
1R21 HL084057-02/HL/NHLBI NIH HHS; R21 HL084057-02/HL/NHLBI NIH HHS; R24 HD042828/HD/NICHD NIH HHS; R24 HD042828-10/HD/NICHD NIH HHS

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