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Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families
Abstract
OBJECTIVES: We explored the relationship between household food insecurity and maternal feeding styles, infant feeding practices, and perceptions and attitudes about infant weight in low-income mothers. METHODS: Mothers participating in the Special Supplemental Food Program for Women, Infants, and Children with infants aged between 2 weeks and 6 months were interviewed. By using regression analyses, the following relationships were examined between food insecurity and: (1) controlling feeding styles (restrictive and pressuring); (2) infant feeding practices, including breastfeeding, juice consumption, and adding cereal to the bottle; and (3) perceptions and attitudes about infant weight. Path analysis was used to determine if perceptions and attitudes about infant weight mediated the relationships between food insecurity and controlling feeding styles. RESULTS: The sample included 201 mother–infant pairs, with 35% reporting household food insecurity. Food-insecure mothers were more likely to exhibit restrictive (B [SE]: 0.18 [0.08]; 95% confidence interval [CI]: 0.02–0.34) and pressuring (B [SE]: 0.11 [0.06]; 95% CI: 0.001–0.22) feeding styles compared with food-secure mothers. No associations were found with feeding practices. Concern for their infant becoming overweight in the future was associated with food insecurity (adjusted odds ratio: 2.11 [95% CI: 1.02–4.38]). This concern mediated the relationship between food insecurity and both restrictive (P = .009) and pressuring (P = .01) feeding styles. CONCLUSIONS: Increased concern about future overweight and controlling feeding styles represent potential mechanisms by which food insecurity could be related to obesity. Obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure.
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“Previous studies have identified associations between material hardships, or a lack of essential resources, and poor outcomes in key infant domains such as cognitive development [5], obesogenic feeding behaviors [6], and decreased sleep duration [7].”
From Material Hardship and Stress from COVID-19 in Immigrant Chinese American Families with Infants (2022) · cites this paper as [6]
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Metadata
- Authors
- Gross, R. S., Mendelsohn, A. L., Fierman, A. H., Racine, A. D., & Messito, M. J.
- Affiliations
- Albert Einstein College of Medicine (US)
- New York University (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2012-08-01
- Volume
- 130
- Issue
- 2
- Pages
- 254-261
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1999090626
- Cited by
- 131
- References
- 53
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 11 · 2023: 9 · 2022: 11 · 2021: 13 · 2020: 14 · 2019: 9 · 2018: 10 · 2017: 8 · 2016: 6 · 2015: 12 · 2014: 8 · 2013: 2 · 2012: 1
- FWCI
- 13.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention (T01CD000146)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- food insecurity, infant feeding practices, maternal feeding styles, restrictive feeding, breastfeeding, juice consumption, low-income households, obesity prevention, WIC program
- MeSH terms
- Attitude to Health, Beverages, Body Weight, Breast Feeding, Edible Grain, Cross-Sectional Studies, Feeding Behavior, Female, Food Preferences, Food Supply, Hispanic or Latino, Humans, Infant, Infant Nutritional Physiological Phenomena, Male, Maternal Behavior, Mother-Child Relations, Obesity, Poverty, Risk Factors, United States, Urban Population, Infant Formula, White People, Overweight
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