Food Insecurity During Pregnancy and Breastfeeding by Low-Income Hispanic Mothers

Gross, Rachel S.; Mendelsohn, Alan L.; Arana, Mayela M.; Messito, Mary Jo

doi:10.1542/peds.2018-4113

Cited by 80Food Security and Health in Diverse PopulationsObesity, Physical Activity, DietBreastfeeding Practices and Influences

Food Insecurity During Pregnancy and Breastfeeding by Low-Income Hispanic Mothers

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Gross, Rachel S., Mendelsohn, Alan L., Arana, Mayela M., Messito, Mary Jo·2019·Pediatrics

DOI 10.1542/peds.2018-4113PMC PMC6564052

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Abstract

BACKGROUND AND OBJECTIVES: Pregnancy, infancy, and toddlerhood are sensitive times in which families are particularly vulnerable to household food insecurity and when disparities in child obesity emerge. Understanding obesity-promoting infant-feeding beliefs, styles, and practices in the context of food insecurity could better inform both food insecurity and child obesity prevention interventions and policy guidelines. METHODS: We performed purposive sampling of low-income Hispanic mothers (n = 100) with infants in the first 2 years of life, all of whom were participants in a randomized controlled trial of an early child obesity prevention intervention called the Starting Early Program. Bilingual English-Spanish interviewers conducted semistructured qualitative interviews, which were audio recorded, transcribed, and translated. By using the constant comparative method, transcripts were coded through an iterative process of textual analysis until thematic saturation was reached. RESULTS: Three key themes emerged: (1) contributors to financial strain included difficulty meeting basic needs, job instability, and high vulnerability specific to pregnancy, infancy, and immigration status; (2) effects on infant feeding included decreased breastfeeding due to perceived poor maternal diet, high stress, and limiting of healthy foods; and (3) coping strategies included both home- and community-level strategies. CONCLUSIONS: Stakeholders in programs and policies to prevent poverty-related disparities in child obesity should consider and address the broader context by which food insecurity is associated with contributing beliefs, styles, and practices. Potential strategies include addressing misconceptions about maternal diet and breast milk adequacy, stress management, building social support networks, and connecting to supplemental nutrition assistance programs.

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Previous evidence has shown that low-income Hispanic immigrant families cope with food insecurity by prioritizing basics.
“Previous evidence has shown that low-income Hispanic immigrant families cope with food insecurity by prioritizing basics [34].”
From Material Hardship and Stress from COVID-19 in Immigrant Chinese American Families with Infants (2022) · cites this paper as [34]

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Additive effects of household food insecurity during pregnancy and infancy on maternal infant feeding styles and practices
Gross, R. S., Mendelsohn, A. L., & Messito, M. J. (2018) · Appetite · doi:10.1016/j.appet.2018.07.016 · Cited by 54 · see citing works
Self-citation
Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families
Gross, R. S., Mendelsohn, A. L., Fierman, A. H., Racine, A. D., & Messito, M. J. (2012) · Pediatrics · doi:10.1542/peds.2011-3588 · Cited by 131 · see citing works
Self-citation
Parental Feeding Beliefs and Practices and Household Food Insecurity in Infancy
Orr, C. J., Ben-Davies, M., Ravanbakht, S. N., Yin, H. S., Sanders, L., Rothman, R. L., Delamater, A. M., Wood, C. T., & Perrin, E. M. (2018) · Academic Pediatrics · doi:10.1016/j.acap.2018.09.007 · Cited by 40 · see citing works
Prolonged Early Food Insecurity and Child Feeding Practices among a Low-Income Hispanic Population: Role of Parenting Stress
Teli, R., Messito, M. J., Kim, C. N., Duh‐Leong, C., Katzow, M. W., & Gross, R. S. (2024) · Academic Pediatrics · doi:10.1016/j.acap.2024.06.013 · Cited by 1 · see citing works
Self-citation
Food insecurity may be linked to childhood obesity in low-income Mexican-American families
Crawford, P. B., Lamp, C. L., Nicholson, Y., Krathwohl, S. E., Hudes, M. L., & Townsend, M. S. (2007) · California Agriculture · doi:10.3733/ca.v061n03p106 · Cited by 22 · see citing works

Authors: Gross, R. S., Mendelsohn, A. L., Arana, M. M., & Messito, M. J.
Affiliations: Divisions of General Pediatrics and
New York University (US)
ORCID: Gross, Rachel S.
Mendelsohn, Alan L.
Arana, Mayela M.
Messito, Mary Jo
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2019-06-01
Volume: 143
Issue: 6
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2018-4113
PMC: PMC6564052
OpenAlex: W2944832538
Cited by: 80
References: 48
Citations by year: 2026: 9 · 2025: 13 · 2024: 21 · 2023: 5 · 2022: 18 · 2021: 11 · 2020: 2 · 2019: 1
FWCI: 10.80
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: PEDIATRICS (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD081077)
Topics: Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
Keywords: food insecurity, pregnancy, breastfeeding, childhood obesity prevention, infant feeding practices, financial stress, employment instability, immigration status, coping strategies, social support, Supplemental Nutrition Assistance Program, infant stress
MeSH terms: Adult, Breast Feeding, Child, Preschool, Female, Food Supply, Hispanic or Latino, Hospitals, Public, Humans, Infant, Male, Mothers, Poverty, Pregnancy, Pediatric Obesity

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Food Insecurity During Pregnancy and Breastfeeding by Low-Income Hispanic Mothers

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