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Discrepancies in infant feeding recommendations between grandmothers and healthcare providers in rural Mexico
Indexado
WoS WOS:000886966300001
Scopus SCOPUS_ID:85142525987
DOI 10.1186/S13006-022-00518-0
Año 2022
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background: Infant feeding practices are rapidly changing within rural areas in Mexico, including indigenous communities. The aim of this study was to compare infant feeding recommendations between grandmothers and healthcare providers, to better understand the factors that may influence these practices within these communities. This study builds on research that recognizes the legacy of colonization as an ongoing process that impacts the lives of people through many pathways, including the substandard healthcare systems available to them. Methods: Qualitative study based on secondary data analysis from interviews and focus groups guided by a socioecological framework conducted in 2018 in two rural, Indigenous communities in Central Mexico. Participants were purposively selected mothers (n = 25), grandmothers (n = 11), and healthcare providers (n = 24) who offered care to children up to two years of age and/or their mothers. Data were coded and thematically analyzed to contrast the different perspectives of infant feeding recommendations and practices between mother, grandmothers, and healthcare providers. Results: Grandmothers and healthcare providers differed in their beliefs regarding appropriate timing to introduce non-milk foods and duration of breastfeeding. Compared to grandmothers, healthcare providers tended to believe that their recommendations were superior to those from people in the communities and expressed stereotypes reflected in negative attitudes towards mothers who did not follow their recommendations. Grandmothers often passed down advice from previous generations and their own experiences with infant feeding but were also open to learning from healthcare providers through government programs and sharing their knowledge with their daughters and other women. Given the contradictory recommendations from grandmothers and healthcare providers, mothers often were unsure which advice to follow. Conclusions: There are important differences between grandmothers and healthcare providers regarding infant feeding recommendations. Healthcare providers may perceive their recommendations as superior given the neocolonial structures of the medical system. Public health policies are needed to address the different recommendations mothers receive from different sources, by harmonizing them and following an evidence-informed approach. Breastfeeding programs need to value and to seek the participation of grandmothers.

Métricas Externas



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Disciplinas de Investigación



WOS
Pediatrics
Obstetrics & Gynecology
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Luna, Paulina - Yale School of Medicine - Estados Unidos
YALE UNIV - Estados Unidos
Yale University - Estados Unidos
2 Paredes-Ruvalcaba, Nerli - Michigan State University - Estados Unidos
Michigan State Univ - Estados Unidos
3 Valdes, Tania - Universidad del Desarrollo - Chile
4 Guerrero, Barbara - Servicios Integrales de Atención en La Infancia - México
Serv Integrales Atenc La Infancia - México
5 García-Martínez, Angélica - University of Notre Dame - Estados Unidos
UNIV NOTRE DAME - Estados Unidos
6 Escamilla, Rafael Pérez - Yale University - Estados Unidos
6 Perez Escamilla, Rafael Hombre YALE UNIV - Estados Unidos
Yale University - Estados Unidos
7 Bueno-Gutiérrez, Diana - Universidad Autónoma de Baja California - México
Univ Autonoma Baja California UABC - Canadá

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Financiamiento



Fuente
Yale School of Medicine
Yale School of Public Health Downs International Health
Yale School of Medicine Summer Research Fellowship
Yale School of Public Health Downs International Health Student Travel Fellowship

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
P.L. received funding for this project from the Yale School of Public Health Downs International Health Student Travel Fellowship and from the Yale School of Medicine Summer Research Fellowship.
P.L. received funding for this project from the Yale School of Public Health Downs International Health Student Travel Fellowship and from the Yale School of Medicine Summer Research Fellowship.

Muestra la fuente de financiamiento declarada en la publicación.