A Qualitative Analysis of a Caregivers' Experience of Complementary Feeding in a Population of Native Hawaiian, Other Pacific Islander and Filipino Infants: The Timing of the Introduction of Complementary Foods, and the Role of Transgenerational Experience

The aim of this study was to investigate caregivers’ experiences of complementary feeding (CF) among the Native Hawaiian and Other Pacific Islander (NHPI), and Filipino populations. Research focused on the timing of CF commencement, and the influence of transgenerational experience on feeding practi...

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Bibliographic Details
Published in:	Nutrients Vol. 14; no. 16; p. 3268
Main Authors:	Mulville, Kara, Kai, Jessie, Kearney, John M, Ng-Osorio, Jacqueline, Boushey, Carol J, Fialkowski, Marie K
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 01-08-2022 MDPI
Subjects:	Age Babies Baby foods Breast Feeding Breast milk Breastfeeding & lactation Care and treatment Caregivers Children of minorities complementary feeding Culture Data collection Decision making Diet Ethnicity Families & family life Feeding Female Filipino Filipino Americans Food Food and nutrition Food combining Hawaiians Health aspects Health care Humans Infant Infant Food Infant Nutritional Physiological Phenomena Infants Interviews Longitudinal Studies Milk, Human Minority & ethnic groups Native Hawaiian Native Hawaiian or Other Pacific Islander Nutrition research Obesity Other Pacific Islander Pacific Islander people Qualitative analysis Reliability analysis Reproducibility of Results Social aspects Surveys timing transgenerational experience Hawaii transgenerational experience Filipino Native Hawaiian Other Pacific Islander infants timing complementary feeding
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Summary:	The aim of this study was to investigate caregivers’ experiences of complementary feeding (CF) among the Native Hawaiian and Other Pacific Islander (NHPI), and Filipino populations. Research focused on the timing of CF commencement, and the influence of transgenerational experience on feeding practices. The experiences and practices of those who fed human milk exclusively (HME), were compared to those who included infant formula (F&HM). Caregivers of a subset of 32 infants who were participating in a larger longitudinal study relating to CF and diet diversity, took part in voluntary in-depth interviews relating to CF practices. Interviews were recorded and transcribed. Two researchers analyzed interview transcripts. Interrater reliability and saturation were established. Institutional Review Board exemption was confirmed prior to study commencement. Interviews with 29 caregivers of infants were included in this study. Only infants of the F&HM group had an early introduction to complementary foods (<4 months of age). Caregivers reported receiving conflicting advice from healthcare professionals (HCPs) in relation to timing of the introduction of complementary foods. Nonetheless, the majority of caregivers reported following the advice of HCPs. Extended family (including grandparents) played less of a role in infant feeding, compared to previous generations. While transgenerational practices were valued and included, ultimately, the perceived health and safety of the practice for infants influenced decisions.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2072-6643 2072-6643
DOI:	10.3390/nu14163268