Infant feeding outcomes from a culturally-adapted early obesity prevention program for immigrant Chinese American parents

Duh-Leong, Carol, Au, Loretta, Chang, Lucy Y., Feldman, Naumi M., Pierce, Kristyn A., Mendelsohn, Alan L., Perrin, Eliana M., Sanders, Lee M., Velazquez, Jessica J., Lei, Yuxiao, Xing, Samantha X. and Shonna Yin, H. (2024) Infant feeding outcomes from a culturally-adapted early obesity prevention program for immigrant Chinese American parents. Academic Pediatrics, 24 (8). 1276 - 1284. ISSN 1876-2859

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Abstract

Objective: To examine whether a cultural adaptation of an early childhood obesity prevention program promotes healthy infant feeding practices. Methods: Prospective quasi-experimental study of a community-engaged multiphasic cultural adaptation of an obesity prevention program set at a federally qualified health center serving immigrant Chinese American parent-child dyads (N = 298). In a group of historical controls, we assessed early infant feeding practices (breastfeeding, sugar-sweetened beverage intake) in 6-month-olds and then the same practices alongside early solid food feeding practices (bottle weaning, fruit, vegetable, sugary or salty snack consumption) in 12-month-olds. After implementation, we assessed these practices in an intervention cohort group at 6 and 12 months. We used cross-sectional groupwise comparisons and adjusted regression analyses to evaluate group differences. Results: At 6 months, the intervention group had increased odds of no sugar-sweetened beverage intake (aOR: 5.69 [95% confidence interval (CI): 1.65, 19.63], P = .006). At 12 months, the intervention group also had increased odds of no sugar-sweetened beverage intake (aOR: 15.22 [95% CI: 6.33, 36.62], P < .001), increased odds of bottle weaning (aOR: 2.34 [95% CI: 1.05, 5.23], P = .03), and decreased odds of sugary snack consumption (aOR: 0.36 [0.18, 0.70], P = .003). We did not detect improvements in breastfeeding, fruit, vegetable, or salty snack consumption. Conclusions: A cultural adaptation of a primary care-based educational obesity prevention program for immigrant Chinese American families with low income is associated with certain healthy infant feeding practices. Future studies should evaluate cultural adaptations of more intensive interventions that better address complex feeding practices, such as breastfeeding, and evaluate long-term weight outcomes.

Item Type:	Article
Additional Information:	© 2024 Academic Pediatric Association
Divisions:	Health Policy
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services R Medicine > RJ Pediatrics
Date Deposited:	19 Jul 2024 15:42
Last Modified:	12 Dec 2024 04:23
URI:	http://eprints.lse.ac.uk/id/eprint/124299

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