A Contrast between Mothers' Assessments of Child Malnutrition and Physical Anthropometry in Rural Mexico: A Mixed Methods Community Study

Autor/inn/en	Turnbull, Bernardo; Martinez-Andrade, Gloria; Huerfano, Nazly; Ryan, Gery W.; Martinez, Homero
Titel	A Contrast between Mothers' Assessments of Child Malnutrition and Physical Anthropometry in Rural Mexico: A Mixed Methods Community Study
Quelle	In: Journal of Nutrition Education and Behavior, 41 (2009) 3, S.201-206 (6 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1499-4046
DOI	10.1016/j.jneb.2008.03.003
Schlagwörter	Mothers; Evaluation; Nutrition; Young Children; Child Health; Rural Population; Comparative Analysis; Body Weight; Body Height; Foreign Countries; Community Study; Mexico + Suchen Sie Ihr Suchwort? Mother; Mutter; Evaluierung; Ernährung; Frühe Kindheit; Landbevölkerung; Körpergewicht; Körpergröße; Ausland; Mexiko
Abstract	Objective: To compare mothers' assessments of nutritional status with anthropometric measures and gain further insights into mothers' reasons for their judgment. Design: Each mother was asked to assess the nutritional status of her child and 2 other children and to compare all 3. Rates for "hits" and "misses" between mothers' assessment and physical anthropometry were analyzed using the binomial test. The rationale for the mothers' assessments was explored through open-ended questions. Setting: A rural clinic in an indigenous area of Mexico. Participants: 31 mothers of children 1-5 years of age. Main Outcome Measures: Physical anthropometry and mothers' assessments. Results: A significant proportion (P less than or equal to 0.01) of mothers matched the anthropometry on weight for age and weight for height but not on height for age; only when assessing their own child, and when comparing weight for age of their own child with the first child used for comparison. Mothers based their assessment on the child's physical appearance, energy, eating behavior, and on their own performance as caregivers. Conclusions and Implications: Mothers' assessments were better than mere guesses. Their understanding of children's nutritional status in particular and health in general should be used to design more effective and sustainable communication messages, properly combining mothers' and health providers' constructs. It is also important to find ways to make mothers recognize stunting as a nutrition-related problem. (Contains 3 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10