Maternal and Child Nutrition最新文献_第2页

Effect of a Behavioral Change Communication Strategy Coupled With Small-Quantity Lipid-Based or Micro-Nutrient Supplements on Stunting and Obesity in Children in Baja Verapaz, Guatemala: Results From a Cluster Randomized Controlled Trial.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-04 DOI: 10.1111/mcn.13802

Carolina Gonzalez Acero, Sebastian Martinez, Ana Perez-Exposito, Solis Winters

{"title":"Effect of a Behavioral Change Communication Strategy Coupled With Small-Quantity Lipid-Based or Micro-Nutrient Supplements on Stunting and Obesity in Children in Baja Verapaz, Guatemala: Results From a Cluster Randomized Controlled Trial.","authors":"Carolina Gonzalez Acero, Sebastian Martinez, Ana Perez-Exposito, Solis Winters","doi":"10.1111/mcn.13802","DOIUrl":"https://doi.org/10.1111/mcn.13802","url":null,"abstract":"The co-existence of childhood stunting and obesity is a public health problem in Guatemala and Latin America. The objective of this study was to assess the effects of unsweetened small-quantity lipid-based nutrient supplements (SQ-LNS) coupled with a behavior change communication (BCC) strategy on the double burden of malnutrition. We conducted a three-arm randomized-control trial with two-stage cluster sampling of households with children under 4.5 months or a mother in the third trimester of pregnancy at baseline from 76 communities in Baja-Verapaz, Guatemala. Some 1268 households were randomly assigned to SQ-LNS or micronutrient powders (MNPs) paired with a multilevel participatory-ludic BCC strategy, or to MNPs only. Measures of mothers' nutrition knowledge and practices were collected at baseline and endline. Children's height, weight, and hemoglobin concentration were measured at endline. Treatment effects were estimated using regression models. The BCC strategy boosted caregiver nutrition knowledge from 4.2 (95% CI: 2.7, 5.7) to 4.6 percentage points (95% CI: 3.1, 6.1). Significant effects on nutrition practices of 3.0 percentage points (95% CI: 1.2, 4.8) were found only for caregivers with children receiving SQ-LNS. We found no detectable treatment effects on stunting or anemia. However, children exposed to SQ-LNS and the BCC strategy were 2.6 percentage points (95% CI: -5.0, -0.2) less likely to be overweight or obese (54.1% lower than the group receiving MNPs only). An intervention coupling a multilevel participatory-ludic BCC strategy with the use of unsweetened SQ-LNS holds promise for the prevention of childhood overweight and obesity, yet complementary interventions are required to address non-nutritional factors related to stunting in Guatemala.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e13802"},"PeriodicalIF":2.8,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bringing Child Health Closer to Families: Lessons From a Family MUAC Intervention in Urban and Rural South Africa.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-04 DOI: 10.1111/mcn.70005

Christiane Horwood, Sphindile Mapumulo, Silondile Luthuli, Zandile Kubeka, Nireshnee Reddy, Gilbert Tshitaudzi, Tshifiwa Mashamba, Nomonde Motshoeneng, Lyn Haskins

{"title":"Bringing Child Health Closer to Families: Lessons From a Family MUAC Intervention in Urban and Rural South Africa.","authors":"Christiane Horwood, Sphindile Mapumulo, Silondile Luthuli, Zandile Kubeka, Nireshnee Reddy, Gilbert Tshitaudzi, Tshifiwa Mashamba, Nomonde Motshoeneng, Lyn Haskins","doi":"10.1111/mcn.70005","DOIUrl":"https://doi.org/10.1111/mcn.70005","url":null,"abstract":"Mid-upper-arm circumference measurement (MUAC) is a simple, cost-effective approach to identify wasting in children. The Family MUAC intervention supported community health workers (CHWs) to mentor mothers and child caregivers to measure their children's MUAC at home. Sixty-four CHWs participated in seven sites in Gauteng and KwaZulu-Natal (KZN), South Africa. A cross-sectional survey was conducted to determine caregivers' ability to measure MUAC correctly and regularly. Ten households were randomly selected from household lists provided by each CHW. Fieldworkers collected data about the household, all children aged 6 months to 5 years living there and assessed caregiver's knowledge and skills in MUAC measurement. Data were collected in 521 households (Gauteng 201; KZN 351); 560 mothers/caregivers, (Gauteng 207; KZN 353) and 703 children (Gauteng 235; KZN 468) participated. Gauteng sites were high-density urban with small families in informal houses with access to water and sanitation, compared to rural KZN with larger households and poor water and sanitation access. Low household income and household food insecurity was the norm across all sites. In KZN a higher proportion of mothers/caregivers had received Family MUAC training compared to Gauteng (256/353; 72.5% vs. 93/270; 34.4%, p < 0001). Most trained mothers/caregivers achieved competency (263/349; 75.3%); this was significantly higher in KZN compared to Gauteng (215/256; 83.9% vs. 48/93; 51.6%; p < 0.001). Mothers/caregivers of 126/703 (17.9%) children recorded MUAC for ≥ 6 months (KZN 116/468, 24.8%; Gauteng 10/235, 4.3%). When designing community-based interventions for hard-to-reach communities it is important to address context-specific challenges to achieve sustainable high coverage.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70005"},"PeriodicalIF":2.8,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Descriptive Investigation of Infant Feeding Bottles Marketed in the UK Designed to Replicate Breastfeeding and the Evidence That Underpins Them. 对英国市场上仿制母乳喂养的婴儿奶瓶及其依据的描述性调查。

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-02 DOI: 10.1111/mcn.70008

Clare Maxwell, Becky Self, Kathryn Bould

{"title":"A Descriptive Investigation of Infant Feeding Bottles Marketed in the UK Designed to Replicate Breastfeeding and the Evidence That Underpins Them.","authors":"Clare Maxwell, Becky Self, Kathryn Bould","doi":"10.1111/mcn.70008","DOIUrl":"https://doi.org/10.1111/mcn.70008","url":null,"abstract":"Scant attention has been given to the marketing of infant feeding bottles and teats with claimed equivalence to breastfeeding. Such bottles are purported as having 'breast-like' qualities and to be interchangeable with breastfeeding, encouraging breastfeeding mothers to combine breast and bottle feeding. However, the introduction of bottle feeding alongside breastfeeding can have a negative impact on breastfeeding duration and lead to cessation. We investigated features of infant feeding bottles marketed in the United Kingdom to replicate breastfeeding and appraised the underpinning evidence. We searched online to identify the most popular bottles marketed for breastfeeding in the United Kingdom and captured marketing materials from the bottle brand websites, importing them into NVivo11 for data analysis. We coded data in relation to features of bottles associated with breastfeeding and used Johanna Briggs Institute (JBI) critical appraisal tools to appraise the evidence used to underpin the bottle features. We identified 10 bottle brands and 8 main advertised features of bottles aligned to breastfeeding. Features included bottles that simulated the breast, imitated breastfeeding physiology and aided combined breast and bottle feeding. Scientific evidence to support the bottle features was scarce, misleading, and inadequate, with only one study deemed to be high quality. Our findings show that infant feeding bottles are being marketed as equivalent to breastfeeding; however, the scientific evidence used to support features of these bottles is almost non-existent. Research on the impact of the marketing of bottles on breastfeeding and more effective controls of bottle company advertising are needed.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70008"},"PeriodicalIF":2.8,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Digital Marketing Claims and Their Association With the Perceptions of Parents of Children Under 2 Years Old of Commercial Milk Formulas in Mexico. 数字营销声称及其与墨西哥两岁以下儿童家长对商业奶粉看法的关联。

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-03-02 DOI: 10.1111/mcn.70001

Valeria Aureoles-García, Mishel Unar-Munguía, Andrea Santos-Guzmán, Lizbeth Tolentino-Mayo, Rafael Pérez-Escamilla

{"title":"Digital Marketing Claims and Their Association With the Perceptions of Parents of Children Under 2 Years Old of Commercial Milk Formulas in Mexico.","authors":"Valeria Aureoles-García, Mishel Unar-Munguía, Andrea Santos-Guzmán, Lizbeth Tolentino-Mayo, Rafael Pérez-Escamilla","doi":"10.1111/mcn.70001","DOIUrl":"https://doi.org/10.1111/mcn.70001","url":null,"abstract":"We analysed digital marketing claims for commercial milk formula (CMF) and their association with parents' perceptions of the health and nutrition benefits of this industrialised product. The study sample consisted of 1074 parents ≥ 18 years old with internet access, with children < 2 years old, living in Mexico, who responded to an online survey between December 2020 and January 2021. The most frequent health-related, nutrition, technical, and emotional claims on websites and social media of major CMF brands, online pharmacies, and supermarkets were identified and linked to parents' potential exposure. The degree of favourable perception of CMF was estimated using a Likert scale and categorised as high versus low. Adjusted logistic regressions were used to assess the association between potential exposure to CMF claims and the parents' perceptions of these products. Parents who were potentially exposed to the following CMF claims on digital media: 'No sugar added' (OR: 1.5; 95% CI: 1.14-2.0), 'Prevents diseases' (OR: 1.4; 95% CI: 1.04-1.88), and 'Information related to COVID-19' (OR: 2.1; 95% CI: 1.57-2.74) were more likely to have a positive perception of CMF compared to those not exposed to these claims. In conclusion, parents' potential exposure to health-related and nutrition claims from leading CMF brands on websites and social media in Mexico was associated with a favourable perception of these products. The results support the World Health Assembly resolutions not to allow nutrition and health claims for CMFs, as they can be used to promote these products as equivalent or superior to breastfeeding. Action is needed to ensure that prohibition of CMF claims applies to digital media, as recommended by recent global guidelines.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70001"},"PeriodicalIF":2.8,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evidence-Based Lessons From Two Decades of Implementation Research on Complementary Feeding Programmes.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-02-28 DOI: 10.1111/mcn.13811

Tina G Sanghvi, Sandra Remancus, Edward A Frongillo, Rafael Perez-Escamilla, Chessa Lutter, Pooja Pandey Rana, Victor Ogbodo, Tuan Nguyen, Roger Mathisen

{"title":"Evidence-Based Lessons From Two Decades of Implementation Research on Complementary Feeding Programmes.","authors":"Tina G Sanghvi, Sandra Remancus, Edward A Frongillo, Rafael Perez-Escamilla, Chessa Lutter, Pooja Pandey Rana, Victor Ogbodo, Tuan Nguyen, Roger Mathisen","doi":"10.1111/mcn.13811","DOIUrl":"https://doi.org/10.1111/mcn.13811","url":null,"abstract":"Child nutrition has serious long-term development implications. Evidence-based frameworks and models are urgently needed to reduce deficits in infants and young children's diets on a large scale. Our paper reviews 32 publications and five impact evaluations of programmes in Bangladesh, Ethiopia, Nepal, Nigeria and Vietnam to identify what worked and why; the quality of evidence, diversity of countries and multi-level interventions on a large scale were selection criteria. Key lessons are: the need for advocacy to prioritize complementary feeding; engagement of multiple stakeholders to reach national scale and to address diverse factors such as food access, harmful marketing of unhealthy foods and beverages, knowledge gaps, social norms and maternal self-efficacy. Applying a behavioural science lens, monitoring intervention coverage, targeting to reduce inequalities, engaging community leaders, motivating frontline workers and leveraging mass media to reach multiple audiences worked synergistically to produce impacts at scale. Despite different contexts and dietary diversity levels at baseline, rigorous evaluations documented substantial improvements attributable to the interventions in all five countries. The expenditures incurred varied by programme complexity and showed that they are manageable if the interventions focus on priority issues, are streamlined to fit existing platforms and reach large populations. With evidence of impact in diverse contexts, an evidence-based conceptual framework and tools for implementation, insights into how to adapt to country contexts and knowledge of what to budget, decision-makers can invest confidently in improving complementary feeding programmes.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e13811"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Infant Diet Score Based on Health Records Is Associated With BMI: A Nationwide Mother-Child Cohort Study in Iceland (ICE-MCH).

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-02-28 DOI: 10.1111/mcn.70010

Jenny Jonsdottir, Birna Thorisdottir, Kristjana Einarsdottir, Inga Thorsdottir

{"title":"An Infant Diet Score Based on Health Records Is Associated With BMI: A Nationwide Mother-Child Cohort Study in Iceland (ICE-MCH).","authors":"Jenny Jonsdottir, Birna Thorisdottir, Kristjana Einarsdottir, Inga Thorsdottir","doi":"10.1111/mcn.70010","DOIUrl":"https://doi.org/10.1111/mcn.70010","url":null,"abstract":"Nationwide health records provide innovative research opportunities. The aim of this study was to describe infant feeding in the first year of life amongst all infants in Iceland born January 2009 to June 2015 (N = 30,623), explore the feasibility of creating a composite infant diet score (IDS) for the period 0-12 months in a subset of infants with complete records from routine nutrition monitoring (n = 12,848), and examine its associations with BMI-for-age z-score (BMIz) at 12 and 18 months, maternal and birth characteristics. Recorded dietary variables included breastfeeding (> 90% at 2-3 weeks); exclusive breastfeeding (13% at 6 months); introduction of cow's milk (26% at 12 months); introduction of porridges, fruit/vegetables, meat, and fish (> 50% received ≥ one of those at 5 months); vitamin D supplements (95% at 12 months). The newly constructed IDS consisted of: duration of (i) exclusive and (ii) any breastfeeding; age of (iii) cow's milk and (iv) semi-solids/solids introduction; (v) an estimate of food variety; (vi) vitamin D supplement use. We used multiple linear and logistic regression adjusted for relevant factors to examine associations between infant feeding, birth and maternal factors, and BMIz > +2 (WHO Growth Standards, indicative of overweight/obesity). Compared with IDS quintile 5 (alignment with nutrition recommendations) IDS quintiles 1 and 2 had higher odds of overweight/obesity, at 12 months (aOR: 1.80; 95% CI: 1.20-2.74; aOR: 1.73; 95% CI: 1.16-2.64) and 18 months (aOR: 1.46; 95% CI: 1.04-2.04; aOR: 1.69; 95% CI: 1.22-2.34). Our novel IDS was associated with overweight/obesity and maternal and birth characteristics, supporting its value as a measure of infant nutrition quality.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70010"},"PeriodicalIF":2.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of Infant Growth in a Birth Cohort in the Nepal Plains.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-02-26 DOI: 10.1111/mcn.70004

Laura Busert-Sebela, Mario Cortina-Borja, Vikas Paudel, Delanjathan Devakumar, Jonathan C K Wells, Dharma S Manandhar, Naomi M Saville

{"title":"Determinants of Infant Growth in a Birth Cohort in the Nepal Plains.","authors":"Laura Busert-Sebela, Mario Cortina-Borja, Vikas Paudel, Delanjathan Devakumar, Jonathan C K Wells, Dharma S Manandhar, Naomi M Saville","doi":"10.1111/mcn.70004","DOIUrl":"https://doi.org/10.1111/mcn.70004","url":null,"abstract":"This study aimed to identify the determinants of infant growth in terms of length-for-age z-score (LAZ) in a birth cohort (n = 602) in the plains of Nepal. Children were enrolled within 72 h of birth and followed-up every 28 days until they were 2 years. We fitted mixed-effects linear regression models controlling for multiple measurements within individuals to examine the impact of household and maternal factors, feeding practices and infection on infant LAZ. We conducted separate analyses for the age periods 0-6 months (exclusive breastfeeding period) and 7-24 months (complementary feeding period) to check whether the importance of determinants differed by child age. Maternal factors related to both the environment in-utero and in postnatal life were the most important determinants of infant growth. The overall most important determinant of growth was low birthweight. At birth, babies born with low birthweight had a -1.21 (-1.38, -1.05) lower LAZ compared to normal birthweight babies. The difference in LAZ between low birthweight and normal birthweight babies attenuated with age but low birthweight remained the factor with the largest effect size. The second largest factor was maternal education. Infants of mothers with any level of education had a 0.22 (0.07, 0.38) higher LAZ in the 7-24 months age-period than those whose mothers had never been to school. Other relevant determinants were adolescent pregnancy, minimum dietary diversity, symptoms of respiratory infection, household food insecurity, season and maternal absence. The importance of maternal factors for infant growth calls for public health interventions targeting girls and young women.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70004"},"PeriodicalIF":2.8,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why Animal-Source Foods Are not Consumed by Women and Children in the Amhara Region: A Qualitative Study. 阿姆哈拉地区妇女和儿童不食用动物源食品的原因：定性研究。

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-02-26 DOI: 10.1111/mcn.70006

Netsanet Fentahun, Valerie Flax, Yeshalem Mulugeta

{"title":"Why Animal-Source Foods Are not Consumed by Women and Children in the Amhara Region: A Qualitative Study.","authors":"Netsanet Fentahun, Valerie Flax, Yeshalem Mulugeta","doi":"10.1111/mcn.70006","DOIUrl":"https://doi.org/10.1111/mcn.70006","url":null,"abstract":"This study aimed to understand the barriers and facilitators of animal source food (ASF) consumption among women and children in Wag Himra, South Gondar, and Central Gondar zones of Amhara Region, Ethiopia. Women and men with children under 2 years, grandmothers, community and religious leaders, and midwives and health workers were included. Thirty separate focus group discussions and 35 key informant interviews were conducted from July to August 2022. To ensure the quality of qualitative research findings, the criteria of trustworthiness were maintained by the following: credibility, transferability, dependability, and conformability. Qualitative thematic analysis was carried out using Qualitative Data Analysis Miner. Barriers to children's ASF consumption were poverty, age of the child, illness, high cost of ASFs, loss of parents, divorcee, and a lack of livestock. For pregnant and lactating women, the main barriers to ASF consumption were lack of animals in the household, financial constraints, illness, fear of having a big baby, religious fasting, and morning sickness. Family affluence, the availability of ASFs in the household, liking the taste of ASFs, and receiving nutrition education on ASFs were facilitators for children and pregnant and lactating women to consume ASFs. Barriers to ASF consumption in Amhara Region include factors related to livelihoods and social norms or beliefs. Programmes could offer a combination of livelihood supports and social and behaviour change communication to increase ASF consumption by women and children.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70006"},"PeriodicalIF":2.8,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Content Analysis of Digital Marketing Strategies of Formula Companies and Influencers to Promote Commercial Milk Formula in Hong Kong.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-02-25 DOI: 10.1111/mcn.70007

Wan Ching Ng, Karene Hoi Ting Yeung, Lai Ling Hui, Ka Ming Chow, Esther Yuet Ying Lau, E Anthony S Nelson

{"title":"A Content Analysis of Digital Marketing Strategies of Formula Companies and Influencers to Promote Commercial Milk Formula in Hong Kong.","authors":"Wan Ching Ng, Karene Hoi Ting Yeung, Lai Ling Hui, Ka Ming Chow, Esther Yuet Ying Lau, E Anthony S Nelson","doi":"10.1111/mcn.70007","DOIUrl":"https://doi.org/10.1111/mcn.70007","url":null,"abstract":"This study examines the compliance of the digital marketing strategies used by formula companies and social media influencers in promoting commercial milk formula (CMF) for infants and young children with the International Code of Marketing of Breast-milk Substitutes (International Code) and the Hong Kong Code of Marketing of Formula Milk and Related Products, and Food Products for Infants & Young Children (HK Code). Content analyses on influencers' posts, websites and social media sites of five major formula companies were conducted to identify the digital marketing strategies used, evidence of product cross-promotion, and compliance with the International and HK Codes. Statistical analyses were performed to assess the associations between marketing strategies and social media interactions (likes/comments/shares). The findings revealed widespread noncompliance to the two codes by both influencers and formula companies. Of 1036 influencer (n = 493) and formula company (n = 543) materials mentioned products covered by the Codes, all influencer materials and 95% of company materials violated at least two provisions of the Codes. Persistent brand promotion and cross-promotion strategies were observed in CMF marketing in Hong Kong, with tactics such as parents' sharing, showing images of happy children and families, and celebrity endorsements leading to higher social media interactions. The extensive CMF promotion by influencers and the covert cross-promotion and brand promotion are of particular concern given the lack of regulation in this area. The study calls for a comprehensive review and introduction of legalisation in Hong Kong to govern CMF marketing, ensuring enforcement as outlined in the Convention on the Rights of the Child.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70007"},"PeriodicalIF":2.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Associated With Complementary Feeding Practices in Afghanistan: Analysis of the Multiple Indicator Cluster Survey 2022-2023.

IF 2.8 2区医学

Maternal and Child Nutrition Pub Date : 2025-02-25 DOI: 10.1111/mcn.70003

Hannah Gardner, Atma Prakash, Shweta Rawal, Said M Yaqoob Azimi, William Joe, Zivai Murira, Vani Sethi

{"title":"Factors Associated With Complementary Feeding Practices in Afghanistan: Analysis of the Multiple Indicator Cluster Survey 2022-2023.","authors":"Hannah Gardner, Atma Prakash, Shweta Rawal, Said M Yaqoob Azimi, William Joe, Zivai Murira, Vani Sethi","doi":"10.1111/mcn.70003","DOIUrl":"https://doi.org/10.1111/mcn.70003","url":null,"abstract":"Children between the ages of 6 and 23 months require the age-appropriate introduction of complementary foods alongside breastfeeding to meet their nutritional needs, but in humanitarian settings children frequently do not receive appropriate diets. Using data from 9193 children aged 6-23 months in the Afghanistan Multiple Indicator Cluster Survey 2022-2023, this paper provides nationally representative estimates of the percentage of children meeting key IYCF indicators and assesses the child, maternal and household determinants of receiving minimum dietary diversity (MDD), minimum meal frequency (MMF) and minimum acceptable diet (MAD) using multivariable logistic regression. Results showed that 85%, 65% and 93% of children were not fed a diet that met MDD, MMF or MAD criteria, respectively. Older children (18-23 months) had significantly higher odds of meeting all three criteria compared to younger children (6-11 months) (MDD aOR = 2.46, 95% CI: 1.93-3.12; MMF aOR = 1.29, 95% CI: 1.11-1.50; MAD aOR = 2.00, 95% CI: 1.51-2.65), as did children from the richest households (vs. poorest) (MDD aOR = 2.85, 95% CI: 1.72-4.70; MMF aOR = 1.82, 95% CI: 1.35-2.46; MAD aOR = 3.88, 95% CI: 2.14-7.04). There was substantial variation in the odds of all outcomes by region. Rural residence (vs. urban) was also associated with higher odds of receiving MMF (aOR = 1.60, 95% CI: 1.25-2.05) and MAD (aOR = 1.69, 95% CI: 1.18-2.42) but not MDD. Overall, alarmingly few children in Afghanistan are receiving appropriate complementary diets amidst a context of concurrent political, economic and environmental crises. Reversals to funding reductions are vital to ensure proven interventions responding to the determinants identified here continue to be delivered to support nutrition among Afghanistan's infants and young children.","PeriodicalId":51112,"journal":{"name":"Maternal and Child Nutrition","volume":" ","pages":"e70003"},"PeriodicalIF":2.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0