Evidence map›Paper›PMID 40614781›Full record

ArticleAppetite2025

Understanding the role of mothers and other caregivers in the context of infant feeding using the family ecological model.

Andrea Ramirez, Evelyn Vázquez, Alison Tovar, Arianna Zimmer, Clarissa Carlos, Daniella Carrillo, Ann Marie Cheney

Abstract read
In one paragraph

Article in Appetite, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Andrea RamirezDepartment of Behavioral and Social Sciences, Center for Health Promotion and Health Equity, Brown University, USA. Electronic address: andrea_ramirez@brown.edu.
Evelyn VázquezUniversity of California Riverside School of Medicine, Department of Social Medicine Population and Public Health, USA. Electronic address: evelyn.vazquez@ucr.edu.
Alison TovarDepartment of Behavioral and Social Sciences, Center for Health Promotion and Health Equity, Brown University, USA. Electronic address: alison_tovar@brown.edu.
Arianna ZimmerUniversity of California Irvine, Program of Public Health, USA. Electronic address: Ariannz@uci.Edu.
Clarissa CarlosUniversity of Washington, Department of Sociology, USA. Electronic address: ccarlo@uw.edu.
Daniella CarrilloUniversity of Southern California, Keck School of Medicine, Biostatistics, USA. Electronic address: dc48141@usc.edu.
Ann Marie CheneyUniversity of California Riverside School of Medicine, Department of Social Medicine Population and Public Health, USA. Electronic address: ann.cheney@medsch.ucr.edu.

Funding

Research Infrastructure CoreU54MD013368 · NIMHD · UNIVERSITY OF CALIFORNIA RIVERSIDE · PI MCMULLIN, JULIET · 2019 to 2023
$15.9M
NIMHD NIH HHS U54 MD013368
6 · The paper itself

Abstract

backgroundDespite the high prevalence of early childhood obesity and persistent racial and ethnic disparities, there remains a critical gap in understanding how the broader social-ecological context-including the roles of mothers and other trusted caregivers-shapes infant feeding practices in low-income Latinx families. Non-maternal caregivers can influence infant feeding, growth, and development, potentially impacting chronic health conditions like early onset obesity.

methodsWe conducted a food diary debriefing interview with 42 mothers, followed by mother-caregiver dyadic interviews. We utilized the Family Ecological Model, which focuses on the intersection of macrosystem (e.g., social and cultural factors) with mesosystem (systems of care, information sources, as our guiding theoretical framework for data analysis and interpretation of mother-caregiver relationship dynamics and decision making around infant feeding.

resultsAll mothers and most (85.7 %) non-maternal caregivers self-identified as Latinx, with a mean age of 30.8 ± 6.4 and 37 ± 12.7 years, respectively. Most non-maternal caregivers were the infant's father or grandmother. Social and cultural context (macrosystem), and the systems of care that mothers and non-maternal caregivers accessed for infant feeding information (mesosystem) influenced their relationship in the context of infant feeding. Grandmothers had an important role in sharing knowledge with mothers, as they were seen as experienced caregivers. Fathers' roles varied from supporting mothers' decisions to engaging in shared decision making. DISCUSSION: These findings can inform future interventions aimed to improve infant feeding practices and diet, promote healthy growth and decrease early childhood obesity in low-income Latinx families, and also highlight the need to include other non-maternal caregivers in educational programs and interventions.

Indexed as

Breast FeedingCaregiversFeeding BehaviorMothersAdultFemaleHispanic or LatinoHumansInfantMaleMiddle AgedPediatric ObesityPovertyYoung Adult

Identifiers

PMID40614781
PMCPMC13336430

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.