Publisher: Co-Action Publishing
Journal: International Journal of Circumpolar Health
Subjects: aboriginal, breastfeeding, Canada, First Nations, Food security, nutrition
Objectives. The objectives were to document the prevalence of maternal anxiety about food supply in Cree women who had 9-month-old infants, and to understand maternal and infant characteristics associated with anxiety. Study Design. The design was descriptive and combined both cross-sectional and retrospective analyses. Methods. The study took place in nine Cree communities in northern Quebec. Data on maternal characteristics in pregnancy (age, parity, anemia, smoking status) and infant characteristics (gestational age, birth weight, weight and hemoglobin concentration at 9 months old) were obtained from medical records. At 9 months postpartum, mothers were asked about infant feeding practices, the health of their infant, and the question, "Do you ever worry you don’t have enough money to buy your children food to eat?" Affirmative responses were considered evidence for anxiety about food supply. Pricing data was collected for commercial baby food, formula, milk and water in the communities and, for comparison, in the large urban city of Montreal. Results. 245 woman-infant pairs participated. One-fifth (20.8%) of mothers were anxious about food supply. The prevalences of anxiety in women who had anemia, or smoked, during pregnancy, or who bottle-fed their 9-month-old infants, were 44.4%, 27.5% and 24.0%, respectively. The corresponding prevalences of anxiety in women who did not have anemia, who did not smoke, or who breastfed without bottle-feeding at 9-months postpartum, were 19.0%, 13.6% and 6.7%. The adjusted ORs for anxiety were 3.10 (95% CI, 1.11-8.65), 2.12 (95% CI, 1.05-4.29) and 3.87 (95% CI, 1.12-13.36) for anemia, smoking and bottle-feeding, respectively. Prevalences of anemia and infection were comparable between infants of mothers who did and did not express anxiety. However, infants whose mothers had anemia during pregnancy had higher prevalences of anemia (44.0% vs. 24.6%, p = 0.04) and infection (77.8% vs. 50.2%, p = 0.03) at 9 months old. Conclusion. Women who had anxiety about food supply for their children had characteristics that distinguished them from women who did not have anxiety. Anxiety was associated with anemia and smoking during pregnancy, and with bottle-feeding at 9 months postpartum.(Int J Circumpolar Health 2005; 64(1):55-64)Keywords: aboriginal, breastfeeding, Canada, First Nations, Food security, nutrition
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- 1. Tarasuk V. Discussion paper on household and individual food insecurity. Office of Nutrition Policy and Promotion, Health Canada; 2001.
- 2. Anderson SA. Core indicators of nutritional state for difficult-to-sample populations. J Nutr 1990; 120:1559-600.
- 3. Vozoris NT,Tarasuk V. Household Food Insufficiency is Associated with Poorer Health. J Nutr 2003; 133:120-6.
- 4. McIntyre L, Glanville NT, Officer S, Anderson B, Raine KD, Dayle JB. Food insecurity of low-income lone mothers and their children in Atlantic Canada. Can J Public Health 2002;93:411-5.
- 5. Alaimo K, Olson CM, Frongillo EA, Jr., Briefel RR. Food insufficiency, family income, and health in US preschool and school-aged children. Am J Public Health 2001;91:781-6.
- 6. Tarasuk VS. Household food insecurity with hunger is associated with women's food intakes, health and household circumstances. J Nutr 2001;131:2670-6.
- 7. Lawn J, Harvey D. Change in nutrition and food security in two Inuit communities, 1992 to 1997. Minister of Indian Affairs and Northern Development, Government of Canada; 2001.
- 8. Che J, Chen J. Food insecurity in Canadian households. Health Rep 2003;12:11-22.
- 9. McIntyre L, Connor SK, Warren J. Child hunger in Canada: results of the 1994 National Longitudinal Survey of Children andYouth. CMAJ 2000;163:961-5.
- 10. Lawn J, Harvey D. Nutrition and food security in Kugaaruk, Nunavut: Baseline survey for the food mail project. Ottawa: Minister of Public Works and Government Services Canada; 2003.
- 11. Hull J. aboriginal single mothers in Canada, 1996:A statistical profile. Minister of Indian Affairs and Northern Development, Government of Canada; 2001.
- 12. Wein EE.The high cost of a nutritionally adequate diet in four Yukon communities. Can J Public Health 1994;85:310-2.
- 13. Lawn J, Langner N, Brule D,Thompson N, Hill F.The effect of a federal transportation subsidy on nutritional status of Inuit in Canada's Arctic.Arctic Med Res 1994;53(Suppl 2):289-95.
- 14. Health and what affects it in the Cree communities of Eeyou Istchee. A report compiled by Brian Schnarch, the Cree Board of Health and Social Services of James Bay, and the Public Health Module - Cree Region. July 2001.
- 15. Willows ND, Gray-Donald K. Blood lead concentrations and iron deficiency in Canadian aboriginal infants. Sci Total Environ 2002;289:255-60.
- 16. Willows ND, Gray-Donald K. Serum Retinol is associated with hemoglobin concentration in infants who are not vitamin A deficient. Nutr Res 2003;23: 891-900.
- 17. Verrall T, Gray-Donald K. Impact of a food-based approach to improve iron nutrition in at-risk infants in northern Canada. Prev Med (In press)
- 18. Carlson SJ, Andrews MS, Bickel GW. Measuring food insecurity and hunger in the United States: development of a national benchmark measure and prevalence estimates. J Nutr 1999;129:510S-6S.
- 19. Anonymous.The cost of formula and infant feeding. INFACT Canada Newsletter. Fall, 1997.
- 20. Health Canada. Survey on smoking in Canada, cycle III. Otttawa, 1995
- 21. Najman JM, Lanyon A,Andersen M,Williams G, Bor W, O'Callaghan M. Socioeconomic status and maternal cigarette smoking before, during and after a pregnancy.Aust N Z J Public Health 1998;22:60-6.
- 22. Woteki CE, Earl R. Iron deficiency anemia. Recommended guidelines for the prevention, detection and management among US children and women of childbearing age.Washington: National Academy Press; 1993.
- 23. Tarasuk VS, Beaton GH.Women's dietary intakes in the context of household food insecurity. J Nutr 1999;129:672-9.
- 24. McIntyre L, Glanville NT, Raine KD, Dayle JB, Anderson B, Battaglia N. Do low-income lone mothers compromise their nutrition to feed their children? CMAJ 2003;168:686-91.
- 25. Badun S, Evers S, Hooper M. Food security and nutritional concerns of parents in an economically disadvantaged community. J Can Diet Assoc 1995; 56:75-80.
- 26. Food Mail Program Brochure. Indian and Northern Affairs Canada, Health Canada. 2004.
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