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Higginbottom, Gina M.A.; Valliantos, Helen; Forgeron, Joan; Gibbons, Donna; Mamede, Fabiana; Bariola, Rubina (2014)
Publisher: BioMed Central
Journal: BMC Pregnancy and Childbirth
Languages: English
Types: Article
Subjects: Immigrant women, Research Article, Perinatal, Pregnancy, Food choices, Obstetrics and Gynaecology
Background: Immigrant women may be regarded as a vulnerable population with respect to access and navigation of maternity care services. They may encounter difficulties when accessing culturally safe and appropriate maternity care, which may be further exacerbated by language difficulties and discriminatory practices or attitudes. The project aimed to understand ethnocultural food and health practices and how these intersect in a particular social context of cultural adaptation and adjustment in order to improve the care-giving capacities of health practitioners working in multicultural perinatal clinics.\ud \ud Methods: This four-phase study employed a case study design allowing for multiple means of data collection and different units of analysis. Phase one consists of a scoping review of the literature. Phases two and three incorporate pictorial representations of food choices with semi-structured photo-elicited interviews. This study was undertaken at a Prenatal and Obstetric Clinic, in an urban Canadian city. In phase four, the research team will inform the development of culturally appropriate visual tools for health promotion.\ud \ud Results: Five themes were identified: (a) Perceptions of Health, (b) Social Support (c) Antenatal Foods (d) Postnatal Foods and (e) Role of Health Education. These themes provide practitioners with an understanding of the cultural differences that affect women’s dietary choices during pregnancy. The project identified building collaborations between practitioners and families of pregnant immigrant women to be of utmost importance in supporting healthy pregnancies, along with facilitating social support for pregnant and breastfeeding mothers.\ud \ud Conclusion: In a multicultural society that contemporary Canada is, it is challenging for health practitioners to understand various ethnocultural dietary norms and practices. Practitioners need to be aware of customary practices of the ethnocultural groups that they work with, while simultaneously recognizing the variation within—not everyone follows customary practices, individuals may pick and choose which customary guidelines they follow. What women choose to eat is also influenced by their own experiences, access to particular foods, socioeconomic status, family context, and so on.\ud \ud The pilot study demonstrated the efficacy of the employed research strategies and we subsequently acquired funding for a national study.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Higginbottom GMA, Vallianatos H, Forgeron J, Gibbons D, Malhi R, Mamede F: Food choices and practices during pregnancy of immigrant and Aboriginal women in Canada: a study protocol. BMC Pregnancy Childbirth 2011, 11(1):100.
    • 2. Reitmanova S, Gustafson D: They can't understand it: maternity health and care needs of immigrant Muslim women in St. John's, Newfoundland. Matern Child Healt J 2008, 1:101-111.
    • 3. Organization NAH: Birthing through First Nations's Midwifery Care. Ottawa: Author; 2009.
    • 4. Uriquia M, Gagnon AJ: Glossary: migration and health. J Epidemiol Commun H 2011, 65:467472.
    • 5. Statistics Canada: Portrait of the Canadian Population in 2006: Population and dwelling counts. Ottawa: Author; 2006. Author.
    • 6. Newbold KB: Self-rated health within the Canadian immigrant population: Risk and the healthy immigrant effect. Soc Sci Med 2005, 60:1359-1370.
    • 7. Hyman I: Immigration and health: reviewing evidence of the healthy immigrant effect in Canada. In CERIS Working Paper # 55. Toronto, Ontario: Joint Centre of Excellence for Research on Immigration and Settlement; 2007. http://ceris.metropolis.net/wp-content/uploads/pdf/research_publication/ working_papers/wp55.pdf.
    • 8. Beiser M: Longitudinal research to promote effective refugee resettlement. Transcult Psychiatry 2006, 43:56-71.
    • 9. Meddings F, Haith-Cooper M: Cultural and communication in ethically appropriate care. Nurs Ethics 2008, 15:52-61.
    • 10. Gagnon AJ, Zimbeck M, Zeitlin J, the ROAM Collaboration: Migration to western industrialized countries and perinatal health: a systematic review. Soc Sci Med 2009, 69:934-946.
    • 11. Small R, Gagnon A, Gissler M, Zeitlin J, Bennis M, Glazier RH, Haelterman E, Martens G, McDermott S, Urquia M, Vangen S: Somali women and their pregnancy outcomes postmigration: data from six receiving countries. BJOG 2008, 115:1630-1640.
    • 12. Urquia M, Frank JW, Glazier RH: From places to flows. International secondary migration and birth outcomes. Soc Sci Med 2010, 71:1620-1626.
    • 13. Guendelman S, Buekens P, Blondel B, Kaminski M, Notzon FC, Masuy-Stroobant G: Birth outcomes of immigrant women in the United States, France and Belgium. Matern Child Health J 1999, 3:177-187.
    • 14. Bollini P, Pampallona S, Wanner P, Kupelnick B: Pregnancy outcome of migrant women and integration policy: a systematic review of the international literature. Soc Sci Med 2009, 68:452-461.
    • 15. Urquia M, Frank JW, Glazier RH, Moineddin R: Birth outcomes by neighbourhood income and recent immigration in Toronto. Health Rep 2007, 18:1-10.
    • 16. Malin M, Gissler M: Maternal care and birth outcomes among ethnic minority women in Finland. BMC Public Health 2009, 9:84.
    • 17. Gissler M, Alexander S, MacFarlane A, Small R, Stray-Pedersen B, Zeitlin J, Zimbeck M, Gagnon A: Stillbirths and infant deaths among immigrants in industrialized countries. Acta Obstet Gynecol Scand 2009, 88:134-148.
    • 18. Hyman I, Dussault G: Negative consequences of acculturation on health behavior, social support and stress among pregnant Southeast Asian immigrant women in Montreal: an exploratory study. Can J Public Health 2000, 91:357-360.
    • 19. Uriquia ML, Frank JW, Moineddin R, Glazier RH: Immigrants' duration of residence and adverse birth outcomes: a population-based study. BJOG 2010, 117:591-601.
    • 20. Lim G, Tracey J, Boom N, Karmakar S, Wang J, Berthelot J-M, Heick C: Hospital costs for preterm and small-for-gestational age babies in Canada. Healthc Q 2009, 12:20-24.
    • 21. Renzaho A, Skouteris H, Oldroyd J: Preventing gestational diabetes mellitus among migrant women and reducing obesity and type 2 diabetes in their offspring: a call for culturally competent lifestyle interventions in pregnancy. J Am Diet Assoc 2010, 110:1814-1817.
    • 22. Grewal SK, Bhagat R, Balneaves LG: Perinatal beliefs and practices of immigrant Punjabi women living in Canada. JOGNN 2008, 37:290-300.
    • 23. Nybo M, Friis-Hansen L, Felding P, Milman N: Higher prevalence of anemia among pregnant immigrant women compared to pregnant ethnic Danish women. Ann Hematol 2007, 86:647-651.
    • 24. Guendelman S, Siega-Riz AM: Infant feeding practices and maternal dietary intake among Latino immigrants in California. J Imm Health 2002, 4:137-146.
    • 25. Harley K, Eskanazi B, Block G: The association of time in the US and diet during pregnancy in low-income women of Mexican descent. Paediatr Perinat Ep 2005, 19:125-134.
    • 26. MacDonald JT, Kennedy S: Is migration to Canada associated with unhealthy weight gain? Overweight and obesity among Canada's immigrants. Soc Sci Med 2005, 61:2469-2481.
    • 27. Matthey S, Panasetis P, Narnett B: Adherence to cultural practices following childbirth in migrant Chinese women and relation to postpartum mood. Health Care Women I 2002, 23:567-575.
    • 28. Essen B, Johnsdotter S, Hovelius B, Gudmundsson S, Sjoberg N-O, Friedman J, Ostergren P-O: Qualitative study of pregnancy and childbirth experiences in Somalian women resident in Sweden. Brit J Obstet Gynaecol 2000, 107:1507-1512.
    • 29. Yin RK: Case Study Research: Design and Methods. 3rd edition. Thousand Oaks, CA: Sage; 2003.
    • 30. Higginbottom GMA, Mamede F, Barolia R, Vallianatos H, Chambers T: Aboriginal and immigrant women's food choices and practices in pregnancy: a scoping review. In press with Canadian Journal of Midwifery Research and Practice November 8, 2013.
    • 31. Arksey H, O'malley L: Scoping studies: towards a methodological framework. Int J Soc Res Meth 2005, 8:19-32.
    • 32. Levac D, Colquhoun H, O'Brien K: Scoping studies: advancing the methodology. Implement Sci 2010, 5:69.
    • 33. Wang C, Yuan YL, Feng ML: Photovoice as a tool for participatory evaluation: The community's view of process and impact. J Contemp Health 1996, 4:47-54.
    • 34. Collier J, Collier M: Visual Anthropology: Photography as a Research Method. Albuquerque, NM: University of New Mexico Press; 1986.
    • 35. English FW: The utility of the camera in qualitative inquiry. Educ Res 1988, 17:8-15.
    • 36. Schwatz D: Visual ethnography: using photography in qualitative research. Qual Soc 1989, 12:119-153.
    • 37. Highley BL, Ferentz TC: The camera in nursing research and practice. In Toward a Science of Family Nursing. Edited by Gillis CL, Highley BL, Roberts BM, Martinson IM. California: Addison-Wesley Publishing Company; 1989.
    • 38. Molloy JK: Photovoice as a tool for social justice workers. J Prog Hum Serv 2007, 18:39-55.
    • 39. Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council of Canada, Social Sciences and Humanities Research Council of Canada: Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans. Ottawa: 2010. Retrieved http://www.pre.ethics.gc.ca/eng/ policy-politique/initiatives/tcps2-eptc2/Default.
    • 40. Miles M, Huberman AM: Qualitative Data Analysis: An Expanded Sourcebook (2nd Ed). Thousand Oaks, CA: Sage; 1994.
    • 41. Berti PR, Soueida R, Kuhnlein HV: Dietary assessment of indigenous Canadian arctic women with a focus on pregnancy and lactation. Int J Circumpolar Health 2008, 67:349-362.
    • 42. Essén B, Johnsdotter S, Hovelius B, Gudmundsson S, Sjöberg NO, Friedman J, Ostergren PO: Qualitative study of pregnancy and childbirth experiences in Somalian women resident in Sweden. BJOG 2000, 107:1507-1512.
    • 43. de Flores CH B: Human capital, resources, and healthy childbearing for Mexican women in a new destination immigrant community. J Transcult Nurs 2010, 21:332-341.
    • 44. Thornton PL, Kieffer EC, Salabarria-Peña Y, Odoms-Young A, Kim H, Salinas MA: Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: the role of social support. Matern Child Health J 2006, 10:95-104.
    • 45. Kulig JC, Wall M, Hill S, Babcock R: Childbearing beliefs among Low-German-SpeakingMennonite women. Int Nurs Rev 2008, 55:420-426.
    • 46. Black TL, Raine K, Willows N: Understanding prenatal weight gain in First Nations women. Can J Diabetes 2008, 32:198-205.
    • 47. Bandyopadhyay M, Small R, Davey MA, Oats JJ, Forster DA, Aylward A: Lived experience of gestational diabetes mellitus among immigrant South Asian women in Australia. Aust N Z J Obstet Gynaecol 2011, 51:360-364.
    • 48. Alevizos AG, Stamatiou KN, Lacroix RE, Natzar MA, Mihas CC, Bovis K, Pericles P: Dietary intake in immigrant Arabian pregnant women. Saudi Med J 2006, 27:1019-1021.
    • 49. Ricci E, Chiaffarino F, Cipriani S, Malvezzi M, Parazzini F: Diet in pregnancy and risk of small for gestational age birth: results from a retrospective case-control study in Italy. Matern Child Nutr 2010, 6:297-305.
    • 50. George GC, Hanss-Nuss H, Milani TJ, Freeland-Graves JH: Food choices of low-income women during pregnancy and postpartum. J Am Diet Assoc 2005, 105:899-907.
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