Dietary Practices during Pregnancy in a Marshallese Community: A Mixed Methods Analysis

Britni L. Ayers, Cari A. Bogulski, Ashlea Bennett-Milburn, Anna Fisher, Morda Netwon and Pearl A. McElfish
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Britni L. Ayers: College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Avenue, Fayetteville, AR 72703, USA
Cari A. Bogulski: College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Avenue, Fayetteville, AR 72703, USA
Ashlea Bennett-Milburn: Bell Engineering Center, University of Arkansas Fayetteville, 800 W. Dickson St., Fayetteville, AR 72701, USA
Anna Fisher: Department of Pediatrics, The University of Utah, 295 Chipeta Way, Salt Lake City, UT 84103, USA
Morda Netwon: College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Avenue, Fayetteville, AR 72703, USA
Pearl A. McElfish: College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Avenue, Fayetteville, AR 72703, USA

IJERPH, 2022, vol. 19, issue 11, 1-13

Abstract: Dietary practices during pregnancy play a pivotal role in the health of women and their children and set the foundation for long-term health. Marshallese women have disproportionally higher rates of maternal and infant health disparities, yet little is known about the dietary practices during their pregnancy. The purpose of this study was to identify dietary practices during pregnancy among Marshallese women. From March 2019 to March 2020, a purposive sample of 33 pregnant Marshallese participants participated in a mixed methods study. Two primary themes emerged: (1) traditional beliefs about a healthy diet during pregnancy; and (2) dietary change during pregnancy. Within the first theme, four subthemes emerged: (1) should eat; (2) should not eat; (3) challenges to traditional diet; and (4) spiritual dietary customs during pregnancy. Within the second theme, three subthemes emerged: (1) a healthy diet for my baby; (2) autonomy and diet; and (3) sugar-sweetened beverages. The transition in discourse from traditional customs of dietary practices to an individualistic discourse highlights that acculturation is a complex process that should be included in maternal health education and interventions. Findings from this study provide insight into potential considerations for future interventions aiming to improve maternal and child health outcomes among Marshallese.

Keywords: dietary practices; infant health; Marshallese; maternal health; pregnancy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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