Low-income mothers’ food practices with young children: A qualitative longitudinal study

Abstract

Objective:

Young children living in socioeconomically deprived areas of Scotland have an increased risk of becoming overweight or obese. To enhance understanding of the wider contexts within which family food practices are developed, this study examined the experiences of low-income mothers with young children.

Design:

Qualitative longitudinal design.

Setting:

The Lothians, Scotland.

Method:

Two waves of individual interviews were conducted with 13 mothers at two time points within an 18-month period. All the mothers lived in socioeconomically disadvantaged areas in Eastern Scotland, and had at least one child aged 6 years and under. An inductive thematic analysis was conducted, through which the data were analysed both cross-sectionally and longitudinally.

Findings:

Women experienced socioeconomic challenges which limited the financial and emotional resources, and the time they were able to commit to healthy eating practices. For some, change and instability were part of their lives, over which they had little control. Despite insecure socioeconomic contexts, women positioned themselves as expert mothers, evidenced through their strategies in dealing with the problem of ‘fussy eaters’ and their challenges of ‘expert’ advice.

Conclusion:

This research demonstrates the significance of the broader difficulties that living in poverty presents to mothers, beyond the issue of cost, and which preventive health interventions should address.

Keywords

Children food practices health inequalities motherhood Scotland

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References

Backett-Milburn

Wills

Gregory

. (2006) Making sense of eating, weight and risk in the early teenage years: Views and concerns of parents in poorer socio-economic circumstances. Social Science & Medicine 63(3): 624–635.

Brown

Ogden

(2004) Children’s eating attitudes and behaviour: A study of the modelling and control theories of parental influence. Health Education Research 19(3): 261–271.

Caballero

(2001) Early nutrition and risk of disease in the adult. Public Health Nutrition 4(6A): 1335–1336.

Clark

Goyder

Bissell

. (2007) How do parents’ child-feeding behaviours influence child weight? Implications for childhood obesity policy. Journal of Public Health 29(2): 132–141.

Cook

(2009) Semantic provisioning of children’s food: Commerce, care and maternal practice. Childhood 16(3): 317–334.

Coveney

(2008) The government of girth. Health Sociology Review 17(2): 199–213.

Crawford

(2006) Health as a meaningful social practice. Health 10(4): 401–420.

Curtis

James

Ellis

(2009) She’s got a really good attitude to healthy food … Nannan’s drilled it into her: Intergenerational relations within families. In: Jackson

(ed.) Changing Families, Changing Food. Basingstoke: Palgrave Macmillan, pp. 77–92.

Devault

(1991) Feeding the Family: The Social Organisation of Caring as Gendered Work. Chicago, IL: University of Chicago Press.

10.

Dietz

(1994) Critical periods in childhood for the development of obesity. American Journal of Clinical Nutrition 59(5): 955–959.

11.

Dietz

(2001) The obesity epidemic in young children. British Medical Journal 322(7282): 313–314.

12.

Dobson

Beardsworth

Teresa

. (1994) Eating on a low income. Social Policy Research 66, November. York: Joseph Rowntree Foundation.

13.

Dowler

O’Connor

(2012) Rights-based approaches to addressing food poverty and food insecurity in Ireland and UK. Social Science & Medicine 74(1): 44–51.

14.

Dowler

Turner

Dobson

(2001) Poverty Bites: Food, Health and Poor Families. London: Child Poverty Action Group.

15.

Evans

Davies

Rich

(2008) The class and cultural functions of obesity discourse: Our latter day child saving movement. International Studies in Sociology of Education 18(2): 117–132.

16.

Foresight (2008) Tackling Obesities: Future Choices (project report). 2nd ed. Available at: http://www.bis.gov.uk/assets/foresight/docs/obesity/17.pdf (accessed 20 September 2013).

17.

Gillies

(2005) Raising the ‘meritocracy’: Parenting and the individualization of social class. Sociology 39(5): 835–853.

18.

Gillies

(2008) Perspectives on parenting responsibility: Contextualizing values and practice. Journal of Law and Society 35(1): 95–112.

19.

Lake

Hyland

Mathers

. (2006) Food shopping and preparation among the 30-somethings. Whose job is it? British Food Journal 108(6): 475–486.

20.

Lee

Macvarish

Bristow

(2010) Risk, health and parenting culture. Health, Risk & Society 12(4): 293–300.

21.

Lupton

(1995) The Imperative of Health. London: SAGE.

22.

Lupton

(2004) A grim health future: Food risks in the Sydney press. Health, Risk & Society 6(2): 187–200.

23.

McPhail

Chapman

Beagan

(2011) ‘Too much of that stuff can’t be good’: Canadian teens, morality and fast food consumption. Social Science & Medicine 73(2): 301–307.

24.

Martin

Lippert

(2012) Feeding her children but risking her health: The intersection of gender, household food insecurity and obesity. Social Science & Medicine 74(11): 1754–1764.

25.

May

(2008) On being a good mother: The moral presentation of self in written life stories. Sociology 42(3): 470–486.

26.

Morgan

(2011) Rethinking Family Practices. Basingstoke: Palgrave Macmillan.

27.

Murphy

(2004) Risk, maternal ideologies and infant feeding. In: Williams

Germov

(eds) The Social Appetite: An Introduction to the Sociology of Food and Nutrition. Oxford: Oxford University Press, pp. 200–219.

28.

National Institute for Health and Clinical Excellence (NICE) (2006) Obesity: Guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children. Report no. 43, December. London: NHS. Available at: http://www.nice.org.uk/CG43 (accessed 20 September 2013).

29.

Pocock

Trivedi

Wills

. (2010) Parental perceptions regarding healthy behaviours for preventing overweight and obesity in young children: A systematic review of qualitative studies. Obesity Reviews 11(5): 338–353.

30.

Rich

(2011) ‘I see her being obesed!’: Public pedagogy, reality media and the obesity crisis. Health 15(1): 3–21.

31.

Rich

Evans

(2009) Performative health in schools: Welfare policy, neoliberalism and social regulation? In: Wright

Harwood

(eds) Biopolitics and the ‘Obesity Epidemic’: Governing Bodies. New York: Routledge, pp. 157–171.

32.

Ritchie

Spencer

O’Connor

(2003) Carrying out qualitative analysis. In: Ritchie

Lewis

(eds) Qualitative Research Practice. London: SAGE, pp. 219–262.

33.

Scottish Government (2008) Equally well: Report of the ministerial task force on health inequalities. Available at: http://www.scotland.gov.uk/Publications/2008/06/09160103/0 (accessed 20 September 2013).

34.

Scottish Government ( 2010) Scottish health survey. Available at: http://www.scotland.gov.uk/Publications/2010/09/23154223/87 (accessed 20 September 2013).

35.

Thomson

Holland

(2003) Hindsight, foresight and insight: The challenges of longitudinal qualitative research. International Journal of Social Research Methodology 6(3): 233–244.

36.

Warin

Turner

Moore

. (2008) Bodies, mothers and identities: Rethinking obesity and the BMI. Sociology of Health & Illness 30(1): 97–111.

37.

Wills

Backett-Milburn

Gregory

. (2008) ‘If the food looks dodgy I dinnae eat it’: Teenagers accounts of food and eating practices in socio-economically disadvantaged families. Sociological Research Online 13(1). Available at: http://www.socresonline.org.uk/13/1/15.html

38.

Wright

Harwood

(2009) Biopolitics and the Obesity Epidemic: Governing Bodies. New York and Oxon: Routledge.

39.

Zivkovic

Warin

Davies

. (2010) In the name of the child: The gendered politics of childhood obesity. Journal of Sociology 46(4): 375–392.