scholarly journals “If You Let Them, They Will Be on It 24 Hours a Day”: Qualitative Study Conducted in the United States Exploring Brazilian Immigrant Mothers’ Beliefs, Attitudes, and Practices Related to Screen Time Behaviors of Their Preschool-Age Children (Preprint)

Author(s):  
Ana Cristina Lindsay ◽  
Carlos André Moura Arruda ◽  
Márcia MT Machado ◽  
Mary L Greaney

BACKGROUND The increasing prevalence of excessive screen time (ST) among children is a growing public health concern, with evidence linking it to an increased risk of overweight and obesity among children. OBJECTIVE This study aimed to explore the beliefs, attitudes, and practices of Brazilian immigrant mothers living in the United States related to their preschool-age children’s ST behaviors. METHODS A qualitative study comprising 7 focus group discussions (FGDs) was conducted with Brazilian immigrant mothers living in the United States. All FGDs were audio-recorded and professionally transcribed verbatim. The Portuguese transcripts were analyzed using thematic analysis. RESULTS In total, 37 women participated in the FGDs. Analyses revealed that although most mothers expressed concerns for their preschool-age children’s ST, nearly all viewed ST as an acceptable part of their children’s daily lives. Furthermore, mothers perceived that ST has more benefits than disadvantages. The mothers’ positive beliefs about (eg, educational purposes and entertainment) and perceived functional benefits of ST (eg, ability to keep children occupied so tasks can be completed and facilitation of communication with family outside the United States) contributed to their acceptance of ST for their preschool-age children. Nevertheless, most mothers spoke of needing to balance their preschool-age children’s ST with other activities. Mothers reported using several parenting practices including monitoring time and content, setting limits and having rules, and prompting their children to participate in other activities to manage their preschool-age children’s ST. CONCLUSIONS This study provides new information on the beliefs, attitudes, and practices of Brazilian immigrant mothers living in the United States related to their preschool-age children’s ST. Study findings revealed several potentially modifiable maternal beliefs and parenting practices that may provide important targets for parenting- and family-based interventions aimed at limiting preschool-age children’s ST.

Author(s):  
Ana Lindsay ◽  
Carlos Moura Arruda ◽  
Márcia Tavares Machado ◽  
Gabriela De Andrade ◽  
Mary Greaney

In the United States (US), racial/ethnic minority children, low-income children, and children of immigrant families are at increased risk of childhood obesity. Mounting evidence documents that sleep duration and sleep quality are important modifiable factors associated with increased risk of obesity among preschool-aged children. The number of Brazilian immigrants in the US is increasing, yet no existing research, to our knowledge, has examined factors affecting sleep and bedtime routines of children of Brazilian immigrant families. Therefore, the purpose of this qualitative study was to explore Brazilian immigrant mothers’ beliefs, attitudes, and practices related to sleep and bedtime routines among preschool-aged children. Seven focus group discussions (FGDs) were conducted with 37 Brazilian immigrant mothers of preschool-age children living in the US. The audio-recordings of the FGDs were transcribed verbatim in Portuguese without identifiers and analyzed using thematic analyses. Mothers also completed a brief questionnaire assessing socio-demographic and acculturation. Analyses revealed that most mothers were aware of the importance of sleep and sleep duration for their children’s healthy growth and development. Mothers also spoke of children needing consistent bedtime routines. Nevertheless, many mothers reported inconsistent and suboptimal bedtime routines (e.g., lack of predictable and orderly bedtime activities such as bath, reading, etc. and use of electronics in bed). These suboptimal routines appeared to be influenced by day-to-day social contextual and environmental factors that are part of Brazilian immigrant families’ lives such as parents’ work schedule, living with extended family, living in multi-family housing, neighborhood noise, etc. Analyses identified several modifiable parenting practices related to young children’s sleep and bedtime routines (e.g., irregular bedtime, late bedtime, inconsistent bedtime routines, use of electronics in bed, etc.) that can be addressed in parenting- and family-based obesity prevention interventions. Interventions should consider the social context of the home/family (e.g., parents’ work schedules) and the environment (e.g., multi-family housing; neighborhood noise, etc.) faced by Brazilian immigrant families when developing health promotion messages and parenting interventions tailored to this ethnic group.


Author(s):  
Ana Cristina Lindsay ◽  
Amanda de Sá Melo Alves ◽  
Gabriela Vasconcellos de Barros Vianna ◽  
Carlos André Moura Arruda ◽  
Maria Helena Hasselmann ◽  
...  

2015 ◽  
Vol 18 (3) ◽  
pp. 505-512 ◽  
Author(s):  
Sara A. Quandt ◽  
Grisel Trejo ◽  
Cynthia K. Suerken ◽  
Camila A. Pulgar ◽  
Edward H. Ip ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e021844 ◽  
Author(s):  
Ana Cristina Lindsay ◽  
Carlos André Moura Arruda ◽  
Márcia Maria Tavares Machado ◽  
Gabriela Pereira De Andrade ◽  
Mary L Greaney

ObjectiveTo explore how Brazilian-born immigrant mothers living in the USA obtain information about physical activity (PA) and screen time (ST) behaviours for their preschool-aged children.Research designFocus group discussions (FGDs) were used to gain an in-depth understanding of research topics. All FGDs were audio-recorded and professionally transcribed verbatim. The Portuguese transcripts were analysed using thematic analysis, an iterative process of coding the data in phases to create meaningful patterns.ParticipantsThirty-seven Brazilian-born immigrant mothers of preschool-age children.SettingThis study was conducted in two cities in Massachusetts (MA). Participants were recruited from two predominantly Brazilian churches, local Brazilian businesses and community-based social and health services organisations in the Greater Boston area in MA.ResultsAnalyses revealed that the mothers participating in this study did not initially actively seek out information about PA and ST for their preschool-age children, but that they received unsolicited information about these behaviours from multiple sources including their child’s paediatrician, Women, Infant and Children (WIC) programme staff, members of their social network of Brazilian friends and the Brazilian media. Mothers reported that this unsolicited information increased their knowledge about the importance of making sure their children were physically active and not participating in excessive ST. This increased awareness led mothers to actively seek information about PA and ST behaviours via the internet and through interpersonal communication with fellow Brazilian friends and family.ConclusionsGiven the value Brazilian immigrant mothers placed on the advice of their paediatricians and WIC staff, interventions should consider involving these healthcare professionals, possibly through including endorsement (eg, prescription for PA and maximum ST). More research is needed to ensure Brazilian immigrant mothers’ health and media literacy including their ability to navigate the online environment and to discern the accuracy and quality of information from various web sites.


2006 ◽  
Vol 30 (3) ◽  
pp. 261-271 ◽  
Author(s):  
Larry J. Nelson ◽  
Craig H. Hart ◽  
Bo Wu ◽  
Chongming Yang ◽  
Susanne Olsen Roper ◽  
...  

Researchers have identified specific parenting practices used by parents of preschoolers in mainland China (e.g., physical coercion, overprotection, shaming, directiveness, encouragement of modesty). Some of the intrusive practices have been linked to social withdrawal in western societies (e.g., United States, Canada). It seemed important to examine these associations in China because recent research suggests that young Chinese children who exhibit wariness in peer settings may be at risk for negative outcomes such as peer rejection. Therefore, the purpose of this study was to examine the relation between Chinese parenting practices and preschoolers' social withdrawal. Mothers of preschool-age children from mainland China ( N = 446) completed self-report parenting questionnaires. Teachers rated children's reticent, solitary-passive, solitary-active, and modest behaviors. Results showed that (a) maternal directiveness was positively associated with reticent behavior in girls and negatively associated with solitary-passive behavior in boys, (b) maternal overprotection, for girls, was positively related to both reticent behavior and solitary-passive behavior, and negatively related to modest behavior, (c) coercion was positively associated with solitary-active and reticent behavior in girls, and (d) shaming was positively related to all forms of withdrawn behaviors in boys and girls, as well as positively related to modest behavior in boys.


PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0214143 ◽  
Author(s):  
Ana Cristina Lindsay ◽  
Carlos André Moura Arruda ◽  
Gabriela Perreira De Andrade ◽  
Márcia Maria Tavares Machado ◽  
Mary L. Greaney

2002 ◽  
Vol 26 (6) ◽  
pp. 481-491 ◽  
Author(s):  
Peixia Wu ◽  
Clyde C. Robinson ◽  
Chongming Yang ◽  
Craig H. Hart ◽  
Susanne F. Olsen ◽  
...  

This investigation was designed to extend the work of Chao (1994) by examining parenting constructs emphasised in the Chinese culture in conjunction with parenting constructs derived and emphasised in North America. Mothers of preschool-age children from mainland China ( N = 284) and the United States ( N = 237) completed two self-report parenting questionnaires. One assessed dimensions of parenting practices emphasised in China (encouragement of modesty, protection, directiveness, shaming/love withdrawal, and maternal involvement). The second measured specific stylistic dimensions within Baumrind’s global conceptualisations of authoritative (warmth/acceptance, reasoning/induction, democratic participation) and authoritarian (physical coercion, verbal hostility, nonreasoning/punitive) parenting. Mostly invariant factor structures were obtained across cultures for both measures. Results showed that the five parenting constructs emphasised in China were mostly nonoverlapping and independent in both cultures. In addition, the parenting constructs emphasised in China were relatively independent from the constructs emphasised in North America. As anticipated, Chinese mothers scored higher than US mothers on all parenting constructs emphasised in China except maternal involvement. For parenting constructs emphasised in North America, Chinese mothers scored lower than US mothers on warmth/acceptance and democratic participation, but scored higher on physical coercion.


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