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- All Subjects: Mother and child
- Creators: Agadjanian, Victor
- Creators: Ahmed, Azza
Description
The objective of this dissertation is to investigate the association of mother's autonomy and male labor migration with child's health and education, taking into account possible differences by child's gender. The dissertation uses data from a household longitudinal survey conducted in rural southern Mozambique in 2006, 2009 and 2011 to address three main questions: 1) Is decision-making autonomy associated with child's schooling and child mortality? 2) Is father's labor migration associated with children's health outcomes? 3) If so, do these relationships change by gender of the child? The dissertation makes three main contributions to the literature. First, it finds a significant effect of mother's decision-making autonomy on child's outcomes, independent of other characteristics related to women's status. Second, it illustrates the cumulative nature of the effect of father's labor migration on the health of children left behind. And finally, the dissertation shows that women's decision-making autonomy and male migration affect children's outcomes differently depending on the gender of the child and on the outcome being analyzed. The dissertation is structured in five chapters. The first chapter gives an introductory overview of women's autonomy and male migration as determinants of children's outcomes, and presents the setting. The second chapter examines the relationship between mother's decision-making autonomy and enrollment for primary school-age children. Results show a positive association of women's decision-making autonomy with the probability of being enrolled for daughters, but not for sons. The effect of women's decision-making autonomy is net of other characteristics associated with autonomy. The third chapter analyzes the association of mother's decision-making autonomy and under-five child mortality. Results show a positive effect women's decision-making autonomy for sons' survival chances. The fourth chapter examines the effect of father's labor migration on health of children left behind. Results indicate that a proportion of child's life spent away by the father has a negative effect on the child's chances of being stunted but that it also decreases the likelihood of the child receiving age-adequate immunization. These results are gendered as the effect of father's migration on both outcomes is significant only for daughters. Chapter five presents the concluding remarks.
ContributorsSoares Luz, Luciana (Author) / Agadjanian, Victor (Thesis advisor) / Hayford, Sarah (Committee member) / Yabiku, Scott (Committee member) / Arizona State University (Publisher)
Created2014
Description
Scientific evidence strongly indicates that there are significant health benefits of breastfeeding. Lower breastfeeding initiation, duration, and exclusivity rates are found in vulnerable populations particularly among women of low socioeconomic status, and racial minorities such as immigrant, racial, and minority cultural groups. Breastfeeding disparities can contribute to negative health outcomes for the mothers, and their infants, and families.
Muslim Arab immigrants are a fast-growing, under-studied, and underserved minority population in the United States. Little is known about breastfeeding practices and challenges facing this vulnerable population. Immigrant Muslim Arab mothers encounter breastfeeding challenges related to religion, language, different cultural beliefs, levels of acculturation, difficulties understanding health care information, and navigating the health care system.
A cross-sectional descriptive study was used to describe infant feeding practices, and identify contributors and barriers to adequate breastfeeding using the social ecological model of health promotion. A convenience sample of 116 immigrant Muslim Arab women with at least one child, 5 years or younger was recruited from a large metropolitan area in the Southwestern United States. The results indicated that immigrant Muslim Arab mothers demonstrate high breastfeeding initiation rates (99.2%), and lengthy breastfeeding duration (M=11.86), but low rates of exclusive breastfeeding at 6 months (21.6%). Facilitators to breastfeeding within the sample were high intentions to breastfeed, positive breastfeeding knowledge and beliefs related to the benefits of breastfeeding, religious teachings promoting breastfeeding, and encouragement to breastfeed from the mothers’ social support system. Several barriers to successful breastfeeding were related to lacking the specific knowledge of the benefits of breastfeeding, and discomfort with breastfeeding in public, and in front of strangers. High income and religious teachings encouraging breastfeeding were significantly associated with exclusive breastfeeding at six months. Greater maternal age and comfort with breastfeeding in public were associated with longer breastfeeding durations.
The socio-cultural context for support of breastfeeding is an important consideration by healthcare providers caring for Muslim Arab women. An ecological perspective needs to be applied to interventions targeting breastfeeding promotion to facilitate effectiveness in this population. Culturally tailored intervention to the specific breastfeeding concerns and needs of Muslim immigrant women could promote optimal breastfeeding in this population.
Muslim Arab immigrants are a fast-growing, under-studied, and underserved minority population in the United States. Little is known about breastfeeding practices and challenges facing this vulnerable population. Immigrant Muslim Arab mothers encounter breastfeeding challenges related to religion, language, different cultural beliefs, levels of acculturation, difficulties understanding health care information, and navigating the health care system.
A cross-sectional descriptive study was used to describe infant feeding practices, and identify contributors and barriers to adequate breastfeeding using the social ecological model of health promotion. A convenience sample of 116 immigrant Muslim Arab women with at least one child, 5 years or younger was recruited from a large metropolitan area in the Southwestern United States. The results indicated that immigrant Muslim Arab mothers demonstrate high breastfeeding initiation rates (99.2%), and lengthy breastfeeding duration (M=11.86), but low rates of exclusive breastfeeding at 6 months (21.6%). Facilitators to breastfeeding within the sample were high intentions to breastfeed, positive breastfeeding knowledge and beliefs related to the benefits of breastfeeding, religious teachings promoting breastfeeding, and encouragement to breastfeed from the mothers’ social support system. Several barriers to successful breastfeeding were related to lacking the specific knowledge of the benefits of breastfeeding, and discomfort with breastfeeding in public, and in front of strangers. High income and religious teachings encouraging breastfeeding were significantly associated with exclusive breastfeeding at six months. Greater maternal age and comfort with breastfeeding in public were associated with longer breastfeeding durations.
The socio-cultural context for support of breastfeeding is an important consideration by healthcare providers caring for Muslim Arab women. An ecological perspective needs to be applied to interventions targeting breastfeeding promotion to facilitate effectiveness in this population. Culturally tailored intervention to the specific breastfeeding concerns and needs of Muslim immigrant women could promote optimal breastfeeding in this population.
ContributorsKhasawneh, Wafa (Author) / Komnenich, Pauline (Thesis advisor) / Petrov, Megan (Committee member) / Reifsnider, Elizabeth G. (Committee member) / Ahmed, Azza (Committee member) / Arizona State University (Publisher)
Created2017