2023
Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study
Martinez-Brockman J, Hromi-Fiedler A, Galusha D, Oladele C, Acosta L, Adams O, Maharaj R, Nazario C, Nunez M, Nunez-Smith M, Pérez-Escamilla R, Group O. Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study. Frontiers In Public Health 2023, 11: 1269857. PMID: 38074748, PMCID: PMC10702572, DOI: 10.3389/fpubh.2023.1269857.Peer-Reviewed Original ResearchConceptsEastern Caribbean Health Outcomes Research Network (ECHORN) Cohort StudyCohort studyRisk factorsHousehold food insecurityPrevalence of HHFIPopulation-based longitudinal cohort studyBivariate analysisCaribbean Food Security ScaleSex stratified analysisImportant risk factorLongitudinal cohort studyPotential risk factorsCohort study dataYears of ageSelf-rated physical healthEnvironmental risk factorsCross-sectional analysisHFI statusPrimary outcomeMultivariable analysisSmoking statusFood insecuritySevere food insecurityOrdinal logistic regressionStratified analysis
2022
Impact of prelacteal feeds and neonatal introduction of breast milk substitutes on breastfeeding outcomes: A systematic review and meta‐analysis
Pérez‐Escamilla R, Hromi‐Fiedler A, Rhodes EC, Neves PAR, Vaz J, Vilar‐Compte M, Segura‐Pérez S, Nyhan K. Impact of prelacteal feeds and neonatal introduction of breast milk substitutes on breastfeeding outcomes: A systematic review and meta‐analysis. Maternal And Child Nutrition 2022, 18: e13368. PMID: 35489107, PMCID: PMC9113480, DOI: 10.1111/mcn.13368.Peer-Reviewed Original ResearchConceptsBF outcomesBreast milkNeonatal periodSystematic reviewProspective studyRisk factorsSuboptimal breastfeeding outcomesLate neonatal periodOnly prospective studiesSignificant risk factorsEarly introductionDays of lifeWeb of SciencePrelacteal feedsBF durationBreastfeeding outcomesWeeks postpartumInclusion criteriaPrelactealsStudy designEffective interventionsObserved associationsOutcomesFeeding studyCessationRisk factors for self‐reported insufficient milk during the first 6 months of life: A systematic review
Segura‐Pérez S, Richter L, Rhodes EC, Hromi‐Fiedler A, Vilar‐Compte M, Adnew M, Nyhan K, Pérez‐Escamilla R. Risk factors for self‐reported insufficient milk during the first 6 months of life: A systematic review. Maternal And Child Nutrition 2022, 18: e13353. PMID: 35343065, PMCID: PMC9113468, DOI: 10.1111/mcn.13353.Peer-Reviewed Original ResearchConceptsRisk factorsCaesarean sectionInsufficient milkSystematic reviewMaternal overweight/obesityStage II laborOverweight/obesityUnnecessary caesarean sectionsMultifactorial risk factorsMonths of lifeIncome countriesBreastfeeding initiationFormula supplementationEpidural anesthesiaOnset of lactationHigh-income countriesMaternity facilitiesBiomedical factorsHospital practiceBaby's behaviorProtective factorsReview protocolTen StepsMental healthMothers' interpretations
2021
A self‐applied valid scale for rapid tracking of household food insecurity among pregnant women in Sri Lanka
Agampodi TC, Hromi‐Fiedler A, Agampodi SB, Amarasinghe GS, Wickramasinghe ND, Jayasinghe IU, Hettiarachchi AU, Perez‐Escamilla R. A self‐applied valid scale for rapid tracking of household food insecurity among pregnant women in Sri Lanka. Maternal And Child Nutrition 2021, 17: e13165. PMID: 33733618, PMCID: PMC8189217, DOI: 10.1111/mcn.13165.Peer-Reviewed Original ResearchConceptsPsychological distressConcurrent validityModel-fitting analysesItem severity scoresGood model fitCognitive testingAdult versionParameter logistic modelPregnant womenPsychometric propertiesSecurity ScaleValid scaleCaribbean Food Security ScalePsychometric validationCOVID-19 pandemicModel fitDistressSTATA version 14Item 8Valid toolPregnancy cohortSeverity scoreSpecial clinicFood Security ScaleHousehold food insecurityImpact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review
Segura-Pérez S, Hromi-Fiedler A, Adnew M, Nyhan K, Pérez-Escamilla R. Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review. International Journal For Equity In Health 2021, 20: 72. PMID: 33676506, PMCID: PMC7936442, DOI: 10.1186/s12939-021-01388-4.Peer-Reviewed Original ResearchConceptsSystematic reviewBF outcomesMinority womenSpecial Supplemental Nutrition ProgramImplementation research studySupplemental Nutrition ProgramMeta-Analyses (PRISMA) checklistPreferred Reporting ItemsCommunity-level interventionsMethodsThe systematic reviewCombination of interventionsImplementation science researchPublic health institutionsCross-sectional designGRADE methodologyMedicine guidelinesBF initiationStudy protocolSocioecological modelStudy interventionHispanic womenElectronical databasesExclusivity ratesReporting ItemsNutrition Program
2020
Analysis of stakeholder networks for breastfeeding policies and programs in Ghana
Aryeetey R, Harding K, Hromi-Fiedler A, Pérez-Escamilla R. Analysis of stakeholder networks for breastfeeding policies and programs in Ghana. International Breastfeeding Journal 2020, 15: 74. PMID: 32831116, PMCID: PMC7444079, DOI: 10.1186/s13006-020-00311-x.Peer-Reviewed Original ResearchConceptsPolicies/programsUnited Nations Children's FundGovernment agenciesKey institutional actorsMulti-sectoral approachGhana Health ServiceInteractive social networksInstitutional actorsDiverse actorsUnique actorsActor groupsDonor agenciesNet-MapDevelopment partnersStakeholder networksFunding linksActor categoriesUnited NationsActorsRelevant institutionsInterview dataFinancial assistanceAppropriate policiesPolicySocial networks
2019
Content analysis of media coverage of breastfeeding in Mexico
Ferré‐Eguiluz I, Buccini G, Hromi‐Fiedler A, Rovelo N, de Cosío T, Pérez‐Escamilla‐Costas J, Pérez‐Escamilla‐González J, Pérez‐Escamilla R. Content analysis of media coverage of breastfeeding in Mexico. Maternal And Child Nutrition 2019, 16: e12905. PMID: 31840404, PMCID: PMC7083503, DOI: 10.1111/mcn.12905.Peer-Reviewed Original ResearchFactors influencing the implementation of the Becoming Breastfeeding Friendly initiative in Ghana
Carroll G, Atuobi‐Yeboah A, Hromi‐Fiedler A, Aryeetey R, Safon C, Pérez‐Escamilla R. Factors influencing the implementation of the Becoming Breastfeeding Friendly initiative in Ghana. Maternal And Child Nutrition 2019, 15: e12787. PMID: 30665255, PMCID: PMC7199075, DOI: 10.1111/mcn.12787.Peer-Reviewed Original ResearchHow does “Becoming Breastfeeding Friendly” work? A Programme Impact Pathways Analysis
Buccini G, Harding KL, Hromi‐Fiedler A, Pérez‐Escamilla R. How does “Becoming Breastfeeding Friendly” work? A Programme Impact Pathways Analysis. Maternal And Child Nutrition 2019, 15: e12766. PMID: 30536582, PMCID: PMC7199040, DOI: 10.1111/mcn.12766.Peer-Reviewed Original Research
2018
Factors Influencing Dietary Practices Among Ghanaian Residents and Liberians Living in a Protracted Refugee Situation in Ghana
Mandelbaum J, Pérez-Escamilla R, Sandow A, Gallego-Pérez DF, Lartey A, Hromi-Fiedler A. Factors Influencing Dietary Practices Among Ghanaian Residents and Liberians Living in a Protracted Refugee Situation in Ghana. Journal Of Nutrition Education And Behavior 2018, 51: 567-577. PMID: 30442569, DOI: 10.1016/j.jneb.2018.09.007.Peer-Reviewed Original ResearchConceptsLiberian refugeesRefugee settlementRefugee situationsProtracted Refugee SituationsMixed-method cross-sectional studyNational identityHost communitiesDepth interviewsLocal communitiesRefugeesQualitative dataFood accessGhanaian residentsIterative codingGhanaian womenAccess issuesDietary practicesGhanaiansSocial supportSettlementSensitive programsNeighboring villagesPracticeGhanaCommunityDevelopment and pretesting of “Becoming Breastfeeding Friendly”: Empowering governments for global scaling up of breastfeeding programmes
Hromi‐Fiedler A, dos Santos Buccini G, Gubert MB, Doucet K, Pérez‐Escamilla R. Development and pretesting of “Becoming Breastfeeding Friendly”: Empowering governments for global scaling up of breastfeeding programmes. Maternal And Child Nutrition 2018, 15: e12659. PMID: 30211973, PMCID: PMC7198937, DOI: 10.1111/mcn.12659.Peer-Reviewed Original ResearchBecoming Breastfeeding Friendly Index: Development and application for scaling‐up breastfeeding programmes globally
Pérez‐Escamilla R, Hromi‐Fiedler A, Gubert MB, Doucet K, Meyers S, dos Santos Buccini G. Becoming Breastfeeding Friendly Index: Development and application for scaling‐up breastfeeding programmes globally. Maternal And Child Nutrition 2018, 14: e12596. PMID: 29468832, PMCID: PMC6866061, DOI: 10.1111/mcn.12596.Peer-Reviewed Original Research
2016
Dietary patterns in Liberian refugees in Buduburam, Ghana
Ross WL, Gallego‐Pérez D, Lartey A, Sandow A, Pérez‐Escamilla R, Hromi‐Fiedler A. Dietary patterns in Liberian refugees in Buduburam, Ghana. Maternal And Child Nutrition 2016, 13 PMID: 27921367, PMCID: PMC6866052, DOI: 10.1111/mcn.12401.Peer-Reviewed Original ResearchConceptsDietary patternsLiberian refugeesHealthy patternMore adherentRefugee settlementDietary pattern adherenceFood frequency questionnaireDistinct dietary patternsAssociations of interestCross-sectional surveyFrequency questionnairePattern adherenceFat patternGhanaian womenFood consumptionFood environmentSignificant differencesYoung childrenRefugee populationsSystematic sampleRefugeesAssociationAdherenceAcculturationLiberiansLength of time in Ghana is associated with the likelihood of exclusive breastfeeding among Liberian refugees living in Buduburam
Woldeghebriel M, Hromi‐Fiedler A, Lartey A, Gallego‐Perez D, Sandow A, Pérez‐Escamilla R. Length of time in Ghana is associated with the likelihood of exclusive breastfeeding among Liberian refugees living in Buduburam. Maternal And Child Nutrition 2016, 13 PMID: 27726291, PMCID: PMC6866007, DOI: 10.1111/mcn.12363.Peer-Reviewed Original ResearchConceptsLiberian refugeesRefugee settlementBreastfeeding practicesHost communitiesUrban villagesHost countryRefugeesSettlement zoneHost cultureExclusive breastfeeding practicesCross-sectional studyBuduburamSupport opportunitiesDeveloped countriesGhanaiansGhanaGhanaian mothersExclusive breastfeedingSignificant gapLiberiansSettlementEBF behaviorSaharan AfricaCountriesVillagesBarriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework
Hromi-Fiedler A, Chapman D, Segura-Pérez S, Damio G, Clark P, Martinez J, Pérez-Escamilla R. Barriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework. Journal Of Nutrition Education And Behavior 2016, 48: 468-477.e1. PMID: 27373861, PMCID: PMC4934128, DOI: 10.1016/j.jneb.2016.04.398.Peer-Reviewed Original ResearchConceptsHealth Action Process Approach frameworkPregnant LatinasSpecial Supplemental Nutrition ProgramMaternal health statusSupplemental Nutrition ProgramSocial supportFamily/friendsSingleton pregnanciesVegetable intakePrenatal factorsHealth statusNutrition ProgramLarger studyIntakeWomenInterventionDistal factorsLatinasNonsmokersObeseOverweightTrimesterPregnancyOutcome expectationsInfants
2013
Persistent household food insecurity, HIV, and maternal stress in Peri-Urban Ghana
Garcia J, Hromi-Fiedler A, Mazur RE, Marquis G, Sellen D, Lartey A, Pérez-Escamilla R. Persistent household food insecurity, HIV, and maternal stress in Peri-Urban Ghana. BMC Public Health 2013, 13: 215. PMID: 23497026, PMCID: PMC3608015, DOI: 10.1186/1471-2458-13-215.Peer-Reviewed Original ResearchConceptsPersistent household food insecurityMaternal HIV diagnosisHIV-positive womenMaternal stressHousehold food insecurityFood insecure householdsHIV diagnosisSevere food insecure householdsBinary multivariate logistic regression modelMultivariate logistic regression modelInsecure householdsHIV-negative groupUS Household Food Security Survey ModuleHousehold Food Security Survey ModuleTime points postpartumFood Security Survey ModuleStress ScaleLogistic regression modelsMaternal HIVFood insecureHIV infectionVoluntary counselingFood insecurityIndependent associationMonths postpartum
2011
Stress and the Social Determinants of Maternal Health among Puerto Rican Women: A CBPR Approach
Bermúdez-Millán A, Damio G, Cruz J, D'Angelo K, Segura-Pérez S, Hromi-Fiedler A, Pérez-Escamilla R. Stress and the Social Determinants of Maternal Health among Puerto Rican Women: A CBPR Approach. Journal Of Health Care For The Poor And Underserved 2011, 22: 1315-1330. PMID: 22080712, PMCID: PMC3642771, DOI: 10.1353/hpu.2011.0108.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultCommunity-Based Participatory ResearchConnecticutFemaleFocus GroupsFood SupplyHealth Services AccessibilityHispanic or LatinoHumansMaternal WelfarePregnancyPregnancy OutcomePrejudicePrenatal CarePuerto RicoQualitative ResearchRisk FactorsSocial EnvironmentSocial SupportSocioeconomic FactorsStress, PsychologicalSurveys and QuestionnairesYoung AdultConceptsFood insecurityPuerto Rican womenQualitative research projectFocus groupsCommunity experiencesLack of accessFocus group findingsMaternal healthCBPR approachState of ConnecticutSocial determinantsQuality educationHealth care accessPovertySignificant life stressorsResearch projectInsecurityUnsafe environmentRace/ethnicityPremature birthCare accessReproductive ageGroup findingsChild healthEducationNutrient and food intakes differ among Latina subgroups during pregnancy
Hromi-Fiedler A, Bermúdez-Millán A, Segura-Pérez S, Pérez-Escamilla R. Nutrient and food intakes differ among Latina subgroups during pregnancy. Public Health Nutrition 2011, 15: 341-351. PMID: 21729472, PMCID: PMC3235398, DOI: 10.1017/s136898001100108x.Peer-Reviewed Original ResearchConceptsFood groupsLow-income pregnant LatinasLatina subgroupsCross-sectional studyPregnant LatinasH recallDietary intakeChronic diseasesFood intakePrenatal surveyIntakeHigh levelsSame geographical areaLatina clientsSubgroupsPuerto RicansGroupSelf-reported ethnic identityLatinasPregnancyDietitiansCliniciansDiseaseCT
2010
Household food insecurity is associated with depressive symptoms among low‐income pregnant Latinas
Hromi‐Fiedler A, Bermúdez‐Millán A, Segura‐Pérez S, Pérez‐Escamilla R. Household food insecurity is associated with depressive symptoms among low‐income pregnant Latinas. Maternal And Child Nutrition 2010, 7: 421-430. PMID: 20735732, PMCID: PMC3008302, DOI: 10.1111/j.1740-8709.2010.00266.x.Peer-Reviewed Original ResearchConceptsLow-income pregnant LatinasPrenatal depressive symptomsPregnant LatinasHousehold food insecurityDepressive symptomsPrenatal depressionRisk factorsEpidemiological Studies Depression ScaleIndependent risk factorFood-secure womenUS Household Food Security Survey ModuleCross-sectional studyHistory of depressionHousehold Food Security Survey ModuleFood Security Survey ModuleThird of participantsFood insecurityIndependent associationDepression riskDepression ScaleFair healthLogistic regressionSymptomsEPDSUSA study
2009
Household Food Insecurity Is Associated with Childhood Malaria in Rural Haiti 1 , 2
Pérez-Escamilla R, Dessalines M, Finnigan M, Pachón H, Hromi-Fiedler A, Gupta N. Household Food Insecurity Is Associated with Childhood Malaria in Rural Haiti 1 , 2. Journal Of Nutrition 2009, 139: 2132-2138. PMID: 19741201, DOI: 10.3945/jn.109.108852.Peer-Reviewed Original ResearchConceptsClinical malariaRisk factorsHousehold food insecurityAdditional risk factorsRisk of malariaPoor child healthFood insecureChildhood malariaChildren 1Child BMIFood insecuritySevere food insecureChild vitaminChild healthMultivariate analysisMalariaConvenience sampleWomenBMIReference time periodColostrumSupplementation
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