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 analysisConsensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis
Daiy K, Arslanian K, Choy C, Manuele-Magele A, Soti-Ulberg C, Hromi-Fiedler A, Hawley N, Pérez-Escamilla R. Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis. PLOS Global Public Health 2023, 3: e0001725. PMID: 37093783, PMCID: PMC10124882, DOI: 10.1371/journal.pgph.0001725.Peer-Reviewed Original ResearchPolicy recommendationsContent analysisFriendly InitiativeQualitative content analysisNational policyEvidence-based toolboxGovernment ministriesCountry contextMeeting notesBreastfeeding environmentCommittee processEmergent wayInductive approachLactation roomsInitiativesSpecific waysPolicyOverarching methodTopic of breastfeedingBBF processSamoaThemesSubthemesCommittee meetingsCommittee
2024
Clients’ experiences and satisfaction with produce prescription programs in California: a qualitative evaluation to inform person-centered and respectful program models
Rhodes E, Pérez-Escamilla R, Okoli N, Hromi-Fiedler A, Foster J, McAndrew J, Duran-Becerra B, Duffany K. Clients’ experiences and satisfaction with produce prescription programs in California: a qualitative evaluation to inform person-centered and respectful program models. Frontiers In Public Health 2024, 12: 1295291. PMID: 38572012, PMCID: PMC10990041, DOI: 10.3389/fpubh.2024.1295291.Peer-Reviewed Original ResearchPrescription programClient experiencePerson-centeredFederally Qualified Health CentersFramework analysis approachQualified Health CentersImprove client experienceFocus group discussionsTreated with respectVegetable consumptionPerson-centrednessProgram usabilityHealth centersParticipants' program experiencesPositive experiencesGroup discussionsLife courseGift cardsPrescriptionParticipantsProgram designSatisfactionThemesProgram demandsFresh fruits
2022
Barriers and Facilitators to Optimal Infant and Young Child Feeding Practices in the Central Region of Ghana: Perceptions of Heath Care Providers
Hromi-Fiedler A, Sandow A, Pérez-Escamilla R, Segbedji C, Addo-Lartey A, Aryeetey R. Barriers and Facilitators to Optimal Infant and Young Child Feeding Practices in the Central Region of Ghana: Perceptions of Heath Care Providers. Current Developments In Nutrition 2022, 6: 576. PMCID: PMC9193413, DOI: 10.1093/cdn/nzac060.034.Peer-Reviewed Original ResearchYoung child feeding practicesBarriers/facilitatorsChild feeding practicesFeeding practicesIYCF counselingOptimal infantCare providersComplementary feeding practicesHeath care providersIndividual-level barriersMulti-level interventionsCross-cutting barriersBreastmilk insufficiencyMaternal hygieneIYCF knowledgeBreast problemsHealth facilitiesHome visitsPolicies/guidelinesCommunity-level characteristicsProvider supportIll healthProvider perspectivesOptimal IYCFLevel barriersInfant and Young Child Feeding Perceptions and Practices Among Caregivers Living in Three Districts in the Central Region of Ghana
Addo-Lartey A, Aryeetey R, Sandow A, Pérez-Escamilla R, Segbedji C, Hromi-Fiedler A. Infant and Young Child Feeding Perceptions and Practices Among Caregivers Living in Three Districts in the Central Region of Ghana. Current Developments In Nutrition 2022, 6: 6009499. DOI: 10.1093/cdn/nzac060.002.Peer-Reviewed Original ResearchExclusive breastfeedingFeeding recommendationsCaregiver practicesFoods/snacksNon-responsive feeding practicesComplementary feeding recommendationsCaregivers of childrenNight feedsResponsive feedingCaregivers' knowledgePersistent cryingSixth monthMeal frequencyFeeding practicesMethods FiftyIYCF counselingComplementary foodsHunger cuesStomach acheNew foodsInfantsCaregiversResults CaregiversEarly foodFamily foodImpact 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 insecurity
2020
Facilitators of Responsive Feeding/Parenting Knowledge and Practices Among Parents in the Central Region of Ghana
Sandow A, Tice M, Pérez-Escamilla R, Aryeetey R, Hromi-Fiedler A. Facilitators of Responsive Feeding/Parenting Knowledge and Practices Among Parents in the Central Region of Ghana. Current Developments In Nutrition 2020, 4: nzaa054_141. PMCID: PMC7258552, DOI: 10.1093/cdn/nzaa054_141.Peer-Reviewed Original ResearchYears of ageHealth care providersIYCF practicesFamily/friendsCare providersFocus group discussionsConclusion Health care providersEducation/counselingMethods Qualitative dataQualitative dataChildren's needsGhanaian parentsGroup discussionsParents of childrenAudiotaped focus group discussionsResults Three factorsPostnatal counsellingPsychosocial needsLeadership InstituteDirect facilitatorGhanaEducation deliveryEmotional supportPracticeFeeding/Design and testing of communication materials for a breastfeeding social media marketing campaign: Breastfeed4Ghana
Aryeetey R, Lasisi O, Hromi-Fiedler A, Carroll G, Pérez-Escamilla R, Harding K. Design and testing of communication materials for a breastfeeding social media marketing campaign: Breastfeed4Ghana. Digital Health 2020, 6: 2055207620909291. PMID: 32206330, PMCID: PMC7079308, DOI: 10.1177/2055207620909291.Peer-Reviewed Original Research
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
Development 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
2017
Food security measurement and governance: Assessment of the usefulness of diverse food insecurity indicators for policy makers
Pérez-Escamilla R, Gubert M, Rogers B, Hromi-Fiedler A. Food security measurement and governance: Assessment of the usefulness of diverse food insecurity indicators for policy makers. Global Food Security 2017, 14: 96-104. DOI: 10.1016/j.gfs.2017.06.003.Peer-Reviewed Original ResearchFood security governanceFood insecurity indicatorsFI indicatorsSecurity governancePolicy makersFood security measurementGovernanceIndicator choiceDifferent contextsJournal articlesSecurity measurementMakersEvidence-based decisionsAlternative scenariosSMART scoresIndicatorsDecision-making toolSurvey toolFurther considerationContextArticleFindingsEffortsBecoming Baby Friendly: A Complex Adaptive Systems Toolbox for Scaling up Breastfeeding Programs Globally
Perez‐Escamilla R, Hromi‐Fiedler A, Gubert M. Becoming Baby Friendly: A Complex Adaptive Systems Toolbox for Scaling up Breastfeeding Programs Globally. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.165.8.Peer-Reviewed Original ResearchBreastfeeding programBreastfeeding promotion programsEvidence-based toolboxYoung child feedingEvidence-based indexDelphi consensus methodologyAreas of infantNewborn survivalHigh-income countriesChild feedingPromotion programsHealth initiativesNutrition ProgramConsensus methodologyTotal scoreGrey literatureIncome countriesAdvisory CommitteeProgram deliverySteering CommitteeInternational agenciesInfantsBabiesFunding informationHow Ready Is Mexico to Launch an Effective National Program to Protect, Promote and Support Breastfeeding
de Cosio T, Ferre I, Alonso A, Bonvecchio A, Colmenares M, Cauich E, Gris P, Hernández S, Mendiola K, Piedras I, Villa A, Vilar M, Hromi‐Fiedler A, Pérez‐Escamilla R. How Ready Is Mexico to Launch an Effective National Program to Protect, Promote and Support Breastfeeding. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.312.8.Peer-Reviewed Original ResearchBreastfeeding programHealth care providersMonths of ageCivil societyPolitical willMexican health systemEffective national programmeLowest tertileExclusive breastfeedingBreastfeeding practicesSupport breastfeedingBreastfeeding protectionProgram deliveryHealth facilitiesCare providersHealth servicesMexican federal governmentHealth systemEvidence-based advocacyTotal scoreSocioeconomic statusBreastfeedingVulnerable groupsScoresFederal governmentFood insecurity, food coping strategies, and child health among Ghanaians and long term Liberian refugees living in Ghana
Hromi‐Fiedler A, Lartey A, Gallego‐Perez D, Sandow A, Perez‐Escamilla R. Food insecurity, food coping strategies, and child health among Ghanaians and long term Liberian refugees living in Ghana. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.639.35.Peer-Reviewed Original ResearchChild healthHousehold food insecurityChild health statusFood insecurePreventive health careCross-sectional surveyHousehold Food Security ScaleFamily/friendsSevere food insecurityFood insecurityChildren 6Household membersDiagnosis confirmationFood Security ScaleGhanaian childrenSectional surveyHealth problemsHealth statusGhanaian womenAdditive scoreLiberian childrenCoping strategiesHealth careMonthsHealth
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 sampleRefugeesAssociationAdherenceAcculturationLiberians