Maternal perceptions of early childhood ideal body weight differ among Mexican-origin mothers residing in Mexico compared to California.
OBJECTIVE
To assess maternal perceptions of children's current and ideal body sizes, and the meaning of and factors contributing to overweight in infancy and early childhood among Mexican-origin mothers living in Mexico and in California.


METHODS
A quali-quantitative study combining focus groups and a self-administered questionnaire.


METHODS
A purposive sample of 84 low-income, Mexican-origin mothers of 4- to 6-year-old children recruited between March 2006 and January 2008 from rural and urban communities in Mexico and California.


METHODS
Bivariate, multivariate, and qualitative analyses of maternal perceptions of children's actual and ideal body size supplemented by qualitative analyses of meaning of and factors contributing to childhood overweight/obesity.


RESULTS
Ideal child body size was considerably lower among Mexican-origin mothers living in California (3.86+/-0.56) than it was among mothers living in Mexico (4.32+/-0.83), and this difference was significant (P=0.001) after adjusting for sociodemographic covariates. Among mothers of overweight children, 82% of mothers in California were dissatisfied with their child's weight compared with 29% of mothers in Mexico (P=0.003). Focus-group results suggest that these differences in the perception of children's ideal body size can be attributable to differences in body size norms among mothers and awareness of the negative effects of obesity that occur after migration to California.


CONCLUSIONS
Maternal perceptions of early childhood overweight appear to differ among Mexican-origin women living in Mexico and California. Recognition of the negative health consequences of obesity and identification of barriers to achieving weight control are important first steps toward childhood obesity prevention. Interventions directed at Mexican-origin mothers should focus on culturally acceptable ways of transmitting weight-control information.
Guendelman
Sylvia
S
Community Health and Human Development, University of California, Berkeley, Berkeley, CA 94720-7360, USA. sylviag@berkeley.edu
Fernald
Lia C H
LC
Neufeld
Lynnette M
LM
Fuentes-Afflick
Elena
E
D000328:Adult; D049628:Body Size; D001835:Body Weight / Q000502:physiology; D002140:California; D002648:Child; D002675:Child, Preschool; D004522:Educational Status; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000523:psychology*; D008800:Mexico / Q000208:ethnology; D009035:Mothers / Q000523:psychology*; D050177:Overweight / Q000208:ethnology / Q000523:psychology*; D010465:Perception; D012424:Rural Population; D012923:Social Class; D011795:Surveys and Questionnaires; D014505:Urban Population