Exploring barriers and facilitators to feeding children with minimal or no "Junk Food": Insights from Mexican women.

Abstract

This study aims to investigate the factors that promote or hinder the feeding of children with minimal or no ultra-processed products to inform the design of an mHealth strategy in Mexico and prevent child malnutrition among the economically vulnerable. An exploratory qualitative study was conducted, involving 24 in-depth face-to-face interviews with caregivers of children aged 24-59 months from both urban and rural communities. To analyze the data, we used thematic analysis and incorporated a few elements of grounded theory. More barriers than facilitators were identified. Key barriers included: misconceptions and the widespread availability of junk food through an extensive network of grocery stores; neighbors and family gifting junk food; the association of soda with celebrations; the practice of indulging children with junk food; and the normalization of junk food consumption by both adults and children. Facilitators included: caregivers' awareness of the health risks associated with junk food; economic constraints limiting junk food purchases; support from husbands in regulating children's junk food consumption; the presence of a family member with diabetes; specific cultural beliefs about children's digestive health; as well as displacement of "healthy" foods that nourish children. Based on our findings, we formulated recommendations for interventions at intrapersonal, interpersonal, organizational, community, and public policy levels to support healthier feeding practices for children.