Categorizations of Trust and Distrust in the Classifications and Social Representations of Food among Pregnant and Breastfeeding Women in Spain-Applying the Cultural Domains' Pile Sort Technique

Int J Environ Res Public Health. 2023 Feb 26;20(5):4195. doi: 10.3390/ijerph20054195.

Abstract

Food is fundamental in the decision making of pregnant and breastfeeding women to care for their own health and that of their child. In this paper, we explore some common food classification systems and certain attributes assigned to these categories, represented by values of trust and distrust. This study is based on an interdisciplinary research project in which we analysed discourses and practices regarding the dietary intake of pregnant and breastfeeding women in relation to the presence of chemical substances in foods. The results presented are part of the second phase of this research where we explored the results of our analysis of the pile sort technique based on an analysis of cultural domains in order to explore the categories and semantic relations among terms regarding trust and distrust in food. This technique was applied to the 62 pregnant and breastfeeding women of Catalonia and Andalusia. These women also participated in eight focus groups that provided information and narratives enabling us to analyse the meanings of the associative subdomains obtained in the pile sorts. They classified different foods and assigned certain attributes to them according to the level of trust and mistrust, providing a social representation of food risks. The mothers expressed great concern about the quality of the food they consume and about its possible effects on their own health and on that of their child. They perceive that an adequate diet is one based on the consumption of fruits and vegetables, preferably fresh. Fish and meat generate serious concern, as their properties are considered ambivalent depending on the food's origin and mode of production. These criteria are perceived by women as relevant to their food decisions and, therefore, emic knowledge should be taken into account when developing food safety programmes and planning actions aimed at pregnant and breastfeeding women.

Keywords: breastfeeding; cultural domains; distrust; food risk; pile sorts; pregnancy; trust.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Diet
  • Female
  • Food*
  • Humans
  • Mothers
  • Pregnancy
  • Spain
  • Trust*

Grants and funding

The first phase of this research was financed by the Ministry of Economy and Competitiveness, the State Programme for the Promotion of Scientific and Technical Research of Excellence, the State Subprogramme for the Generation of Knowledge, Spain (reference: CSO2014-58144-P). The second phase of the study was funded by Fundación Pública Andaluza Progreso y Salud de la Junta de Andalucía, Spain (reference: AP-0139-2017). Dr. M. Company-Morales obtained a scholarship for this part of the research from the Ministry of Health of the Junta de Andalucía, Spain (A-0043-2018).