{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:01:29Z","timestamp":1787029289031,"version":"build-2736575974"},"reference-count":50,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100017170","name":"Thailand Science Research and Innovation","doi-asserted-by":"publisher","award":["HEA_FF_69_234_5300_004"],"award-info":[{"award-number":["HEA_FF_69_234_5300_004"]}],"id":[{"id":"10.13039\/501100017170","id-type":"DOI","asserted-by":"publisher"}]},{"award":["HEA_FF_69_234_5300_004"],"award-info":[{"award-number":["HEA_FF_69_234_5300_004"]}],"id":[{"id":"https:\/\/ror.org\/000025p04","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Conflict-driven displacement can disrupt food environments, health services, and caregiver practices, increasing the risk of unhealthy feeding behaviors among young children. Evidence from ethnic internally displaced populations (IDPs) in Myanmar remains scarce. This study examined the prevalence and determinants of unhealthy feeding practices among IDP mothers of children aged 6\u201323 months. Methods: A sequential explanatory mixed-method study was conducted among 617 mothers in Karen ethnic IDP camps in Myanmar. Structured interviews were used to assess mother-reported zero vegetable or fruit consumption (ZVF) and unhealthy food consumption (UFC) among children, and multivariable logistic regression identified associated factors. Subsequently, six focus group discussions explored contextual influences on feeding practices and were analyzed via thematic analysis. The findings were integrated using a joint display approach. Results: A total of 29.2% of children experienced ZVF, while 57.5% consumed unhealthy foods. Mothers who attended fewer than the recommended antenatal care (ANC) visits were more likely to report both ZVF (AOR = 1.968, 95% CI: 1.297\u20132.988) and UFC (AOR = 1.830, 95% CI: 1.265\u20132.649). Higher maternal decision-making autonomy was also associated with increased odds of ZVF (AOR = 1.757, 95% CI: 1.031\u20132.995) and UFC (AOR = 1.606, 95% CI: 1.040\u20132.481). Other associated factors included child age, household income, family structure, paternal employment, and household dietary practices. Qualitative findings identified six themes influencing feeding practices: \u201cfamiliarity breeds acceptance\u201d, \u201ctraditional beliefs and food restrictions\u201d, \u201cconstrained local food environments\u201d, \u201ctime constraints and convenience feeding\u201d, \u201cpreference for sweet foods\u201d, and \u201cdisrupted access to health and nutrition services\u201d. Conclusions: Unhealthy feeding practices were common in this displaced population. Greater maternal decision-making autonomy was not necessarily associated with healthier feeding practices, highlighting the importance of nutrition literacy and supportive food environments. Community-based nutrition interventions may help improve complementary feeding practices in conflict-affected settings.<\/jats:p>","DOI":"10.3390\/nu18162680","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:04:36Z","timestamp":1786961076000},"page":"2680","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Mixed-Method Study of Unhealthy Feeding Practices Among Mothers of Children Aged 6\u201323 Months from an Internally Displaced Person Camp, Kayin State, Myanmar"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6603-8311","authenticated-orcid":false,"given":"Htet Zaw","family":"Shein","sequence":"first","affiliation":[{"name":"College of Public Health Sciences, Chulalongkorn University, Bangkok 10300, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2461-2311","authenticated-orcid":false,"given":"Napaphan","family":"Viriyautsahakul","sequence":"additional","affiliation":[{"name":"College of Public Health Sciences, Chulalongkorn University, Bangkok 10300, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2963-7297","authenticated-orcid":false,"given":"Shuhei","family":"Nomura","sequence":"additional","affiliation":[{"name":"Global Health Policy Lab, International Research Institute of Disaster Science (IRIDeS), Tohoku University, 468-1 Aoba, Aramaki, Aoba-ku, Sendai 980-8572, Miyagi, Japan"},{"name":"Global Health Policy Lab, Graduate School of Medicine, Tohoku University, 2-1 Seiryo-machi, Aoba-ku, Sendai 980-8575, Miyagi, Japan"},{"name":"Department of Health Policy and Management, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4502-1425","authenticated-orcid":false,"given":"Wandee","family":"Sirichokchatchawan","sequence":"additional","affiliation":[{"name":"College of Public Health Sciences, Chulalongkorn University, Bangkok 10300, Thailand"},{"name":"Center of Excellence in Diagnosis and Monitoring of Animal Pathogens (DMAP), Bangkok 10330, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"ref_1","unstructured":"UNICEF, World Health Organization (WHO), and World Bank Group (2025). 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