Saturday, September 19, 2015

Strange Ways: A Biocultural Understanding of Cross-Cultural Patterns of Childrearing

Anthropologists know and realize that there are no universal childrearing practices and that the “art” of raising children does vary by culture.  While many claim to be experts on raising children and others admit that they do not have the first idea of what to do it is clear that there are a variety of different and very effective ways to raise children.  Today’s blog post will discuss the biocultural understanding of cross-cultural patterns of childrearing by examining three different examples (two modern and one historic) and breaking down how culture and biology are intertwined and ultimately benefit or detriment the child.  Biocultural practices are cultural practices that affect the biology of individuals practicing them.  These practices may seem strange to some readers, particularly American ones, but I encourage you to keep an open mind and be culturally relativistic as you might be surprised about the biological benefits and consequences of “strange” and “normal” childrearing practices.

Example 1: Finnish Babies Sleep in Boxes 

Figure 1: Finnish Babies Sleep in Cardboard Boxes Provided by the Government (Source: BBC News)

To many the idea of having one’s baby sleeping in a box conjures up notions of a family living in poverty and unable to purchase a proper crib or bed for the child, but in Finland families willingly place their babies in cardboard boxes that include a baby sized mattress (Figure 1).  Now you may be thinking a great many things, including but not limited to “How can this be?  Are they willfully abusing and neglecting their children?” 

Not at all. 

The tradition of using cardboard boxes as beds for Finish children is a fairly modern practice that dates back to 1938.  This practice began as an initiative through the Finish government to reduce infant mortality rates in the country.  Prior to the start of the initiative 65 out of 1000 Finish babies died annually, which was one of the highest infant mortality rates in Europe.  The reason for this high infant mortality rate was due in part to the Finish population being poor and unable to afford the basic necessities for babies and expectant mothers and fathers being unaware of specific prenatal treatments that would assist the newborn baby in surviving and growing up healthy.  The Finish government began to send “Maternity Boxes” to socioeconomically poor families.  These boxes contained several items, such as diapers, clothing & outwear, and a mattress, as well as information guiding families to seek medical attention for both the mothers and their infants.  The “maternity box” contents were meant to assist low income families in caring for their newborn children, and an unintended effect of this government assistance was that the “maternity box”, which was the cardboard box that housed the contents meant for baby, served as many of these babies’ first bed, primarily because these families could not afford a “proper” bed. 

Through this initiative the infant mortality rate steadily began to decline in Finland.  The maternity box was a catalyst for reducing the likelihood of death for infants in Finland because the contents provided support in ensuring the health of the developing infant in several ways.  The diapers reduced biological waste that could harm the child because cleanliness does reduce the risk of infection and disease transmission.  Also, the clothing and outwear kept children from being exposed to the elements, and while the old wives tale about the cold causing illness is false it is known that extreme weather, such as cold or heat, can negatively affect the body as it causes drastic changes in the body’s internal temperature, which can and does lead to negative health outcomes.  And the bed, well, it did not do too much to ensure the baby’s health other than reduce the stress of the parents who did not have to worry about not having the money to pay for a bed and instead could allocate their monies toward food for their infant.  The Finish infant mortality rate continued to fall as other cultural changes occurred in future decades, including the institution of a free health care to all Finish citizens. 

Example 2: Cosleeping Practices

Figure 2: Cosleeping (Nenet Culture) (Source: Marie-Stenzel, National Geographic Collection in Haviland et al. 2011)

In the United States it is common practice for a baby to sleep not only in a crib (or separate bed) but also in a separate room.  This practice is not, however, common cross culturally.  In fact, it has been demonstrated that it is more common, cross-culturally, for mothers and infants to sleep together in the same bed, a practice known as cosleeping (Figure 2).  The practice of cosleeping is slowly being adopted by some Americans but remains heavily criticized, with opponents claiming that there is a strong possibility of mother’s accidentally smothering babies by rolling over onto them as well as increasing the likelihood of producing clingy children who cannot and do not gain independence from their mothers.

But scholarly studies produce different conclusions in regards to the effects of cosleeping vs separating mother and infant so early on.  First, cosleeping practices reduce the length of infant’s crying bouts.  A perpetually crying infant can and often does stress out individuals, particularly parents who are sleep deprived and therefore already stressed, and sometimes this stress can and does manifest into physical abuse against the children.  Also, studies have demonstrated a reduction in Sudden Infant Death Syndrome (SIDS) among cosleeping infants who purportedly receive breathing cues from their mother and continue to breathe normally throughout the night.  In regards to the aforementioned criticisms studies have not found a significant number of infant deaths due to accidental smothering or overly dependent children.  In fact, based on an informal survey of some of my friends who practice cosleeping it seems the mothers are more distressed by no longer sharing their beds with their children than the children themselves!

Example 3: Giving Up Breastfeeding

Figure 3: Infant Formula (Source: Google Images)

It is very common these days to see advertisements for infant formula, a manufactured food meant to feed and nutritionally sustain infants (Figure 3), but the notion of abstaining from breast feeding children actually goes back to prehistoric times.  Ancient Greeks used to feed infants wine and honey, ancient Romans provided infants a mixture of goat’s milk and honey, and ancient Indian’s (as in populations from India) were known to serve their infants a mixture of diluted wine, soup, and eggs in place of breast milk.  The notion of not breast feeding is not a new one, and it was actually considered beneficial throughout various cultures and periods to not breastfeed infants. 

This notion of not breastfeeding infants for their benefit, however, is one that is incredibly detrimental to the development of infants and children.  Breast milk provides infants with essential vitamins and minerals as well as disease fighting substances, which provide early immunity to infants who are born without much of an immune system (that typically develops as our bodies are exposed to and successfully fight off various pathogens that make us ill).  A consistent trend of increased infant mortality can be seen throughout history as well as cross-culturally when breastfeeding is discouraged and/or discontinued. 

As well, not all baby formulas are created equal and some are actually incredibly nutritionally deleterious for a developing baby, causing a decrease in the overall health outcome of the child.  Case in point, ancient baby formula recipes actually left children nutritionally poor, increasing the likelihood of death.  This does not, however, mean that all baby formulas are bad for baby.  Modern baby formulas are more nutritionally beneficial to babies than past formulas, but modern baby formulas are not nearly as nutritious as breast milk.  Also, modern baby formulas can be incredibly harmful to babies in certain cases.  Modern baby formulas most often come in powdered form and require the addition of water before they can be consumed by infants.  This makes baby formula a great substitute for infants in situations when and where breast milk is not available (e.g. mothers are not developing breast milk, mothers produce breast milk that contains life threatening diseases that can be passed onto their infant, etc.).  But in areas of the world where clean water is not readily accessible powdered baby formulas can be incredibly dangerous to infants because of the exposure to unclean drinking water, which may contain dangerous pathogens that will harm the child.  Ultimately, studies have demonstrated that whenever possible it is best to breastfeed a child despite cultural prohibitions against breastfeeding.        

The cultural practices of letting children sleep in a cardboard box and cosleeping may seem strange to some, but these cultural practices serve a larger biological need, ensuring that babies are born healthy and grow up in fit environments.  In these ways culture and biology are working together to benefit individuals.  In the case of baby formulas while it may seem like cultural interventions are best for baby they are actually quite harmful and should be avoided.  So next time you see a cultural practice that is counter to what you grew up with do not immediately leap to the negative conclusion but look for the positive aspects of it.  Learning from other cultures can lead to not only a better understanding of cultural diversity but also improved health of all humans globally. 

Bibliography

Dailey, K.  2014.  “Breastfeeding: Was Their Ever A Golden Age?”  BBC News.

Haviland, W.A., H.E.L. Prins, D. Walrath, and B. McBride.  2011.  Anthropology: The Human Challenge.  Wadsworth/Cengage Learning.

Lee, H.  2013.  “Why Finnish Babies Sleep in Cardboard Boxes.”  BBC News. 






36 comments:

Unknown said...

I don't see why Americans should think detrimentally about babies sleeping in a box. Other than having no bars it's just like a crib. I think more americans should consider this as a valid sleeping arrangement. Cribs can be ridiculously expensive.Try to find a crib at Babies R Us for less than $300. For families that have a small budget it would seem practical to consider a "Box." I know when I read this I did not think anything negative about the practise. In fact I started thinking I need to start producing and marketing this in the US. Even if it isn't a primary crib it would be great for travel or for those nights the grandparents are watching baby.

Unknown said...

I read this article for my paper. I am just not sure I like the idea. But, I will say that it is a step towards parenthood. It gives you everything you need to start your child's new life. I am just not sure because of what I have been accustomed to living in the USA. I am once again not saying its bad just saying I am not really sure if I could have this for my child.

Anonymous said...

my first reaction to a baby sleeping in a box was harsh. But after reading the facts and understanding why the parents allow their babies sleep in a box has changed my perspective. I think its wonderful that the Finish government provides these things to parents and health care to all, things that Americans have to work very hard for and to keep. When it comes to raising children I do no believe that there is a definite right answer. raising children is difficult. All the articles are about what's BEST for the child. ultimately that's all that matters. I personally breast fed my daughter because I knew it was the best thing for her, and I co slept with her as well. I didn't co sleep to avoid health risks ( I later learned about that) I did it because it didn't feel right to have something so precious and fragile not be close. What ever the parent feels comfortable doing is the answer. There are so many different ways to go about raising children, some may seem strange but they all are for the child's best interest. I can appreciate the topics discussed in this blog.

Unknown said...

Looking at this blog,At first the thought about having a child sleeping in a box boggled my mind, but then i thought to myself" hey i can't really judge because in other countries a child sleeping in a box to them might be the same as a child and or infant sleeping in a crib or their own bed to us". The U.S. somewhat has a Ethnocentric mindset when it comes to things like this without actually getting to know the premise of the relationship with said child or infant. It's crazy. I like topic like this because it opens my eyes to things like this I was never aware about and things like this are actually quite interesting to know and learn about :).

Mele Puloka said...

My initial thoughts of using a box for a baby was unacceptable. It’s weird but when I hear the term cardboard box I automatically think of the run down boxes that’s been beaten and unable to hold form. It’s strange to me that I feel it’s not a suitable sleeping place for a baby, but can see a homeless person use the same material to build a fort for shelter. It’s definitely an ethnocentric view on my end. However, with getting all the information and background to the distribution of boxes I definitely have a better understanding of the custom.

Dr. Christine Elisabeth Boston said...

Thank you for your comment, Mele, because it provides readers insights into American cultural values & beliefs. You point out that you don't find a cardboard box suitable for a child but it seems acceptable for a homeless person to do the same. This demonstrates our preference toward children in our culture and our lack of preference, particularly in regards to helping and sheltering, adults. But one cannot exist without the other, so it's an interesting paradox we, Americans, have set up for ourselves.

Dr. Christine Elisabeth Boston said...

Perhaps if we cared equally for the well being of adults as we did children in our society we would have far fewer social & economic issues than we currently have in the US. In fact, I'd wager to say that we would have less based on cross cultural analyses of other cultures were social services are provided equally to adults and children and the amount (or extreme lack thereof) of social & economic problems they have.

Unknown said...

I think once americans read and understand the baby box the less they are against it. I think americans would have a bigger problem with the government distributing them. Most americans hate socialism (mostly because of the Cold War lasting from the end of WWII to 1992) and this causes more negativity towards the box. When I brought up the box to my family their first reactions was not "why are babies being put in a box instead of a crib," it was "why is a government distributing baby supplies?"

April Anthropology 205 said...

I find it very interesting how childrearing varies from culture to culture. When I took Lamaze class, which taught several other things, we were taught how incredibly dangerous it is to sleep with your baby in your bed. The Practitioner also gave two firsthand accounts of incidences with infant death she had experienced throughout her career. One that passed away at the hospital due to the mom sleeping with the baby in the hospital bed. When my mother had me, to reduce SIDS, infants were to sleep on their stomachs. That changed while I was growing up and when I had children, they were to sleep on their backs. Lamaze also educated us on circumcision, which is done one of three ways in the United States. We were shown the medical equipment used and the procedures were explained. All forms of circumcision seem extremely archaic and medieval, and made me wonder about our society. To me it is really quite similar to FGM, which is practiced in other countries’ societies, not ours. Yet this one gets passed us. For different reasons, done different ways, still a form of genital mutilation. I was thankful that I was having a girl, and did not have to make that decision.
I work at a baby store, I see the plethora of inventions that come out for mom and her baby. Everything out there to prevent your baby from adjusting themselves. There are monitors that now can clip onto your baby’s diaper and give all information to your iphone. His breathing patterns, his diaper status, his heartbeats, his movements. There are plastic molds you can hold your baby in for the perfect angle for feeding, vibrating mattresses, baby hot tubs that bubble for their bath. Our child rearing in this country makes me worry. Cardboard boxes for a bed that they will use for less than a year? Sounds more reasonable than a $400.00 crib and a $300.00 mattress that ‘Provides Your Baby with the Perfect Lumbar Support,’ when you child weighs under 20 lbs. You buy into a lot of this when a baby’s needs are quite basic, and parenting classes would probably benefit you more. The culture of childrearing is varied and diverse even within one’s own family.

Katy said...

I had heard of the Finnish baby boxes on Pinterest believe it or not. I thought it was a wonderful idea. I understand that some new parents would like their child's room to beautiful and cute but practicality is so much more important than whether or not something is "cute." I have seen soon-to-be moms buy adorable baby onesies with buttons all the way down, then see them after having the baby, buying onesies with snaps and they tell me that snaps are sooooooooo much better and easier to manage.

Anonymous said...

I'm very neutral when it comes to childbearing ideas. I don't want kids, and have had this decision made more a long time, but my niece is due in a couple weeks. She's fairly young and we're closer than she is with her mom, so all the weird questions, including co-sleeping and breast feeding, I've asked my friends. I never realized how heated these topics were. My friends basically yelled their opinions at me. In the end, I just found a bunch of articles for my niece to read so she could make an informed decision on her own and I warned her about being pressured by people into doing things certain ways. I actually told her about the box sleeping before and she laughed and said if she couldn't get a crib, she rather that than have a baby in her bed.

Unknown said...

I did not know that babies in Finland slept in boxes! Do they still do that today as a tradition of some sort? I always found it strange that SIDS was as epidemic as it seemed through the frequency that I heard about it. But I guess in deep sleep a baby screaming and kicking child might not be heard or felt. But I would imagine that the parents would still be somewhat aware of a small child sleeping next to them especially if they can hear it as it wakes up frequently throughout the night if it's in a crib. But i did not know that baby formulas were as common as they were, I always thought they everyone still breast fed. As always, interesting read!
-Patrick Cattell

Unknown said...

i really liked this because its a new start for a new born as well for the family. i just don't know if i could put my little girl in a box because in our american culture we grew up with cribs, and beds for baby's. i would try it but i don't think i would do it for long. i really think its cool how the government helps a mom with there baby s and giving them a starting pack.

Anonymous said...

It's sad reading about how many babies died back then do to the cause of people not being able to provide proper care due to there financial status, but I did like reading how the government started to take part and help out those families that couldn't afford things like a bed the whole box idea is and or was a great idea I mean now a days a crib is just an over sized box in my eyes. I have always also heard sleeping with your baby is going to make a clingy baby but in my mind I think well they are just a baby they aren't really going to clingy that fast are they? At one point I also did believe in the clingy baby scenario until I asked a few mothers why and what I got back was that it was a way in to help the babies keep breathing normally which I also read about in your blog so I thought that was pretty interesting how I heard about it and how it can be a way in why Cosleeping helps babies.

-Erick Anguiano

Jordan R said...

Really awesome to see that the Finland government stepped in once the child mortality rates grew. Being raised an American citizen i would have thought is was odd prior to reading this article to hear that in Finland babies are often given a box to sleep in rather than a crib, but I'm sure there is a mass number of things other counties find odd that we do in America.
-Jordan R

Jordan R said...

Really awesome to see that the Finland government stepped in once the child mortality rates grew. Being raised an American citizen i would have thought is was odd prior to reading this article to hear that in Finland babies are often given a box to sleep in rather than a crib, but I'm sure there is a mass number of things other counties find odd that we do in America.
-Jordan R

Jesus Cardiel ANTH 205 said...

I see it as not really a bad thing having the baby in the box, because a crib is a expensive thing to get. Having a box really is the same kind of thing while costing much less for people who cant afford a crib. They can make it comfortable for the baby as well so really it is not a bad thing. Baby formula as I know has become more common, but I think it really just depends on what you research and what you believe. Some may believe that its better to be natural and breast feed while others may read a better reason to just use formula. Sleeping with your child in the bed I think is acceptable to a certain point. As a baby I would be alright sleeping with my baby in the bed as long as it is all safe, but at a certain age I would think the child would need to move to another bed and be more independent.

Shelby Crawford said...

I found it interesting that Finish children were put in cardboard boxes and they discovered that it reduced infant mortality. I personally would never cosleep for the exact reason of possibly rolling onto the child. I thought it was cool though that they discovered when a child cosleeps they don't gain the independence that they would gain if they slept away from the mother.
Student:shelby crawford

Unknown said...

I think this post presented some very interesting ideas explaining how infantry is viewed in other cultures. There is a stigma around sleeping in a cardboard box that we have created in this country, due to our high homeless rates. Personally, I believe that if theses baby boxes are reducing infant mortality rates, then that is all the proof needed. We've grown accustom to seeing a baby in a crib, and deem anything else unfit, but that falls in live with the ethnocentric complex. To the Finnish, a crib might seem taboo as well; it's simply a product of our environment. I enjoyed reading about the different means of nurturing infancy, it was a side I had never ever began to look at. Thanks!
-Matt Santos

Charlie Goggin said...

I am glad you posted this on the blog! Co-sleeping is far more natural that putting your child away from you at night. We had both our children sleep in our bed until they, on their own initiative, left for their own beds which had always been available.
Breastfeeding is so incredibly important, not just for the health of the baby and the mother (fewer female cancers) but for the emotional attachment and bonding that should happen between mother and child. I find it horrific that our society discourages breastfeeding and considers breastfeeding toddlers and young children somehow unhealthy and wrong. It is a sad testament to how far we have moved away from what is natural for us as a species.
As a mom I find our culture's push for a separation of mother and child frightening. Children are our future and we should be doing everything we can to help them become healthy, intelligent, functional adults.
Leaving a baby to cry it out in another room away from the warmth and comfort of mother's body and presence is just cruel. It is also interesting that the adults have a sleeping partner and usually do not like to sleep alone but they expect their babe to do so. I have never done that with a puppy, I certainly would not do it to my child.
American culture prizes and nurtures independence, but babies and children are, by their very nature, dependent creatures. They cannot survive nor thrive without intense parental care and attention. We are mammals, that means our young have a period of complete dependence on the mother for survival. All mammals have this stage, humans, whales, the great apes and various other species have a dependency stage that lasts years. Independence tends to happen naturally when a child's needs are met. What a terrible shame to see so many children raised on bottles of powdered formula when nearly every nutritionist will tell you that processed foods are not very healthy for us.
We have a culture where complete strangers on the street feel the need to stop and verbally attack a nursing mother, "That's disgusting" is one of the common insults hurled at women as they feed their babies. I cannot imagine where this hostility could have come from, but it seems to stem from our sexualiztion of breasts.
Sorry for the rant! This hit a hot button for me. I am clearly a very passionate advocate for breast feeding and attachment parenting. I do realize there are many right ways to raise a child and probably many more wrong ways. All parents make mistakes, there is no manual for raising a human child and if there were, it would likely not work for at least half of the children out there!

Anonymous said...

When I first started to read I was thinking that family's that have their babies sleep in box's must be poor. I was also thinking i wonder how common this is because I have never heard of this. After reading this section I go a different opinion. I think that it is a great way to help provide for the less fortunate families and that it has actually helped save lives. I have always had mixed feelings about babies sharing beds with their parents. I would be too afraid I would smoother my child. I also think breastfeeding is very important for new born babies. It gives a bonding moment for the mom and baby along with nutrients. My friend has the opposite opinion about breast feeding so we always try not to talk about it. Its interesting how they used to add wine to the babies diet.

Leslie Milton
Anthropology 101
Course 3001

Kevin Izykowski said...

In today's modern world, I don't think any parent wants to put their child in a box. It seems that Finland used to be a poor country but along with many other Scandinavian countries today, it's very wealthy. Many parents put their child in the same bed with them. As their child gets older, the child gets put in a separate crib and eventually in their own room. I had no idea that some baby formula is dangerous. I heard that regular milk from the store was more dangerous than baby formula.

Dr. Christine Elisabeth Boston said...

Kevin, I believe you have misunderstood the post. Baby formula is worse when it is mixed with contaminated/polluted water. It's not as nutritious as breast milk, but it's a good alternative if breast milk is not available or the child has an allergy.

Betsy Britt - Introduction to Anthropology SA-202 said...

My sister and her son engage in cosleeping, and I believe they have a better relationship because of it. Also, I'm a firm believer that it help with a child's development to sleep with a relative. I had very few bad dreams as a child, because I shared a room with my sister for a good portion of my childhood. I think that knowing that I had someone older who cared for me within arms reach calmed my subconscious.

Unknown said...

I don't see a problem with the "Box" if you have a low budget or just simply don't feel the need to buy a crib then don't either the box or cosleeping are great alternatives.

D.Traywick said...

This is a perfect example of my ethnocentric viewpoint that I said everyone has at some point. I would not personally put my child in a box. If I did not have a proper place for him/her then I would find the resources to make it happen. If anything at least some type of padding needs to be at the bottom for the safety of the child as well as comfort.

Anonymous said...

Jovie Black
I would never place my child in a cardboard box,but i will practice the separate room practice. I am one of the ones who will be scared i'm going to roll over on my babies if i'm sleep.

Anonymous said...

In the blog post above I read that "Breast milk provides infants with essential vitamins and minerals as well as disease fighting substances.." I agree with that statement however I think it's up to the mother to decided what she should do with her child. But I would never ever place my baby in a cardboard box. It's that child endangerment?

-Monique McAllister

Unknown said...

I cant remember if we talked about this in class or did I talk about this in another class, but the "Finnish Babies Sleep in Boxes" was a very smart idea and I wish they would do this in the city where i'm from.

Unknown said...

Dalyla Jordan

I hope first time mothers do their research on information like this. this is a little shocking

Amber Barnes said...

I know that my mom co-slept with me and my sibling for a long time. I honestly think parents should research in on this stuff before committing to a child. It is a major responsibility and you need to be prepared to raise them the best way possible. I remember you mentioning the breastfeeding in class and found it extremely important and gave me an idea on where to start when I am ready for kids!

Apreshana Page said...

In the hospital after having a baby they always advise the mother not to sleep with the baby in the bed with them because they could possible smoother them. I see nothing wrong with having a baby sleep in something separate even if its a box.

-Apreshana Page

Tonii Saffore said...

My name is Tonii Saffore. I've heard a lot about the debate on rather parents should sleep with their baby or not. Which in other words is known as (Co-sleeping). One reason i wouldn't even try it is because of a tragedy that has happened in my family. One night my uncle was sleeping with his infant daughter and the next minute he rolled over while sleeping onto her. Without even knowing what he was doing, the baby was suffocated in her sleep. I'd just rather be more cautious with my child.

Unknown said...

some people cant afford certain things. and I rather make a comfty box than having the fear of rolling over my baby.
- Lavonza Marshall

Tijunay Roberts said...

The maternity box has good thought behind it. Especially to try to stop more death in infants. But I just don’t believe I would do something like that. I just think it would be uncomfortable for the baby. Maybe with a mattress inside of it I would consider it. Now cosleeping I would never take in consideration for me. Only because I am a very wild sleeper. I move a lot in my sleep so it just would not be safe. I also never thought about breastfeeding. I would have to look more into it as far as pros and cons.

Marcquasia A said...

Wow this was interesting I always heard of things like this but never really understood. These boxes were made to give babies a fresh healthy start. The box itself is emptied out and used as the first bed for the baby. It has believed to have saved lives hundreds of times because the box gives the perfect sleeping surface a baby needs. A good firm base. Its small and ideal to keep the baby secure, and it's easy for parents to move around so the baby is always safe. Many people feel why would you pay hundreds for a crib when you can clearly create a nurturing box. I did hear the box isn't mandatory you can opt out and get cash.