Variation in breastfeeding behaviours, perceptions, and experiences by race/ethnicity among a low-income statewide sample of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participants in the United States (original) (raw)
Related papers
Journal of Midwifery & Women's Health, 2019
Introduction: Breastfeeding rates among women participating in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) are lower compared with those of nonparticipants. The objective of this study was to assess racial and ethnic differences in self-reported reasons for breastfeeding cessation during the first year postpartum. Methods: This was a secondary analysis of data from women participating in the WIC Infant and Toddler Feeding Practices Study-2. Women specified reasons that influenced their decision to stop breastfeeding during telephone interviews between 1 and 13 months postpartum. Logistic regression models for each racial and ethnic group explored the effects of sociodemographic variables on each reason. Results: The sample for this analysis included 4095 women (34.1% non-Hispanic white, 25.5% non-Hispanic black, and 40.4% Hispanic). Across all race and ethnic groups, food security status was a predictor of some but not all reasons for breastfeeding cessation. Compared with their counterparts who were food secure, white women with low food security and black women with very low food security were more likely (odds ratio [OR], 1.86; 95% CI, 1.04-3.35 and OR, 1.86; 95% CI, 1.19-2.90, respectively) to stop breastfeeding because they wanted or needed someone else to feed their infants. Hispanic women with very low food security were more likely to stop breastfeeding because they felt they did not have enough milk. Compared with their multiparous counterparts, primiparous black and white women were almost twice as likely to stop breastfeeding because of trouble sucking or latching. Hispanic and black women born outside the United States had significantly higher odds of breastfeeding cessation because of the infant losing interest compared with US-born women. Education and marital status significantly predicted reasons for breastfeeding cessation among Hispanic and white women. Discussion: Among women participating in WIC, food security, parity, country of birth, education, and marital status were significant predictors of reasons for breastfeeding cessation across racial and /ethnic groups. Incorporating these findings in education, counseling, and interventions may help overcome breastfeeding barriers.
Pediatrics, 2007
OBJECTIVES. Previous research has shown substantial racial/ethnic and socioeconomic disparities in US breastfeeding initiation and duration rates. However, the role of immigrant status in understanding such disparities has not been well studied. In this study we examined the extent to which breastfeeding initiation and duration varied by immigrant status overall and in conjunction with race/ethnicity and socioeconomic status after controlling for other relevant social and behavioral covariates. METHODS. The cross-sectional data for 33121 children aged 0 to 5 years from the 2003 National Survey of Children's Health were used to calculate ever-breastfeeding rates and duration rates at 3, 6, and 12 months by social factors. Multivariate logistic regression was used to estimate relative odds of never breastfeeding and not breastfeeding at 6 and 12 months. RESULTS. More than 72% of mothers reported ever breastfeeding their infants, with the duration rate declining to 52%, 38%, and 16...
Birth, 2002
ABSTRACT: Background: The studies suggesting that blacks are less likely to initiate and maintain breastfeeding than whites in the United States are limited either by the representativeness of the sample or by the ambiguousness of attribution of racial and ethnic disparities to generally poor socioeconomic status among blacks. The purpose of this study was to examine racial and ethnic disparities in breastfeeding rates among U.S. infants using national representative data.Methods: We analyzed breastfeeding data reported by parents of children ages 12 to 71 months at the time of interview from the Third National Health and Nutrition Examination Survey (1988–1994). Breastfeeding data were stratified by both race and ethnicity, and by a series of sociodemographic and health‐related characteristics.Results: The proportion of children ever breastfed was 60 percent among non‐Hispanic whites, 26 percent among non‐Hispanic blacks, and 54 percent among Mexican Americans. By 6 months postpart...
Maternal and Child Health Journal, 2019
Objectives This study examines the associations between specific maternity care practices and breastfeeding duration for Spanish-speaking Hispanic, English-speaking Hispanic, non-Hispanic Native American, and non-Hispanic White women. Methods We analyzed data from the 2012-2014 New Mexico Pregnancy Risk Assessment Monitoring System. We used survey language as a proxy measure of acculturation and categorized women as Spanish-speaking Hispanic, English-speaking Hispanic, non-Hispanic Native American, and non-Hispanic White. We conducted bivariate analyses to compare rates of breastfeeding at 2 months and experiences of maternity care practices and logistic regression analysis to estimate the effects of these practices on breastfeeding duration for each group. Results Hispanic women were less likely than non-Hispanic women to breastfeed for at least 2 months (67.9% vs. 76.6%; p = 0.000); however, this varied significantly by acculturation level: 78.1% of Spanish-speaking Hispanic women compared to 66.1% of English-speaking Hispanic women breastfed for at least 2 months (p = 0.000). The effects of specific maternity care practices on duration varied across groups. Among non-Hispanic White, Native American, and English-speaking Hispanic women, breastfeeding while at the hospital had the strongest effect (AOR 2.09, 95% CI 1.67-2.61; AOR 2.71, 95% CI 2.08-3.52; and AOR 1.99, 95% CI 1.76-2.25, respectively). Among Spanish-speaking Hispanic women, being encouraged to breastfeed on demand had the strongest effect (AOR 5.179, 95% CI 3.86-6.94). Conclusions for Practice The effects of maternity care practices on breastfeeding duration vary by race, ethnicity, and acculturation level. Health care systems must acknowledge the diversity of their patient populations when seeking to develop and implement breastfeeding-friendly practices.
Systematic Review of the Barriers to Breastfeeding for Non-Hispanic Black Women
2021
Breastmilk provides the optimal food for newborns and contributes to improved lifelong health. A community hospital in the Eastern United States serving non-Hispanic Black (NHB) women has a breastfeeding exclusivity rate of only 8%, which is low compared to the state’s exclusivity rate of 40%. A systematic review of the literature was conducted to identify the breastfeeding barriers for NHB mothers and to identify strategies to address them. Guided by Fishbein and Yzer’s integrative model and the SQUIRE 2.0 knowledge reporting framework, 30 articles were appraised using Melnyk and Fineout-Overholt’s hierarchy of research and the Caldwell, Henshaw, and Taylor qualitative research appraisal method. The six barriers to breastfeeding among NHB mothers identified in both qualitative (n = 17) and quantitative studies (n = 13) were (a) ineffective support, (b) cultural practices that do not include breastfeeding, (c) the need to return to school or work, (d) maternal health, (e) formula co...
Breastfeeding Trends by Race/Ethnicity Among US Children Born From 2009 to 2015
JAMA Pediatrics, 2019
IMPORTANCE Large racial/ethnic disparities in breastfeeding are associated with adverse health outcomes. OBJECTIVES To examine breastfeeding trends by race/ethnicity from 2009 to 2015 and changes in breastfeeding gaps comparing racial/ethnic subgroups with white infants from 2009-2010 to 2014-2015. DESIGN, SETTING, AND PARTICIPANTS This study used data from 167 842 infants from the National Immunization Survey-Child (NIS-Child), a random-digit-dialed telephone survey among a complex, stratified, multistage probability sample of US households with children aged 19 to 35 months at the time of the survey. This study analyzed data collected from
MMWR. Morbidity and mortality weekly report, 2010
The American Academy of Pediatrics recommends exclusive breastfeeding to age 6 months and continued breastfeeding for at least the first year of life. The Healthy People 2010 (HP2010) targets (16-19a-c) for initiating breastfeeding, breastfeeding to age 6 months, and breastfeeding to age 12 months, are 75%, 50%, and 25%, respectively. National estimates from the United States indicate substantial racial/ethnic differences in breastfeeding. To monitor state-specific progress toward achieving the HP2010 objectives for breastfeeding initiation and duration among different racial/ethnic groups, CDC analyzed 2004-2008 National Immunization Survey (NIS) data for children born during 2003-2006. This report summarizes the results of that analysis, which found that non-Hispanic blacks had a lower prevalence of breastfeeding initiation than non-Hispanic whites in all but two states; Hispanics generally had lower prevalence than non-Hispanic whites in western states and higher in eastern state...
Breastfeeding Medicine, 2007
There are a few studies on the consequence of the use of breastmilk substitutes during the postpartum hospital stay on the duration of breastfeeding in the culturally diverse populations of the United States. The main purpose of this study was to identify the association between the in-hospital feeding pattern and the infant's postdischarge feeding modality during the first month of life in a culturally diverse population of women. Demographic, clinical, and feeding practice data was colleted from the medical charts and interviews of mothers conducted in the first month after singleton delivery of healthy term newborns. Among the 307 mothers who completed the study, exclusive in-hospital breastfeeding was reported by 54.2% of White, 38.7% of Black, 54.0% of Asian, and 44.7% of Hispanic (p ؍ 0.063), and among these, only 55.6%, 50.0%, 58.9%, and 19.1%, respectively, maintained exclusive breastfeeding during the first postpartum month (p Ͻ 0.02). The rate of exclusive breastfeeding at the end of the first month was 10.5%, 15.8%, 20.7%, and 3.9%, respectively, for the White, Black, Asian, and Hispanic mothers whose infants received partial or no breastfeeding in-hospital. Overall, the logistic regression analysis showed significant association between initiation of exclusive breastfeeding in-hospital and exclusive breastfeeding at the end of the first month (odds ratio 7.2 and 95% confidence interval 4.0, 12.6). In conclusion, we show a larger decline in the continuation of exclusive breastfeeding and the lowest rate of exclusive breastfeeding at 1 month in the Hispanic mothers. Irrespective of race/ethnicity, mothers who practice exclusive breastfeeding in-hospital are more likely to exclusively breastfeed throughout the neonatal period.
Breastfeeding in African-American women
Journal of National Black Nurses' Association: JNBNA
Currently, a disparity in breastfeeding exists between White, Hispanic, and African-American women. When education and income level are similar in women of these populations, the disparity is minimized. Until similar education and incomes are more fully realized, the disparity in breastfeeding may be reduced by provision of culturally competent care. The purpose of this manuscript is to provide data supporting the disparity in breastfeeding, define culture, and relate how one provides culturally competent care in relation to breastfeeding. Cultural points such as kinship, religion, matriarchy, characteristics of males and adolescents in this group, as well as early introduction of cereal feedings are reviewed. Interventions based on cultural points and characteristics that have been found to or may promote breastfeeding in African-American women are presented.