Breastfeeding among Latino Families in an Urban Pediatric Office Setting

Sloand, Elizabeth; Budhathoki, Chakra; Junn, Julia; Vo, Dolly; Lowe, Victoria; Pennington, Amy

doi:10.1155/2016/9278401

Cited by 14 publications

(12 citation statements)

References 15 publications

(31 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the basis of participant responses with probing, mixed feeding (a combination of breastmilk and formula) appears to be common. The reasons given for this practice, such as returning back to work, feeling the baby is still hungry, and feeling like breastmilk production is inadequate, have also been mentioned in previous studies [68][69][70]. Thus, this work confirms that it will be important to address factors associated with mixed feeding in a future mHealth intervention aimed toward this community and others with similar practices.…”

Section: Applying Findings To Future Intervention Designsupporting

confidence: 82%

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic (Preprint)

Casilang¹,

Stonbraker²,

Japa³

et al. 2020

Preprint

View full text Add to dashboard Cite

BACKGROUND Despite growing interest in the use of technology to improve health outcomes and health care delivery in low- and middle-income countries (LMIC), local attitudes towards mHealth use in these settings are minimally understood. This is especially true in the Dominican Republic, where attitudes toward mHealth have not been fully assessed. Yet, this information is critical for developing effective mHealth interventions to address public health problems, such as low rates of exclusive breastfeeding (EBF), which can lead to poor infant outcomes. With an EBF rate of 5% in the first 6 months of life, the Dominican Republic (DR) has one of the lowest EBF rates worldwide. OBJECTIVE This study aimed to describe the current use of information and communication technologies (ICT) and to analyze the attitudes and perceptions related to using cellular phones for mobile health (mHealth) interventions among caregivers of children ≤5 years old and health promoters in the DR. Findings can inform mHealth strategies aiming to improve EBF in this, and other, LMICs. METHODS Participants were recruited from three outpatient sites: the Niños Primeros en Salud program based at Centro de Salud Divina Providencia in Consuelo (rural setting), Clínica de Familia La Romana and its program Módulo de Adolescentes Materno Infantil in La Romana (urban setting). Focus groups were conducted with caregivers of infants and community health promoters to identify use, attitudes, perceptions, and acceptability of mHealth as well as barriers to EBF. Discussions were conducted in Spanish, guided by a semi-structured interview guide. All sessions were audio recorded and later transcribed. Thematic content analysis was conducted in Spanish by two bilingual researchers and was structured around a hybrid behavioral theory framework to identify salient themes. RESULTS All participants (n=35) reported having a cellular phone and 29 (83%) had smartphone technology. Sources for obtaining health information included internet, physician/clinic, family/friends, health promoters, and television. Barriers to mHealth use included cost of internet service, privacy concerns, and perceived credibility of sources. Participants indicated desire for, and willingness to use, a mHealth intervention to support breastfeeding. Desired features of a possible mHealth intervention included offering diverse methods of information delivery such as images/video content, text messages and person-to-person interaction, as well as notifications for appointments/vaccines/feeding schedule. Other important considerations were internet-free access and content that included maternal and child health self-management topics beyond breastfeeding. CONCLUSIONS There is a high level of acceptance for ICT tools for breastfeeding promotion among caregivers in urban and rural areas of the Dominican Republic. As mHealth tools can contribute to increased breastfeeding self-efficacy, identifying desirable features of such a tool is necessary to create a meaningful and useful intervention. Participants wanted to receive trusted, reliable information through various formats and were interested in information beyond breastfeeding.

show abstract

Section: Applying Findings To Future Intervention Designsupporting

confidence: 82%

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic (Preprint)

Casilang¹,

Stonbraker²,

Japa³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…These were the primary reasons cited by the nine women who discontinued breastfeeding between weeks 2 and 6 in this study (milk supply n=4, work n=3). Formula supplementation is common in this population and may have contributed to mothers' perceptions of insufficient milk supply as this practice inhibits breast milk production [7]. In this study, supplementation began early and was common throughout.…”

Section: Duration Of Breastfeedingmentioning

confidence: 86%

“…However, by 6 months just over half (52%) receive any human milk with only 22% breastfed exclusively [6]. Rates of exclusive breastfeeding tend to be lower for Hispanic mothers because supplementation is common, even within the first week after birth [7].…”

Section: Introductionmentioning

confidence: 99%

“…Although most Hispanic-American mothers initiate breastfeeding (84%), duration and exclusivity remain low (only 48% still breastfeeding at 6 months, 17% exclusively) [3][4][5]. Many Hispanics consider chubby infants to be healthy, introduce solid foods early, and feed both human milk and formula (los dos), believing it provides the best nutrition and ensures against hunger [7,11]. Modesty about breastfeeding in public is also a factor.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of a computer-based breastfeeding education program on breastfeeding self-efficacy and duration in rural Hispanic women

Aguirre¹,

Joshi²,

Koehler³

et al. 2018

Health Prim Car

View full text Add to dashboard Cite

Background: Breastfeeding provides numerous benefits for both infant and mother. However, duration of breastfeeding does not meet Healthy People 2020 goals.Research Aim: Researchers developed and evaluated a bilingual, computer-based breastfeeding education program to promote breastfeeding by rural Hispanic mothers. This secondary analysis further examined breastfeeding self-efficacy and duration.Methods: This study was conducted using a two-group repeated measures quasi-experimental design. Participants were randomly assigned to receive breastfeeding education through our computer-based program (intervention, n=23) or printed materials (control, n=23). Assessments were performed at baseline, 3 and 7 days, 2 and 6 weeks, 3 and 6 months postpartum.Results: Duration of breastfeeding did not differ between mothers in the intervention and control groups (p=0.962). The greatest decline in breastfeeding occurred between weeks 2 and 6 and months 3 and 6. Top reasons for discontinuing breastfeeding were issues with milk supply, returning to work, and latch. Mothers who were breastfeeding tended to have greater self-efficacy scores than mothers who were not, significantly so at week 6 and months 3 and 6 (p < 0.001). Intervention mothers using the program tended to breastfeed longer and a greater proportion were still breastfeeding at 6 months, however, program usage was light. Conclusion:Our bilingual computer-based breastfeeding education support program showed potential as a means to improve breastfeeding self-efficacy in this rural Hispanic population. Future efforts will need to take steps to improve program use, perhaps by adapting the program for smartphone delivery and introducing the program to mothers prenatally.The parent RCT study was registered (# NCT03308058) with Clinical Trials.gov on October 30, 2012.

show abstract

“…4 Among Hispanic women in the United States, breastfeeding initiation is similar to that of non-Hispanic white women; however, continuation through 6 months is less common, 3,5 and early supplementation with infant formula is pervasive. [6][7][8] Moreover, breastfeeding practices are not homogenous across Hispanic subpopulations: Mexican-origin women are more likely than other subpopulations, such as Puerto Ricans, to initiate and continue breastfeeding, 9 and foreign-born Mexican women are more likely than US-born Mexican women to initiate and continue breastfeeding longer. 10,11 To assess how these patterns may result from exposure to mainstream US culture, previous research has relied on measures of acculturation, such as language spoken at home or time spent in the destination country.…”

mentioning

confidence: 99%

Breastfeeding Initiation, Duration, and Supplementation Among Mexican-Origin Women in Texas

et al. 2020

View full text Add to dashboard Cite

BACKGROUND: Mexican-origin women breastfeed at similar rates as white women in the United States, yet they usually breastfeed for less time. In our study, we seek to identify differences in Mexican-origin women's breastfeeding intentions, initiation, continuation, and supplementation across nativity and country-of-education groups. METHODS:The data are from a prospective cohort study of postpartum women ages 18 to 44 recruited from 8 Texas hospitals. We included 1235 Mexican-origin women who were born and educated in either Texas or Mexico. Women were interviewed at delivery and at 3, 6, 12, 18, and 24 months post partum. Breastfeeding intentions and initiation were reported at baseline, continuation was collected at each interview, and weeks until supplementation was assessed for both solids and formula. Women were classified into 3 categories: born and educated in Mexico, born and educated in the United States, and born in Mexico and educated in the United States.RESULTS: Breastfeeding initiation and continuation varied by nativity and country of birth, although all women reported similar breastfeeding intentions. Women born and educated in Mexico initiated and continued breastfeeding in higher proportions than women born and educated in the United States. Mexican-born and US-educated women formed an intermediate group. Early supplementation with formula and solid foods was similar across groups, and early supplementation with formula negatively impacted duration across all groups.CONCLUSIONS: Nativity and country of education are important predictors of breastfeeding and should be assessed in pediatric and postpartum settings to tailor breastfeeding support. Support is especially warranted among US-born women, and additional educational interventions should be developed to forestall early supplementation with formula across all acculturation groups.WHAT'S KNOWN ON THIS SUBJECT: Hispanic women initiate breastfeeding at high levels, supplement soon after delivery, and breastfeed for ,12 months. There is some evidence for an inverse relationship between acculturation and the initiation and duration of breastfeeding among Mexican-origin Hispanic women.WHAT THIS STUDY ADDS: Using a proxy, this study confirms large differences by acculturation in breastfeeding initiation and duration. Differences in duration are not explained by intended breastfeeding duration or early supplementation with formula. The latter is negatively associated with duration across all groups.

show abstract

Breastfeeding among Latino Families in an Urban Pediatric Office Setting

Cited by 14 publications

References 15 publications

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic (Preprint)

Perceptions and Attitudes Toward Mobile Health in Development of an Exclusive Breastfeeding Tool: Focus Group Study With Caregivers and Health Promoters in the Dominican Republic (Preprint)

Impact of a computer-based breastfeeding education program on breastfeeding self-efficacy and duration in rural Hispanic women

Breastfeeding Initiation, Duration, and Supplementation Among Mexican-Origin Women in Texas

Contact Info

Product

Resources

About