Early Postpartum Breastfeeding and Acculturation among Hispanic Women

Gorman, Jessica R.; Madlensky, Lisa; Jackson, Debra; Ganiats, Théodore G.; Boies, Eyla G.

doi:10.1111/j.1523-536x.2007.00189.x

Cited by 32 publications

(37 citation statements)

References 46 publications

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“…Language spoken, as a proxy for acculturation, is strongly and positively correlated with breastfeeding among Hispanics. 21,22 We then randomly assigned WIC participants to 1 of 3 study arms of the telephone peer counseling program in 4 LWAs. The intervention began during pregnancy and continued postpartum.…”

Section: Methodsmentioning

confidence: 99%

“…As noted above, this is a common finding. 21,22 Indeed, differences in breastfeeding rates by language among Hispanics exist nationally. Data from the National Immunization Survey for the years [2005][2006][2007] indicate that 48% of Hispanics who conducted their interviews in Spanish and whose child was ever enrolled in WIC exclusively breastfed for at least 3 months (n = 7107) compared with 25%…”

Section: Figurementioning

confidence: 99%

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Telephone Peer Counseling of Breastfeeding Among WIC Participants: A Randomized Controlled Trial

Reeder¹,

Joyce

Sibley³

et al. 2014

Pediatrics

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OBJECTIVE: The US Surgeon General has recommended that peer counseling to support breastfeeding become a core service of the Supplemental Nutrition Program for Women, Infants, and Children (WIC). As of 2008, 50% of WIC clients received services from local WIC agencies that offered peer counseling. Little is known about the effectiveness of these peer counseling programs. Randomized controlled trials of peer counseling interventions among low-income women in the United States showed increases in breastfeeding initiation and duration, but it is doubtful that the level of support provided could be scaled up to service WIC participants nationally. We tested whether a telephone peer counseling program among WIC participants could increase breastfeeding initiation, duration, and exclusivity. METHODS: We randomly assigned 1948 WIC clients recruited during pregnancy who intended to breastfeed or were considering breastfeeding to 3 study arms: no peer counseling, 4 telephone contacts, or 8 telephone contacts. RESULTS: We combined 2 treatment arms because there was no difference in the distribution of peer contacts. Nonexclusive breastfeeding duration was greater at 3 months postpartum for all women in the treatment group (adjusted relative risk: 1.22; 95% confidence interval [CI]: 1.10–1.34) but greater at 6 months for Spanish-speaking clients only (adjusted relative risk: 1.29; 95% CI: 1.10–1.51). The likelihood of exclusive breastfeeding cessation was less among Spanish-speaking clients (adjusted odds ratio: 0.78; 95% CI: 0.68–0.89). CONCLUSIONS: A telephone peer counseling program achieved gains in nonexclusive breastfeeding but modest improvements in exclusive breastfeeding were limited to Spanish- speaking women.

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Section: Methodsmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

Telephone Peer Counseling of Breastfeeding Among WIC Participants: A Randomized Controlled Trial

Reeder¹,

Joyce

Sibley³

et al. 2014

Pediatrics

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“…It may be that most participants in our study were more acculturated to the Mexican culture than to the mainstream culture (based on nativity), and the Mexican cultural value of familia (close family support that is a common value among women of Mexican origin) contributed to the low levels of depression symptom severity we observed. This premise is supported by Wambach et al (2016) and Gorman et al (2007) who reported that less acculturated mothers were more supportive of breastfeeding and believed it to be consistent with their cultural beliefs.…”

Section: Discussionmentioning

confidence: 78%

“…The Centers for Disease Control and Prevention (2015) reported that Hispanic women begin formula feeding in addition to breastfeeding at higher rates than women of other races or ethnicities. In a study of postpartum women, Gorman et al (2007) compared less acculturated Spanish-speaking women, more highly acculturated English-speaking Hispanic women, and non-Hispanic White, English-speaking women and found that the more highly acculturated Hispanic women had the lowest rates of exclusive breastfeeding among the three groups.…”

Section: Hispanic/mexican American Women and Breastfeedingmentioning

confidence: 99%

The Relationship Among Breastfeeding, Postpartum Depression, and Postpartum Weight in Mexican American Women

Reifsnider¹,

Flowers²,

Todd³

et al. 2016

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective To determine if symptoms of postpartum depression and postpartum weight varied according to the level of breastfeeding among women of Mexican origin at 1 month and 6 months postpartum. Design We used data from a parent study in which promotoras interviewed new mothers of Mexican origin to encourage appropriate infant weight gain. We performed a secondary quantitative analysis to study the differences in postpartum weight and depression among the mothers in the study who breastfed and those who did not. Setting and Participants The study occurred in a heavily Hispanic community located in a major southwest city. The sample consisted of 150 women of Mexican origin who enrolled during their third trimesters in a local Special Supplemental Nutrition Program for Women, Infants, and Children clinic and were followed for 6 months. Methods Weight was measured at 1 month and at 6 months postpartum at home visits with validated digital scales. Breastfeeding was measured with monthly phone calls to record the level of breastfeeding according to World Health Organization criteria. Depression was measured at home visits at 1 month and 6 months by the Edinburg Postpartum Depression Scale. Results At 6 months postpartum, women who did not breastfeed had the highest scores on the Edinburgh Depression Scale, while the women who breastfed non-exclusively had the lowest scores (p = .067). Considering both time points, there was a significant difference in weight (p = .017) between women who were doing any breastfeeding and women who were not breastfeeding. Conclusions Breastfeeding, even if not exclusive, contributed to lower depression scores and significantly lower postpartum weight among this sample of Mexican American women.

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“…English speaking Hispanics comprised mothers who identified as primarily English speaking. This division of Hispanic families based on primary language was an effort to minimize the heterogeneity of acculturation within our Hispanic subsample (i.e., Badr, 2001; Gorman, Madlensky, Jackson, Ganiats & Boies, 2007). See Table 1 for demographics for the total sample and by ethnic group.…”

Section: Methodsmentioning

confidence: 99%

Differential ethnic associations between maternal flexibility and play sophistication in toddlers born very low birth weight

Erickson¹,

Montague

MacLean

et al. 2012

Infant Behavior and Development

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Children born very low birth weight (<1500 grams, VLBW) are at increased risk for developmental delays. Play is an important developmental outcome to the extent that child’s play and social communication are related to later development of self-regulation and effective functional skills, and play serves as an important avenue of early intervention. The current study investigated associations between maternal flexibility and toddler play sophistication in Caucasian, Spanish speaking Hispanic, English speaking Hispanic, and Native American toddlers (18-22 months adjusted age) in a cross-sectional cohort of 73 toddlers born VLBW and their mothers. We found that the association between maternal flexibility and toddler play sophistication differed by ethnicity (F(3,65) = 3.34, p = .02). In particular, Spanish speaking Hispanic dyads evidenced a significant positive association between maternal flexibility and play sophistication of medium effect size. Results for Native Americans were parallel to those of Spanish speaking Hispanic dyads: the relationship between flexibility and play sophistication was positive and of small-medium effect size. Findings indicate that for Caucasians and English speaking Hispanics, flexibility evidenced a non-significant (negative and small effect size) association with toddler play sophistication. Significant follow-up contrasts revealed that the associations for Caucasian and English speaking Hispanic dyads were significantly different from those of the other two ethnic groups. Results remained unchanged after adjusting for the amount of maternal language, an index of maternal engagement and stimulation; and after adjusting for birth weight, gestational age, gender, test age, cognitive ability, as well maternal age, education, and income. Our results provide preliminary evidence that ethnicity and acculturation may mediate the association between maternal interactive behavior such as flexibility and toddler developmental outcomes, as indexed by play sophistication. Addressing these association differences is particularly important in children born VLBW because interventions targeting parent interaction strategies such as maternal flexibility must account for ethnic-cultural differences in order to promote toddler developmental outcomes through play paradigms.

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Early Postpartum Breastfeeding and Acculturation among Hispanic Women

Cited by 32 publications

References 46 publications

Telephone Peer Counseling of Breastfeeding Among WIC Participants: A Randomized Controlled Trial

Telephone Peer Counseling of Breastfeeding Among WIC Participants: A Randomized Controlled Trial

The Relationship Among Breastfeeding, Postpartum Depression, and Postpartum Weight in Mexican American Women

Differential ethnic associations between maternal flexibility and play sophistication in toddlers born very low birth weight

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