Immigration, Race/Ethnicity, and Social and Economic Factors as Predictors of Breastfeeding Initiation

Celi, Ann C.; Rich‐Edwards, Janet W.; Richardson, Marcie K.; Kleinman, Ken; Gillman, Matthew W.

doi:10.1001/archpedi.159.3.255

Cited by 144 publications

(122 citation statements)

References 27 publications

Supporting

Mentioning

100

Contrasting

Unclassified

Order By: Relevance

“…Keegan et al, 34 further noted that this pattern is consistent with the corresponding differences in breast cancer incidence rates in the state. Our results are consistent with published reports on breastfeeding, which show that women born outside the US are more likely to breastfeed than those who are born in the US [36][37][38][39][40][41] and that language acculturation also plays a role in whether women choose to breastfeed, particularly among MAs. Results of studies that considered SES variables in their models show that less-acculturated women are more likely to breastfeed than those who are more acculturated.…”

Section: Discussionsupporting

confidence: 92%

Reproductive and Hormonal Risk Profile According to Language Acculturation and Country of Residence in theEllaBinational Breast Cancer Study

Nodora

Gallo

Cooper

et al. 2014

Journal of Women's Health

View full text Add to dashboard Cite

Background: We compared the distribution of breast cancer reproductive and hormonal risk factors by level of acculturation and country of residence in women of Mexican descent. Methods: To compare the distribution of breast cancer reproductive and hormonal risk factors by level of acculturation and country of residence in women of Mexican descent, taking into account level of education, we analyzed data on 581 Mexican and 620 Mexican American (MA) women with a history of invasive breast cancer from the Ella Binational Breast Cancer Study. An eight-item language-based acculturation measure was used to classify MA women. Multivariate logistic regression was used to test associations between language acculturation, country of residence, and reproductive and hormonal risk factors. Results: After adjustment for age and education, compared to women residing in Mexico, English-dominant MAs were significantly more likely to have an earlier age at menarche ( < 12 years; odds ratio [OR] = 2.08; 95% confidence interval [CI], 1.30-3.34), less likely to have a late age at first birth ( ‡ 30 years; OR = 0.49; 95% CI, 0.25-0.97), and less likely to ever breastfeed (OR = 0.13; 95% CI, 0.08-0.21). Conclusions: Differences in reproductive and hormonal risk profile according to language acculturation and country of residence are evident; some of these were explained by education. Results support continued efforts to educate Mexican and MA women on screening and early detection of breast cancer along with promotion of modifiable factors, such as breastfeeding.

show abstract

Section: Discussionsupporting

confidence: 92%

Reproductive and Hormonal Risk Profile According to Language Acculturation and Country of Residence in theEllaBinational Breast Cancer Study

Nodora

Gallo

Cooper

et al. 2014

Journal of Women's Health

View full text Add to dashboard Cite

show abstract

“…Studies have found that immigrant women who were born in Mexico are more likely to initiate breastfeeding in the hospital than their Mexican-American counterparts born in the U.S. (7)(8)(9)(10)(11)(12)(13). However, few studies have examined the effect of acculturation on duration of breastfeeding beyond the postpartum period.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Time in the U.S. on the Duration of Breastfeeding in Women of Mexican Descent

Harley

Stamm

Eskenazi

2007

Matern Child Health J

View full text Add to dashboard Cite

Objectives-Although women of Mexican decent have high rates of breastfeeding, these rates may vary considerably by acculturation level. This study investigated whether increased years of residence in the U.S. is associated with poorer breastfeeding practices, including shorter duration of any and exclusive breastfeeding, in a population of low-income mothers of Mexican descent. (n=490) were recruited from prenatal clinics serving a predominantly Mexican-origin population in an agricultural region of California. Women were interviewed during pregnancy, shortly postpartum, and when their child was 6 months, 1 year, 2 years, and 3.5 years of age. Methods-Pregnant womenResults-Increased years of residence in the U.S. was associated with decreased likelihood of initiating breastfeeding and shorter duration of exclusive and any breastfeeding. Median duration of exclusive breastfeeding was 2 months for women living in the U.S. for 5 years or less, 1 month for women living in the U.S. for 6 to 10 years, and less than one week for women living in the U.S. for 11 years or more, or for their entire lives (lifetime residents). After controlling for maternal age, education, marital status and work status, lifetime residents of the U.S. were 2.4 times more likely to stop breastfeeding, and 1.5 times more likely to stop exclusive breastfeeding, than immigrants who had lived in the U.S. for 5 years or less.Conclusions-Efforts are needed to encourage and support Mexican-origin women to maintain their cultural tradition of breastfeeding as they become more acculturated in the U.S.

show abstract

“…39 In particular, a higher incidence of preterm births among AfricanAmericans and Hispanics as compared with Caucasians has been observed. 6,40 Potential reasons for such disparity are differing genetic factors, 41,42 socioeconomic status, 43,44 psychosocial stressors/risks, for example, racism, home and neighborhood violence, depression, pregnancy-related anxiety. 24,45,46 In view of the fact that socioeconomic and psychosocial stressors likely will be unchanged following a premature delivery, one may reasonably presume that maternal stress brought on by these factors will remain following a premature delivery and be further intensified by concerns over a preterm infant's health.…”

Section: Introductionmentioning

confidence: 99%

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

et al. 2007

View full text Add to dashboard Cite

Objective: (1) To compare maternal characteristics and psychological stress profile among African-American, Caucasian and Hispanic mothers who delivered very low birthweight infants. (2) To investigate associations between psychosocial factors, frequency of milk expression, skin-to-skin holding (STS), and lactation performance, defined as maternal drive to express milk and milk volume.Study Design: Self-reported psychological questionnaires were given every 2 weeks after delivery over 10 weeks. Milk expression frequency, STS, and socioeconomic variables were collected.Result: Infant birthweight, education, and milk expression frequency differed between groups. Trait anxiety, depression and parental stress in a neonatal intensive care unit (PSS:NICU) were similar. African-American and Caucasian mothers reported the lowest scores in state anxiety and social desirability, respectively. Maternal drive to express milk, measured by maintenance of milk expression, correlated negatively with parental role alteration (subset of PSS:NICU) and positively with infant birthweight and STS. Milk volume correlated negatively with depression and positively with milk expression frequency and STS.Conclusion: Differences between groups were observed for certain psychosocial factors. The response bias to self-reported questionnaires between groups may not provide an accurate profile of maternal psychosocial profile. With different factors correlating with maintenance of milk expression and milk volume, lactation performance can be best enhanced with a multi-faceted intervention program, incorporating parental involvement in infant care, close awareness and management of maternal mental health, and encouragement for frequent milk expression and STS.

show abstract

Immigration, Race/Ethnicity, and Social and Economic Factors as Predictors of Breastfeeding Initiation

Cited by 144 publications

References 27 publications

Reproductive and Hormonal Risk Profile According to Language Acculturation and Country of Residence in theEllaBinational Breast Cancer Study

Reproductive and Hormonal Risk Profile According to Language Acculturation and Country of Residence in theEllaBinational Breast Cancer Study

The Effect of Time in the U.S. on the Duration of Breastfeeding in Women of Mexican Descent

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

Contact Info

Product

Resources

About