“…16,[27][28][29] Black women are also disproportionately more likely compared with white women to have poor perinatal health outcomes 22,30 and to suffer from chronic illness, 31 stress, 32,33 depression, 34 or posttraumatic stress disorder, 35 all of which are known risks associated with lower breastfeeding rates. 36 As underlying contributors to such racial health disparities, research suggests the presence of low-income status, 37 systemic discrimination, 32,33,38 living in racially segregated communities, 39 and experiencing racial disempowerment 16,[40][41][42][43] among blacks, all of which ultimately may lead to adverse overall life and health outcomes. 40,44,45 Because discrimination increases the volume of stress that one experiences, African Americans are particularly vulnerable to its adverse health impact in its various forms.…”