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

Hurley, Kristen M.; Black, Maureen M.; Papas, Mia A.; Quigg, Anna M.

doi:10.1111/j.1740-8709.2007.00105.x

Cited by 118 publications

(94 citation statements)

References 25 publications

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“…We addressed this limitation by using measures adapted from surveys validated in Spanishspeaking populations. Another limitation is that we did not collect information about perceived milk insufficiency, shown to be more common in Hispanic populations 54 and which might be associated with food insecurity. Given that maternal feeding practices and styles may vary depending on the infant' s developmental stage, additional research is needed to understand the relationship between food insecurity and feeding styles in families with infants older than 6 months.…”

Section: Discussionmentioning

confidence: 99%

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT: Food insecurity has been linked to childhood obesity in a number of studies. Few studies have explored potential pathways through which food insecurity is related to child weight, especially in low-income families with young infants. WHAT THIS STUDY ADDS:We found that food insecurity was related to maternal controlling feeding styles and concerns about the infants' future weight. Early obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure. abstract OBJECTIVES: We explored the relationship between household food insecurity and maternal feeding styles, infant feeding practices, and perceptions and attitudes about infant weight in low-income mothers. METHODS: Mothers participating in the Special Supplemental FoodProgram for Women, Infants, and Children with infants aged between 2 weeks and 6 months were interviewed. By using regression analyses, the following relationships were examined between food insecurity and: (1) controlling feeding styles (restrictive and pressuring); (2) infant feeding practices, including breastfeeding, juice consumption, and adding cereal to the bottle; and (3) perceptions and attitudes about infant weight. Path analysis was used to determine if perceptions and attitudes about infant weight mediated the relationships between food insecurity and controlling feeding styles. ). This concern mediated the relationship between food insecurity and both restrictive (P = .009) and pressuring (P = .01) feeding styles. RESULTS:CONCLUSIONS: Increased concern about future overweight and controlling feeding styles represent potential mechanisms by which food insecurity could be related to obesity. Obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure. Pediatrics 2012;130:254-261

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Section: Discussionmentioning

confidence: 99%

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

et al. 2012

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“…This omission is problematic given African American women's greater risk for breastfeeding cessation with return to work. 69 We identified four publications that detailed local implementation of institutional-level interventions and strategies. Two studies used a randomized control trial (RCT) methodology, and two studies performed secondary data analyses on national surveys and hospital records.…”

Section: Local Implementation Of Institutional-level Interventions Anmentioning

confidence: 99%

Enhancing Breastfeeding Rates Among African American Women: A Systematic Review of Current Psychosocial Interventions

Johnson

Kirk

Rosenblum

et al. 2015

Breastfeeding Medicine

117

109

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The goals of this article are to provide a review of key interventions and strategies that impact initiation and duration of breastfeeding with particular focus on low-income African American mothers' maternal psychological vulnerabilities during the early postpartum period using a social ecological perspective as a guiding framework. Although modest gains have been achieved in breastfeeding initiation rates in the United States, a projected gap remains between infant feeding practices and national Healthy People breastfeeding goals set for 2020, particularly among African Americans. These disparities raise concerns that socially disadvantaged mothers and babies may be at increased risk for poor postnatal outcomes because of poorer mental health and increased vulnerability to chronic health conditions. Breastfeeding can be a protective factor, strengthening the relationship between mother and baby and increasing infant health and resilience. Evidence suggests that no single intervention can sufficiently address the multiple breastfeeding barriers faced by mothers. Effective intervention strategies require a multilevel approach. A social ecological perspective highlights that individual knowledge, behavior, and attitudes are shaped by interactions between the individual woman, her friends and family, and her wider historical, social, political, economic, institutional, and community contexts, and therefore effective breastfeeding interventions must reflect all these aspects. Current breastfeeding interventions are disjointed and inadequately meet all African American women's social and psychological breastfeeding needs. Poor outcomes indicate a need for an integrative approach to address the complexity of interrelated breastfeeding barriers mothers' experience across layers of the social ecological system.

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“…However, in multivariate regression models, we found that the only attitude towards breastfeeding that was independently predictive for formula=mixed feeding was that if breastfeeding was painful or uncomfortable. Other studies that have evaluated the relationship between attitudes towards breastfeeding and breastfeeding intention have found that partner or friend=family support is important 24 as is confidence or prior experience 25 and fear of pain 15,26 in deciding not to breastfeed. It is our recommendation that future hospital-based efforts to improve breastfeeding rates in San Francisco, including education efforts of lactation consultants, should address these physical concerns associated with early cessation of breastfeeding, including the perceived pain and discomfort associated with breastfeeding.…”

Section: Attitudes Towards Breastfeedingmentioning

confidence: 99%

Early Exclusive Breastfeeding and Maternal Attitudes Towards Infant Feeding in a Population of New Mothers in San Francisco, California

Wojcicki

Gugig

Tran

et al. 2010

Breastfeeding Medicine

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Background: Positive parental attitudes towards infant feeding are an important component in child nutritional health. Previous studies have found that participants in the Special Supplemental Women, Infants, and Children (WIC) Program have lower breastfeeding rates and attitudes that do not contribute towards healthy infant feeding in spite of breastfeeding and nutrition education programs targeting WIC participants. The objective of this study was to assess the frequency of exclusive breastfeeding in the early postpartum period and maternal attitudes towards breastfeeding in a population of mothers at two San Francisco hospitals and in relation to WIC participation status. Methods: We interviewed women who had recently delivered a healthy newborn using a structured interview. Results: A high percentage (79.8%) of our sample was exclusively breastfeeding at 1-4 days postpartum. We did not find any significant differences in rates of formula or mixed feeding by WIC participant status. Independent risk factors for mixed or formula feeding at 1-3 days postpartum included Asian=Pacific Islander ethnicity (odds ratio [OR] 2.90, 95% confidence interval [CI] 1.17-7.19). Being a college graduate was associated with a decreased risk of formula=mixed feeding (OR 0.28, 95% CI 0.10-0.79). We also found that thinking breastfeeding was physically painful and uncomfortable was independently associated with not breastfeeding (OR 1.41, 95% CI 1.06-1.89). Conclusions: Future studies should be conducted with Asian-Americans and Pacific Islanders to better understand the lower rates of exclusive breastfeeding in this population and should address negative attitudes towards breastfeeding such as the idea that breastfeeding is painful or uncomfortable.

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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

Cited by 118 publications

References 25 publications

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

Enhancing Breastfeeding Rates Among African American Women: A Systematic Review of Current Psychosocial Interventions

Early Exclusive Breastfeeding and Maternal Attitudes Towards Infant Feeding in a Population of New Mothers in San Francisco, California

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