Breastfeeding Attitudes and Practices in a Rural Utah Navajo Community

Brown, Laura L.; Talker, Revina; Stoddard, Gregory J.; Clayton, Jessica; Millar, Morgan M.; Jo, Yeonjung; Bardsley, Tyler; Stipelman, Carole H.

doi:10.1007/s10995-021-03247-8

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…Among Navajo mothers, “breastfeeding difficulties including pain, latch issues, and concerns about inadequate milk supply, especially in women who breastfed for six months or less. Most women felt they could have benefitted from lactation consultant support, which studies suggest may ameliorate breastfeeding problems and improve breastfeeding outcomes” [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…Models were adjusted for maternal age (less than 20 years old, 21–35 years old, and greater than 35 years old; self-report), income (less than $48,000 and greater than $48,000; self-report), education (less than high school and greater than high school; derived from birth certificate), participation in the Women, Infants, and Children Nutrition (WIC; derived from birth certificate) program (yes, no), insurance prior to pregnancy (yes, no; self-report), pregnancy intention (yes, no; self-report), Kotelchuck Adequacy of Prenatal Care Utilization (APNCU; derived from birth certificate data) index (inadequate, intermediate, adequate, adequate plus) [ 32 ], Body Mass Index (less than 25, greater than 25; self-report), substance use during pregnancy (cigarette, marijuana, and e-cigarette use; self-report), marital status (yes, no; derived from birth certificate), presence of chronic illness and conditions (diabetes, high blood pressure, and depression; self-report), and adverse childhood experiences (ACEs) (less than 4, 4 or more; self-report). Covariates were informed by prior literature [ 29 , 33 , 34 ].…”

Section: Methodsmentioning

confidence: 99%

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Examining the Role of Interpersonal Violence in Racial Disparities in Breastfeeding in North Dakota (ND PRAMS 2017–2019)

Kanichy

Schmidt

Anderson

et al. 2023

IJERPH

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Background. The 2019 overall breastfeeding initiation rate in the US was 84.1%, yet only 76.6% of American Indian (AI) women initiated breastfeeding. In North Dakota (ND), AI women have greater exposure to interpersonal violence than other racial/ethnic groups. Stress associated with interpersonal violence may interfere with processes important to breastfeeding. We explored whether interpersonal violence partially explains racial/ethnic disparities in breastfeeding in ND. Methods. Data for 2161 women were drawn from the 2017–2019 ND Pregnancy Risk Assessment Monitoring System. Breastfeeding questions in PRAMS have been tested among diverse populations. Breastfeeding initiation was self-report to “Did you ever breastfeed or pump breast milk to feed your new baby, even for a short period?” (yes/no). Breastfeeding duration (2 months; 6 months) was self-reported how many weeks or months of breastmilk feeding. Interpersonal violence for both 12 months before and during pregnancy based on self-report (yes/no) of violence from a husband/partner, family member, someone else, or ex-husband/partner. An “Any violence” variable was created if participants reported “yes” to any violence. Logistic regression models estimated crude and adjusted odds ratios (OR) and 95% confidence intervals (95% CI) for breastfeeding outcomes among AI and Other Race women compared to White women. Sequential models were adjusted for interpersonal violence (husband/partner, family member, someone else, ex-husband/partner, or any). Results. AI women had 45% reduced odds of initiating breastfeeding (OR: 0.55, 95% CI: 0.36, 0.82) compared to white women. Including interpersonal violence during pregnancy did not change results. Similar patterns were observed for all breastfeeding outcomes and all interpersonal violence exposures. Discussion. Interpersonal violence does not explain the disparity in breastfeeding in ND. Considering cultural ties to the tradition of breastfeeding and the role of colonization may provide a better understanding of breastfeeding among AI populations.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Examining the Role of Interpersonal Violence in Racial Disparities in Breastfeeding in North Dakota (ND PRAMS 2017–2019)

Kanichy

Schmidt

Anderson

et al. 2023

IJERPH

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Impact of Breastfeeding Barriers on Racial/Ethnic Disparities in Breastfeeding Outcomes in North Dakota

Ross,

MacPherson,

Baker

et al. 2024

J. Racial and Ethnic Health Disparities

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Objective Exclusive breastfeeding is recommended for the first 6 months of life, but there are racial/ethnic disparities in meeting this recommendation. Methods 2017–2020 North Dakota Pregnancy Risk Assessment Monitoring System (weighted N = 11,754) data were used to examine racial/ethnic differences in the association between self-reported breastfeeding barriers and breastfeeding duration. Breastfeeding duration was self-reported breastfeeding at 2 and 4 months, and number of weeks until breastfeeding cessation. Self-reported breastfeeding barriers were yes/no responses to 13 barriers (e.g., “difficulty latching,” “household duties”). Logistic regression estimated odds ratios and 95% confidence intervals to determine if barriers accounted for breastfeeding disparities by race/ethnicity. Cox proportional hazard models estimated hazard ratios for stopping breastfeeding for American Indian and other race/ethnicity individuals, compared to White individuals. Models were adjusted for birthing parents’ demographic and medical factors. Results Logistic regression results suggest American Indian birthing parents had similar odds for breastfeeding duration (2-month duration: OR 0.94 (95%CI 0.50, 1.77); 4-month duration: OR 1.24 (95%CI 0.43, 3.62)) compared to White birthing parents, after accounting for breastfeeding barriers. Cox proportional hazard models suggest American Indian birthing parents had a lower hazard of stopping breastfeeding (HR 0.76 (95%CI 0.57, 0.99)) than White parents, after accounting for breastfeeding barriers. Conclusions Accounting for breastfeeding barriers eliminated observed disparities in breastfeeding outcomes between American Indian and White birthing parents. Targeted and culturally safe efforts to reduce barriers to breastfeeding are warranted to reduce racial/ethnic disparities in breastfeeding.

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An integrated approach to understanding barriers and supports for breastfeeding among Indigenous women in the Gulf Coast

Doria

Liddell

2023

Journal of Ethnic & Cultural Diversity in Social Work

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Breastfeeding Attitudes and Practices in a Rural Utah Navajo Community

Cited by 3 publications

References 26 publications

Examining the Role of Interpersonal Violence in Racial Disparities in Breastfeeding in North Dakota (ND PRAMS 2017–2019)

Examining the Role of Interpersonal Violence in Racial Disparities in Breastfeeding in North Dakota (ND PRAMS 2017–2019)

Impact of Breastfeeding Barriers on Racial/Ethnic Disparities in Breastfeeding Outcomes in North Dakota

An integrated approach to understanding barriers and supports for breastfeeding among Indigenous women in the Gulf Coast

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