Experiences of Racism and Breastfeeding Initiation and Duration Among First-Time Mothers of the Black Women’s Health Study

Griswold, Michele K.; Crawford, Sybil L.; Perry, Donna J.; Person, Sharina D.; Rosenberg, Lynn; Cozier, Yvette C.; Palmer, Julie R.

doi:10.1007/s40615-018-0465-2

Cited by 51 publications

(73 citation statements)

References 59 publications

(65 reference statements)

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“…Of the studies reviewed, 3 were qualitative and 2 used quantitative methods. Researchers sought the perspectives of pregnant or postpartum women in 2 of the studies . Two studies examined the perceptions of health care providers .…”

Section: Resultsmentioning

confidence: 99%

“…Griswold and colleagues performed a secondary analysis of the Black Women's Health Study using data collected from 1995 to 2005. The Black Women's Health Study is a longitudinal study examining factors, including racism, that may influence health outcomes for black women in the United States.…”

Section: Resultsmentioning

confidence: 99%

“…The Black Women's Health Study is a longitudinal study examining factors, including racism, that may influence health outcomes for black women in the United States. The researchers used a life course perspective to examine the effect of exposure to daily racism (eg, “people act if: they are afraid of you, they are better than you; you receive poorer service”) and experiences of institutional racism (eg, being treated unfairly regarding housing, job, and police).…”

Section: Resultsmentioning

confidence: 99%

“…Conversely, experience of racism with police encounters (reported by 21% of the women) was associated with increased breastfeeding initiation (OR, 1.41; 95% CI, 1.10‐1.80) and increased breastfeeding duration of more than 6 months (OR, 1.41; 95% CI, 1.10‐1.82) compared with women who did not have experiences of racism in police interactions. Racism in the employment setting was associated with lower odds of continuing breastfeeding at 3 to 5 months compared with 3 months or less (OR, 0.77; 95% CI, 0.60‐0.99) …”

Section: Resultsmentioning

confidence: 99%

“…Although only 5 studies were included in this scoping review, the findings confirm that racism, bias, and discrimination are consistently reported to exist and to be factors that have adverse effects on breastfeeding care, support, and outcomes for African American women. Experiences of racism adversely affected both breastfeeding initiation and duration . African American women and their health care providers identified stressors that may be a consequence of racism and that took precedence over breastfeeding .…”

Section: Discussionmentioning

confidence: 99%

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Racism, Bias, and Discrimination as Modifiable Barriers to Breastfeeding for African American Women: A Scoping Review of the Literature

Robinson

Fial

Hanson

2019

J Midwife Womens Health

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Introduction Although breastfeeding has been shown to improve health outcomes for infants, African American women initiate and continue breastfeeding at lower rates than women from other racial groups. This scoping review was conducted to assess the effect racism, bias, and discrimination have on breastfeeding care, support, and outcomes for African American women. Methods A scoping review was performed of the literature published between January 2010 through December 2019 using databases MEDLINE via PubMed, CINAHL, Cochrane Library, PsycINFO, and Sociological Abstracts. Studies that examined racism, bias, or discrimination with breastfeeding as an outcome were included. After a review of titles and abstracts of the articles using exclusion and inclusion criteria, 5 full‐text articles were included in the scoping review. Results The qualitative and quantitative studies reviewed provide the perspectives of pregnant and postpartum African American women as well as those of health care providers. African American women's experiences of racism adversely affected both breastfeeding initiation and duration. Health care providers’ biased assumption that African American women would not breastfeed affected the quality of breastfeeding support provided to them. Specifically, African American women received fewer referrals for lactation support and more limited assistance when problems developed. This scoping review provides evidence that African American women experience racism, bias, and discrimination affecting breastfeeding care, support, and outcomes. Discussion Racism, bias, and discrimination are modifiable barriers that adversely affect breastfeeding among African American women. Researchers and health care providers are encouraged to consider the effect of racism, bias, and discrimination on breastfeeding care, support, and outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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