Prevalence of Breastfeeding and Acculturation in Hispanics:  Results from NHANES 1999–2000 Study

Gibson, Maria V.; Díaz, Vanessa A.; Mainous, Arch G.; Geesey, Mark E.

doi:10.1111/j.0730-7659.2005.00351.x

Cited by 64 publications

(73 citation statements)

References 13 publications

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“…These findings are consistent with evidence from several studies documenting Latinas preference nonexclusive breastfeeding or formula feeding. [8][9][10][11][12][13][32][33][34][35] However, our rates of exclusive breastfeeding were lower than those reported in the literature, [36] as nearly none of breastfeeding infants were receiving breast milk exclusively. The one exclusive breastfed infant belonged in the overweight group and further analysis of this infant"s dietary intake revealed the mother reported frequently breastfeeding as often as 20 times during a 24-hour period.…”

Section: Discussioncontrasting

confidence: 81%

Differences in modifiable feeding factors by overweight status in Latino infants

Cartagena

McGrath

Masho

2016

Applied Nursing Research

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Section: Discussioncontrasting

confidence: 81%

Differences in modifiable feeding factors by overweight status in Latino infants

Cartagena

McGrath

Masho

2016

Applied Nursing Research

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“…18,19 Lower odds of breastfeeding associated with increased levels of acculturation in the general population and among Hispanic women have been observed previously, another finding consistent with our study. 8,21,[25][26][27] This study has certain limitations. First, the NSCH lacked data on exclusive breastfeeding, which is important in terms of conferred health benefits of breastfeeding.…”

Section: Discussionmentioning

confidence: 93%

Nativity/Immigrant Status, Race/Ethnicity, and Socioeconomic Determinants of Breastfeeding Initiation and Duration in the United States, 2003

2007

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OBJECTIVES. Previous research has shown substantial racial/ethnic and socioeconomic disparities in US breastfeeding initiation and duration rates. However, the role of immigrant status in understanding such disparities has not been well studied. In this study we examined the extent to which breastfeeding initiation and duration varied by immigrant status overall and in conjunction with race/ethnicity and socioeconomic status after controlling for other relevant social and behavioral covariates.METHODS. The cross-sectional data for 33 121 children aged 0 to 5 years from the 2003 National Survey of Children's Health were used to calculate ever-breastfeeding rates and duration rates at 3, 6, and 12 months by social factors. Multivariate logistic regression was used to estimate relative odds of never breastfeeding and not breastfeeding at 6 and 12 months.RESULTS. More than 72% of mothers reported ever breastfeeding their infants, with the duration rate declining to 52%, 38%, and 16% at 3, 6, and 12 months, respectively. Ever-breastfeeding rates varied greatly among the 12 ethnic-immigrant groups included in this analysis, from a low of 48% for native black children with native parents to a high of 88% among immigrant black and white children. Compared with immigrant Hispanic children with foreign-born parents (the least acculturated group), the odds of never breastfeeding were respectively 2.4, 2.9, 6.5, and 2.4 times higher for native children with native parents (the most acculturated group) of Hispanic, white, black, and other ethnicities. Socioeconomic patterns also varied by immigrant status, and differentials were greater in breastfeeding at 6 months.CONCLUSIONS. Immigrant women in each racial/ethnic group had higher breastfeeding initiation and longer duration rates than native women. Acculturation was associated with lower breastfeeding rates among both Hispanic and non-Hispanic women. Ethnic-immigrant and social groups with lower breastfeeding rates identified herein could be targeted for breastfeeding promotion programs.www.pediatrics.org/cgi

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“…13 44 The cohort study was not designed to assess acculturation, so we used generational status, language spoken at home, and length of residency as indicators. Though validated questionnaires are available to assess acculturation, 25 26 country of birth, 15-17 19 20 22 23 language, 21 and length of residency 18 23 24 have been used in research from the US. These measures are likely to be easier for large scale studies and for health professionals to use and interpret than specific questionnaires.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Influence of moving to the UK on maternal health behaviours: prospective cohort study

Hawkins

Lamb

Cole

et al. 2008

BMJ

130

120

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Objective To compare health behaviours during pregnancy (smoking and alcohol consumption) and after birth (initiation and duration of breast feeding) between British/Irish white mothers and mothers from ethnic minority groups; and, in mothers from ethnic minority groups, to examine whether indicators of acculturation (generational status, language spoken at home, length of residency in the United Kingdom) were associated with these health behaviours. Design Prospective nationally representative cohort study. Setting England. Participants 6478 British/Irish white mothers and 2110 mothers from ethnic minority groups. Main outcome measures Any smoking during pregnancy; any alcohol consumption during pregnancy; initiation of breast feeding; breast feeding for at least four months. Results Compared with British/Irish white mothers, mothers from ethnic minority groups were less likely to smoke (15% v 37%) or consume alcohol (14% v 37%) during pregnancy but more likely to initiate breast feeding (86% v 69%) and breast feed for at least four months (40% v 27%). Among mothers from ethnic minority groups, first and second generation mothers were more likely to smoke during pregnancy (odds ratio 3.85, 95% confidence interval 2.50 to 5.93, and 4.70, 2.49 to 8.90, respectively), less likely to initiate breast feeding (0.92, 0.88 to 0.97, and 0.86, 0.75 to 0.99), and less likely to breast feed for at least four months (0.72, 0.62 to 0.83, and 0.52, 0.30 to 0.89) than immigrants, after adjustment for sociodemographic characteristics. There were no consistent differences in alcohol consumption. Among immigrants, for every additional five years spent in the UK the likelihood of mothers smoking during pregnancy increased by 31% (4% to 66%) and they were 5% (0% to 10%) less likely to breast feed for at least four months. Conclusions After immigration, maternal health behaviours worsen with length of residency in the UK. Health professionals should not underestimate women's likelihood of engaging in risky health behaviours because of their ethnicity.

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Prevalence of Breastfeeding and Acculturation in Hispanics:  Results from NHANES 1999–2000 Study

Cited by 64 publications

References 13 publications

Differences in modifiable feeding factors by overweight status in Latino infants

Differences in modifiable feeding factors by overweight status in Latino infants

Nativity/Immigrant Status, Race/Ethnicity, and Socioeconomic Determinants of Breastfeeding Initiation and Duration in the United States, 2003

Influence of moving to the UK on maternal health behaviours: prospective cohort study

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Prevalence of Breastfeeding and Acculturation in Hispanics: Results from NHANES 1999–2000 Study

Cited by 64 publications

References 13 publications

Differences in modifiable feeding factors by overweight status in Latino infants

Differences in modifiable feeding factors by overweight status in Latino infants

Nativity/Immigrant Status, Race/Ethnicity, and Socioeconomic Determinants of Breastfeeding Initiation and Duration in the United States, 2003

Influence of moving to the UK on maternal health behaviours: prospective cohort study

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Prevalence of Breastfeeding and Acculturation in Hispanics:  Results from NHANES 1999–2000 Study