SUPPORT FROM KEY INDIVIDUALS PROLONGS BREASTFEEDING DURATION IN A LOW-INCOME, PREDOMINANTLY LATINA SAMPLE
Background: Breastfeeding duration rates among low-income, racial/ethnic minority women, especially among Puerto Rican mothers living in the United States, continue to be disproportionately low. Reasons for these low breastfeeding duration rates are not clear and interventions increasing breastfeeding support among minority women have yielded conflicting results.
Study Objective: Examine the role of lay/personal, healthcare professional, and employer support on breastfeeding duration among a low-income, predominantly Latina sample.
Study Design: Participants were breastfeeding mothers (n=131) who were interviewed using a questionnaire including demographic information, infant feeding practices and Multidimensional Scale of Perceived Social Support (MSPSS). Linear regression was used for analysis.
Results: Participants were low-income (85%), Latina (71%, (63% Puerto Rican)), high school educated or less (60%), and not married or in a domestic partnership (73%). Median duration of breastfeeding for the entire cohort was 3 months (range, 0.12-24 months). 80% of interviewed mothers initiated breastfeeding; 24% breastfed >6 months; and 13% breastfed >12 months. Among Latinas, Puerto Rican mothers reported shorter breastfeeding duration (p<0.01). Employer, maternal grandmother, and paternal grandmother support were associated with longer duration (AExp(B): 2.1, 95% CI [1.2, 3.7], p=0.01, AExp(B): 2.4, 95% CI [1.4, 4.1], p<0.01, AExp(B): 2.1, 95% CI [1.3, 3.5], p<0.01, respectively).Conclusions and Relevance: Breastfeeding initiation rates were high but duration rates were low, especially in Puerto Rican mothers.. This highlights the importance of researching Latina subpopulations. Employer and grandmother support were associated with longer duration and could inform future interventions.
Sparks PJ. Racial/ethnic differences in breastfeeding duration among WIC-eligible families. Womens Health Issues. 2011;21(5):374-382.
Jones KM, Power ML, Queenan JT, Schulkin J. Racial and ethnic disparities in breastfeeding. Breastfeeding Medicine. 2015;10(4):186-196.
Bartick MC, Jegier BJ, Green BD, Schwarz EB, Reinhold AG, Stuebe AM. Disparities in breastfeeding: Impact on maternal and child health outcomes and costs. Pediatrics. 2016.
Committee oHCfUW. Breastfeeding in underserved women: Increasing initiation and continuation of breastfeeding. American College of Obstetricians and Gynecologists: American College of Obstetricians and Gynecologists;2013.
Louis-Jacques A, Deubel TF, Taylor M, Stuebe AM. Racial and ethnic disparities in U.S. breastfeeding and implications for maternal and child health outcomes. Seminars in Perinatology. 2017;41(5):299-307.
Washio Y, Humphreys M, Sierra-Ortiz M, et al. Incentive-based Intervention to Maintain Breastfeeding Among Low-income Puerto Rican Mothers. Pediatrics. 2017;139(3).
Anstey EH, MacGowan CA, Allen JA. Five-year progress update on the Surgeon General's Call to Action to Support Breastfeeding, 2011. Journal of Women's Health. 2016;25(8):768-776.
USDHHS. The Surgeon General's call to action to support breastfeeding. U.S. Department of Health and Human Services, Office of the Surgeon General. 2011:1-87.
Patnode CD, Henninger ML, Senger CA, Perdue LA, Whitlock EP. Primary care interventions to support breastfeeding: Updated evidence report and systematic review for the us preventive services task force. Journal of American Medical Association. 2016;316(16):1694-1705.
Huang R, Yang M. Paid maternity leave and breastfeeding practice before and after California's implementation of the nation's first paid family leave program. Economics and Human Biology. 2015;16:45-59.
Bunik M, Shobe P, O’Conner ME, et al. Are 2 weeks of daily breastfeeding support insufficient to overcome the influences of formula? . Academic Pediatrics. 2010;10(1):21-28.
Wouk K, Lara-Cinisomo S, Stuebe AM, Poole C, Petrick JL, McKenney KM. Clinical Interventions to Promote Breastfeeding by Latinas: A Meta-analysis. Pediatrics. 2016;137(1).
Sriraman NK, Kellams A. Breastfeeding: What are barriers? Why woman struggle to achieve their goals. Journal of Women's Health. 2016;25(7):714-722.
Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of personality assessment. 1988;52:30-41.
Health NIo. Racial and Ethnic Categories and Definitions for NIH Diversity Programs and for Other Reporting Purposes. 2015.
Hothorn T, Hornik K, Wiel M, Zeileis A. coin: A Computational Framework for Conditional Inference.
Kleinbaum DG, Kupper LL, Nizam A, Rosenberg ES. Applied Regression Analysis and Other Multivariate Methods. 5 ed2014.
Lenth RV. Java Applets for Power and Sample Size [Computer software]. 2006-2009; http://www.stat.uiowa.edu/~rlenth/Power. Accessed July 27, 2017.
Organization WH. Planning Guide for national implementation of the Global Strategy for Infant and Young Child Feeding 2006.
Haughton J, Gregorio D, Perez-Escamilla R. Factors associated with breastfeeding duration among Connecticut Special Supplementation Nutrition Program for Women, Infants, and Children (WIC) participants. Journal of Human Lactation. 2010;26(3):266-273.
Nwaru BI, Takkinen H, Niemela O, et al. Timing of infant feeding in relation to childhood asthma and allergic diseases. Journal of Allergy & Clinical Immunology. 2013;131:78-86.
Dagher RK, McGovern PM, Schold JD, Randall XJ. Determinants of breastfeeding initiation and cessation among employed mothers: a prospective cohort study. BMC Pregnangcy Childbirth. 2016;16(1):194.
Negin J, Coffman J, Vizintin P, Raynes-Greenow C. The influence of grandmothers on breastfeeding rates: a systematic review. BMC Pregnancy Childbirth. 2016;16:91.
Grassley JS, Spencer BS, Law B. A Grandmother’s Tea: Evaluation of a Breastfeeding Support Intervention. The Journal of Perinatal Education. 2012;21(2):80-89.
Li R, Fein SB, Chen J, Grummer-Strawn LM. Why mothers stop breastfeeding: Mothers' self-reported reasons for stopping during the first year. Pediatrics. 2008;122:S69-S76.
Sullivan ML, Leathers SJ, Kelley M. Family characteristics associated with duration of breastfeeding during early infancy among primiparas. Journal of Human Lactation. 2004;20(2):196-205.
Oniwon O, Tender JAF, He J, Voorhees E, Moon RY. Reaons for infant feeding decisions in low-income families in Washington, DC. Journal of Human Lactation. 2016.
Howell EA, Bodnar-Deren S, Balbierz A, Parides M, Bickell N. An intervention to extend breastfeeding among black and Latina mothers after delivery. American Journal of Obstetrics and Gynecology. 2014;210(3):239.
Bonuck KA, Trombley M, Freeman K, McKee D. Randomized, controlled trial of a prenatal and postnatal lactation consultant intervention on duration and intensity of breastfeeding up to 12 months. Pediatrics. 2005;116(6):1413-1426.
Chung M, Ip S, Yu W, et al. Interventions in primary care to promote breastfeeding: a systematic review. Agency for Healthcare Research and Quality. 2008.
Rozga MR, Kerver JM, Olson BH. Self-reported reasons for breastfeeding cessation among low-income women enrolled in a peer counseling breastfeeding support program. J Hum Lact. 2015;31(1):129-137; quiz 189-190.
CDC NCfCDPaHP. Breastfeeding Report Card. National Center for Chronic Disease Prevention and Health Promotion: National Center for Chronic Disease Prevention and Health Promotion; 2013:1-8.
Anderson AK, Damio G, Himmelgreen D, Peng Y, Segura-Perez S, Perez-Escamilla R. Social capital, acculturation, and breastfeeding initiation among Puerto RIcan women in the United States. Journal of Human Lactation. 2004;20(1):39-45.
Chapman DJ, Perez-Escamilla R. Breastfeeding among minority women: Moving from risk factors to interventions. American Society for Nutrition. 2012;3:95-104.
Hedberg IC. Barriers to breastfeeding in the WIC population. The American Journal of Maternal/Child Nursing. 2013;38(4):244-249.
Strang L, Broeks M. Maternity Leave Policies Trade-Offs Between Labour Market Demands and Health Benefits for Children. Rand Health Quarterly. 2017;6(4):9.
Singh GK, Kogan MD, Dee DL. Nativity/immigrant status, race/ethnicity, and socioeconomic determinants of breastfeeding initiation and duration in the United States, 2003. Pediatrics. 2006:S38-S46.
Rosas-Salazar C, Forno E, Brehm JM, et al. Breastfeeding duration and asthma in Puerto Rican children. Pediatr Pulmonol. 2015;50:527-534.
Barcelona de Mendoza V, Harville E, Theall K, Buekens P, Chasan-Taber L. Acculturation and intention to breastfeed among a population of predominantly Puerto Rican women. Birth: Issues in Perinatal Care. 2016;43(4):78-85.
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