Government & Law Political Science Social Sciences Sociology
Objectives
Despite the promotion of breastfeeding as the "ideal" infant feeding method by health experts, breastfeeding continues to be less common among low-income and minority mothers than among other women. This article investigates how maternal sociodemographic and infant characteristics, household environment, and health behaviors are related to breastfeeding initiation and duration among low-income, inner-city mothers, with a specific focus on differences in breastfeeding behavior by race/ethnicity and nativity status.
Methods
Using data from a community-based, longitudinal study of women in Philadelphia, PA (N=1,140), we estimate logistic regression and Cox proportional hazard models to predict breastfeeding initiation and duration.
Results
Both foreign-born black mothers and Hispanic mothers (most of whom were foreign born) were significantly more likely to breastfeed their infants than non-Hispanic white women, findings that were partly explained by foreign-born and Hispanic mothers' prenatal intention to breastfeed. In contrast to previous studies, we also found that native-born black women were more likely to breastfeed than non-Hispanic white women.
Conclusion
Our findings suggest that when poor whites and African Americans are similarly situated in an inner-city context, the disparity in their behavior with respect to infant feeding is not as distinct as documented in national surveys. Breastfeeding was much more common among low-income immigrant black women than among white or native-born black mothers.
Racial/Ethnic Differences in Breastfeeding Initiation and Duration Among Low-Income Inner-City Mothers
Creators
Helen J. Lee - Public Policy Institute of California
Irma T. Elo - University of Pennsylvania
Kelly F. McCollum - Drexel University
Jennifer F. Culhane - Drexel University
Publication Details
Social science quarterly, v 90(5), pp 1251-1271
Publisher
Wiley
Number of pages
21
Grant note
R24HD044964 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
R01HD036462 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
R01 HD036462-01A1; R01 HD036462-03S1; R01 HD036462-02S1; R01 HD036462-03; R01 HD036462-04; R01 HD036462; R01 HD036462-02; P2C HD044964; R01 HD036462-04S1; R24 HD044964 / NICHD NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Resource Type
Journal article
Language
English
Web of Science ID
WOS:000270832700012
Scopus ID
2-s2.0-70350166763
Other Identifier
991019339693304721
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