Dear Lactnet Friends:
Womens Health Issues. <http://www.ncbi.nlm.nih.gov/pubmed/21565528#> 2011
Sep-Oct;21(5):374-82. Epub 2011 May 12.
Racial/ethnic differences in breastfeeding duration among WIC-eligible
families.
Sparks PJ<http://www.ncbi.nlm.nih.gov/pubmed?term=%22Sparks%20PJ%22%5BAuthor%5D>
.
Source
Department of Demography and Organization Studies, University of Texas at
San Antonio, San Antonio, Texas 78207, USA. [log in to unmask]
Abstract PURPOSE:
This research documented racial/ethnic differences in breastfeeding
duration among mothers from seven diverse racial/ethnic groups in rural and
urban areas of the United States that initiated breastfeeding among income
and categorically eligible WIC participants.
METHODS:
Using data from the Longitudinal 9-Month-Preschool Restricted-Use data file
of the Early Childhood Longitudinal Study-Birth Cohort, this research first
assessed racial/ethnic differences in breastfeeding initiation and
duration, maternal and child health characteristics, social service usage,
and sociodemographic characteristics. Next, breastfeeding survivorship and
Cox proportional hazards models were estimated to assess potential
racial/ethnic disparities in breastfeeding duration once these control
variables were accounted for in multiple variable models.
FINDINGS:
Breastfeeding initiation rates and breastfeeding durations of 6 months were
lower among WIC-eligible mothers compared with all mothers. WIC-eligible,
foreign-born Mexican-Origin Hispanic (FBMOH) mothers were most likely to
breastfeed for 6 months. Breastfeeding duration rates dropped quickly after
4 months of duration among WIC-eligible mothers that initiated. Two
crossover patterns in breastfeeding durations were noted among 1) FBMOH and
non-Hispanic Black mothers and 2) Asian and Native American mothers. A
FBMOH breastfeeding duration advantage was noted compared with non-Hispanic
White mothers once all control variables were included in the Cox
proportional hazard models. No other racial/ethnic disparities in
breastfeeding duration were noted.
CONCLUSION:
More attention to educational programs and broad forms of support as part
of WIC are needed to help reach the breastfeeding duration goals of Healthy
People 2010 and continued support of the Loving Support Peer Counseling
Program may serve as an ideal policy for local WIC offices.
warmly,
--
Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI, ANLC, CKC
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com
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