This article examines the progress in breastfeeding support through workplaces, public education, professional education, health system changes, support services, and research. Although there has been considerable progress in breastfeeding support over the past 25 years, significant gaps remain in protecting, promoting, and supporting breastfeeding.
The purpose of this study was to identify what factors impact infant-feeding decisions of low-income women. Results indicated that women who attended support groups were more than twice as likely to intend to breastfeed, compared with women who did not attend such sessions. These results highlighted the importance of social influences on the decision to breastfeed and indicated the need for broadened community-based education for the promotion of breastfeeding.
This study examines how breastfeeding behaviors, perceptions, and experiences vary by race and ethnicity among a low-income sample in the US. The authors concluded that although breastfeeding initiation rates approached the Healthy People 2010 goals, breastfeeding duration remained far below these goals. Racial and ethnic differences in experiences related to breastfeeding cessation suggested that culturally sensitive breastfeeding interventions were necessary.
The purpose of this study was to determine whether breastfeeding attitudes were associated with breastfeeding intent and sociodemographic variables. The findings suggested that targeting breastfeeding initiatives toward low-income, less-educated, US-born mothers who lacked breastfeeding support from their loved ones might improve breastfeeding rates among urban first-time mothers.
This study intended to provide a better understanding of how low-income pregnant/postpartum women decide whether to breastfeed. The results showed that other ; opinions influenced feeding decisions in this population, including significant others, family, and friends. Involving these relations in the breastfeeding education process might help to improve breastfeeding rates.
The WIC Infant-Feeding Practices Study was a nationally representative 1-year longitudinal study of WIC participants that obtained information about attitudes regarding infant feeding and infant-feeding practices. Results indicated that all ethnic groups were concerned about insufficient milk. Hispanic mothers were more likely to agree with the statements about the benefits of breastfeeding. Black mothers were more likely to agree with statements about barriers. These results could help inform a redesign of the WIC breastfeeding promotion campaign.
This study explored the context of black women's infant-feeding decisions in an urban WIC clinic. The study revealed that the availability of free formula facilitated bottle-feeding choices. However, incorporating personalized breastfeeding promotion and building a trusting relationship with WIC providers encouraged breastfeeding decisions for almost half of the key informants.
The author explored infant-feeding beliefs and experiences of black women enrolled in WIC (BWEW) in a New York metropolitan inner city. The following were among the major themes that emerged from this analysis: (1) formula-feeding experiences were the norm for most BWEW; (2) life experiences of BWEW included a preponderance of loss and stress; and (3) infant-feeding beliefs of BWEW reflected responses to life experiences.
This study analyzed breastfeeding initiation rates among Michigan preteen and teenage mothers (ages 12 to 19) by demographics and health behaviors. The results showed that for white mothers, the strongest predictor of breastfeeding initiation was education beyond high school. Black mothers were less likely to breastfeed if they had multiparous births.
This study applied a social ecological framework to investigate reasons for lagging breastfeeding rates among African-American women. Results show that macro-level factors;such as the media, aggressive marketing of breast milk substitutes, welfare reform, hospital policy, and breastfeeding legislation; interact with micro-level factors to influence a woman's decision to breastfeed.
