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African American


Exploring the Concept of Positive Deviance Related to Breastfeeding Initiation in Black and White WIC Enrolled First Time Mothers

This study explored the characteristics of positive deviants for breastfeeding among WIC-enrolled first-time mothers in Louisiana. researchers found that breastfeeding in the hospital after delivery and having received help with how to breastfeed in the hospital were significantly associated with breastfeeding initiation in white and black mothers. They also found that the black positive deviants were more likely to have initiated breastfeeding if their baby was low birth weight.


Breastfeeding Among Minority Women: Moving From Risk Factors to Interventions

This critical review aimed to identify and assess US-based randomized trials, by evaluating breastfeeding interventions that targeted minorities. Peer counseling interventions, breastfeeding-specific clinic appointments, group prenatal education, and hospital/WIC enhancements all greatly improved breastfeeding initiation, duration, of exclusivity.


Breastfeeding Among High-Risk Inner-City African-American Mothers: A Risky Choice?

This study investigated barriers to breastfeeding faced by inner-city African-American women. The following themes emerged from focus groups: low self-esteem, low self-efficacy, fear of social isolation, formula as a cultural norm, worries about breastfeeding in public, challenging family relationships, negative postpartum hospital experiences, and lack of support after going home.


WIC and Breastfeeding Support Services: Does the Mix of Services Offered Vary with Race and Ethnicity?

This study explored the associations between breastfeeding initiation and the availability of WIC-based breastfeeding support, as well as the racial and ethnic composition of WIC clients in North Carolina. The study found that breastfeeding initiation by site was negatively associated with the percentage of African-American clients and positively associated with percentage of white or Hispanic clients.


Predicting Intentions to Continue Exclusive Breastfeeding for 6 Months: A Comparison Among Racial/Ethnic Groups

The purpose of this study was to explore how mothers of different races/ethnicities make decisions to continue exclusive breastfeeding (EBF) for 6 months under the theory of planned behavior. Intentions to continue EBF for 6 months were similar across racial/ethnic groups. The intention to breastfeed was explained most by the three theoretical constructs: attitude, subjective norm, and perceived behavioral control.


What Do Pregnant Low-Income Women Say About Breastfeeding?

The purpose of this study was to understand the reasons for low rates of breastfeeding and the maternal selection of infant-feeding methods in African-American mothers. Results indicated that mothers wanted to breastfeed for maternal reasons, for infant-related reasons, and because others advised them to breastfeed. Mothers did not want to breastfeed for lifestyle reasons, pain-related reasons, lactation process issues, and hypothetical medical reasons.


Predicting Intentions to Continue Exclusive Breastfeeding for 6 Months: a Comparison Among Racial/Ethnic Groups

The purpose of this study was to explore how mothers of different races/ethnicities make decisions to continue exclusive breastfeeding (EBF) for 6 months under the theory of planned behavior. Intentions to continue EBF for 6 months were similar across racial/ethnic groups. The intention to breastfeed was explained most by the three theoretical constructs: attitude, subjective norm, and perceived behavioral control.


Factors that Influence Breastfeeding Decisions among Special Supplemental Nutrition Program for Women, Infants, and Children Participants from Central Louisiana

This study investigated factors that impacted the decision to breastfeed and looked at the effect of formula provided by WIC on breastfeeding initiation and duration among WIC participants in a rural parish in central Louisiana. Participants felt that the incentives provided to encourage breastfeeding did not affect their decisions to breastfeed. The majority (96%) of the participants in this study indicated that WIC provide effective and clear education about the benefits of breastfeeding and that this advice influenced their decision to breastfeed their children.


A Randomized Controlled Community-Based Trial to Improve Breastfeeding Rates Among Urban Low-Income Mothers

The purpose of this study was to assess whether providing a breastfeeding support team would result in higher breastfeeding rates at 6, 12, and 24 weeks postpartum among urban low-income mothers. There were no differences in the sociodemographic characteristics between the groups. Compared with the usual-care group, more women reported breastfeeding in the intervention at 6 weeks postpartum.