| Titre : | Archives of pediatrics and adolescent medicine |
| Type de document : | Périodique : texte imprimé |
| Editeur : | Chicago [Etats-Unis] : American Medical Association |
| ISBN/ISSN/EAN : | 1072-4710 |
| Langues: | Anglais |
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Paru le : 01/03/2005
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Titre : Immigration, race/ethnicity, and social and economic factors as predictors of breastfeeding initiation (2005) Auteurs : AC Celi, Auteur ; JW Rich-Edwards, Auteur ; MK Richardson, Auteur Type de document : Article : texte imprimé Dans : Archives of pediatrics and adolescent medicine (Vol.159 n°3, Mars 2005) Article en page(s) : pp.255-260 Langues: Anglais Index. décimale : SO.4 (Immigration) Catégories : Démarrage de l'allaitement ; Ethnologie ; Facteur socioéconomique ; Immigration ; Race Résumé : OBJECTIVE: To determine the impact of immigration status as well as race/ethnicity and social and economic factors on breastfeeding initiation. DESIGN: Cohort. SETTING: Multisite group practice in eastern Massachusetts. PARTICIPANTS: One thousand eight hundred twenty-nine pregnant women prospectively followed up in Project Viva. MAIN OUTCOME MEASURE: Whether the participant breastfed her infant. RESULTS: The overall breastfeeding initiation rate was 83%. In multivariate models that included race/ethnicity and social, economic, and demographic factors, foreign-born women were more likely to initiate breastfeeding than US-born women (odds ratio [OR], 3.2 [95% confidence interval (CI), 2.0-5.2]). In models stratified by both race/ethnicity and immigration status, and further adjusted for whether the mother herself was breastfed as an infant and the mother's parents' immigration status, US-born and foreign-born black and Hispanic women initiated breastfeeding at rates at least as high as US-born white women (US-born black vs US-born white women, OR, 1.2 [95% CI, 0.8-1.9], US-born Hispanic vs US-born white women, OR, 1.1 [95% CI, 0.6-1.9], foreign-born black vs US-born white women, OR, 2.6 [95% CI, 1.1-6.0], and foreign-born Hispanic vs US-born white women, OR, 1.8 [95% CI, 0.7-4.8]). Calculations of predicted prevalences showed that, for example, the 2.6-fold increase in odds for the foreign-born black vs US-born white women translated to an increase in probability of approximately 1.4. Higher maternal education and household income also predicted higher initiation rates. CONCLUSIONS: Immigration status was strongly associated with increased breastfeeding initiation in this cohort, implying that cultural factors are important in the decision to breastfeed. Immigrants of all races/ethnicities initiated breastfeeding more often than their US-born counterparts. In addition, US-born minority groups initiated breastfeeding at rates at least as high as their white counterparts, likely due in part to high levels of education and income as well as to access to a medical care system that explicitly supports breastfeeding.
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Paru le : 01/09/2004
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Titre : Effectiveness of Breastfeeding peer counseling in a low-income, predominantly latina population : A randomized controlled trial (2004) Auteurs : Donna J. Chapman, Auteur ; G Damio, Auteur ; R Pérez-Escamilla, Auteur Type de document : Article : texte imprimé Dans : Archives of pediatrics and adolescent medicine (Vol.158 n°9, Septembre 2004) Article en page(s) : pp.897-902 Langues: Anglais Index. décimale : SO.5 (Précarité) Catégories : Essai contrôlé randomisé Etude ; Etats-Unis ; Hispano-américain ; Pauvreté ; Précarité ; Soutien aux mères Résumé : Background: Breastfeeding peer counseling has improved breastfeeding rates in developing countries; however, its impact in this country has not been adequately evaluated. Objective: To evaluate the effectiveness of an existing, breastfeeding peer counseling program within the United States. Design: Randomized, prospective, controlled trial in which participants were recruited prenatally and randomly assigned to receive either routine breastfeeding education or routine breastfeeding education plus peer counseling. Setting: An urban hospital serving a large population of low-income Latinas. Participants: Pregnant women (≤26 weeks' gestation) were recruited from the hospital's prenatal clinic. Inclusion criteria specified that participants be low income, be considering breastfeeding, have delivered a healthy, full-term singleton, and have access to a telephone. Intervention: Breastfeeding peer counseling services included 1 prenatal home visit, daily perinatal visits, 3 postpartum home visits, and telephone contact as needed. Main Outcome Measures: Breastfeeding rates at birth and 1, 3, and 6 months postpartum. Results: The proportion not initiating breastfeeding was significantly lower in the intervention group than among controls (8/90 [9%] vs 17/75 [23%]; relative risk, 0.39; 95% confidence interval, 0.18-0.86). The probability of stopping breastfeeding also tended to be lower in the intervention group at both 1 month (36% vs 49%; relative risk, 0.72; 95% confidence interval, 0.50-1.05) and 3 months (56%, vs 71%; relative risk, 0.78; 95% confidence interval, 0.61-1.00). Conclusion: These findings demonstrate that, in the United States, peer counselors can significantly improve breastfeeding initiation rates and have an impact on breastfeeding rates at 1 and 3 months post partum.
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Paru le : 01/01/1998
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Titre : Strategies to promote breast-feeding among adolescent mothers (1998) Auteurs : CM Wiemann, Auteur ; J Dubois, Auteur ; B Berenson, Auteur Type de document : Article : texte imprimé Dans : Archives of pediatrics and adolescent medicine (Vol.152 n°9) Article en page(s) : pp.862-869 Langues: Anglais Index. décimale : SO.3.2 (Education Adolescents, enfants) Catégories : Adolescent ; Afro-américain ; Alimentation au biberon ; Education adolescent ; Etats-Unis ; Hispano-américain ; Mère ; Promotion de l'allaitement Résumé : Objective: To identify characteristics of adolescent mothers who bottle-feed who considered breast-feeding their infants and strategies to promote breast-feeding within this special group. Design: Adolescents completed an hour-long interview within 48 hours of delivery that elicited factors considered important to the mother's feeding decision and indices of mental health. Setting : Postpartum ward of university hospital. Subjects: A total of 693 adolescents 18 years old or younger (mean age, 16.7 years) from African American, Mexican American, or white race or ethnicity; 27% of Mexican American participants spoke little or no English. Main Outcome Measures: Factors associated with breast-feeding decision.
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