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Breastfeeding among Low Income, African-American Women: Power, Beliefs and Decision Making / ME Bentley in Journal of Nutrition, Vol.133 Supplément (Janvier 2003)
Titre : Breastfeeding among Low Income, African-American Women: Power, Beliefs and Decision Making Type de document : texte imprimé Auteurs : ME Bentley, Auteur ; DL Dee, Auteur ; JL Jensen, Auteur Article en page(s) : pp.305S-309S Langues : Anglais (eng) Catégories : Afro-américain
Index. décimale : SO.5 Précarité Résumé : Breastfeeding rates among African-American women lag behind all other ethnic groups. National data show that only 45% of African-American women reported ever breastfeeding compared to 66 and 68% of Hispanic and white women, respectively. Of African-American women who do choose to breastfeed, duration is short, with many discontinuing in the first days after birth. This report applies a social ecological framework to breastfeeding to investigate macrolevel?microlevel linkages. We posit that macrolevel factors, such as the media, aggressive marketing of breastmilk substitutes, welfare reform, hospital policy and breastfeeding legislation, interact with microlevel factors to influence a woman?s decision to breastfeed. These microlevel factors include features of the community, neighborhoods, workplaces that support or discourage breastfeeding, social and personal networks and cultural norms and individual beliefs about breastfeeding. The report discusses how power operates at each level to influence women?s choices and also emphasizes the value of ethnographic data in breastfeeding studies. Through a case study of a sample of low income, African-American women living in Baltimore, MD, where breastfeeding role models are few, beliefs that discourage breastfeeding are many, and where everyday life is full of danger and fear, it is understandable that breastfeeding is not considered practical. The narrative data provide important information that can be used to enhance intervention efforts. To reach the Surgeon General?s Healthy People 2010 breastfeeding goals requires a shift in cultural norms and structures at all levels that will support breastfeeding for all women. Permalink :
in Journal of Nutrition > Vol.133 Supplément (Janvier 2003) . - pp.305S-309S[article]Breastfeeding Initiation and Duration Among Low-Income Women in Alabama : The Importance of Personal and Familial Experiences in Making Infant-Feeding Choices / RO Meyerink in Journal of Human Lactation, Vol.18 n°1 (Février 2002)
Titre : Breastfeeding Initiation and Duration Among Low-Income Women in Alabama : The Importance of Personal and Familial Experiences in Making Infant-Feeding Choices Type de document : texte imprimé Auteurs : RO Meyerink, Auteur ; GS Marquis, Auteur Article en page(s) : pp.38-45 Langues : Anglais (eng) Catégories : Afro-américain
Démarrage de l'allaitement
Durée de l'allaitement
Index. décimale : SO.5 Précarité Résumé : To gain perspective on breastfeeding initiation and duration among poor women in the south-eastern United States, the authors interviewed a random sample of 150 mothers (93% African American) at a county health clinic in Birmingham, Alabama. Forty-one percent of women initiated breastfeeding, 24% breastfed for at least 1 month, and 8.3% breastfed for 3 months or more. Initiation of breastfeedingw as positively associated with the mother having been breastfed herself and having breastfed a previous infant, and negatively associated with premature delivery. Breastfeeding at 1 month was more likely among older women and women with close relatives who breastfed. Duration of breastfeeding beyond 1 month was associated only with the mother having been breastfed and having breastfed a previous infant. Maternal and familial breastfeeding experiences eliminated the effect of more distal factors, such as income or education, on some feeding decisions. The strong influence of breastfeeding experiences must be considered in infant feeding interventions. Permalink :
in Journal of Human Lactation > Vol.18 n°1 (Février 2002) . - pp.38-45[article]Factors Distinguishing Positive Deviance Among Low-Income African American Women: A Qualitative Study on Infant Feeding / Cecilia E. Barbosa in Journal of Human Lactation, Vol. 33, n°2 (Mai 2017)
Titre : Factors Distinguishing Positive Deviance Among Low-Income African American Women: A Qualitative Study on Infant Feeding Type de document : texte imprimé Auteurs : Cecilia E. Barbosa, Auteur ; Saba W. Masho, Auteur ; Kellie E. Carlyle, Auteur Année de publication : 2017 Article en page(s) : pp. 368-378 Langues : Anglais (eng) Catégories : Afrique
Lait artificiel pour nourrisson
Maintien de l'allaitement
Nutrition du nourrisson
Pratique de l'allaitement
Soutien aux mères
Soutien des familles
Résumé : "Background:
Positive deviant individuals practice beneficial behaviors in spite of having qualities characterizing them as high risk for unhealthy behaviors.
This study aimed to identify and understand factors distinguishing low-income African American women who breastfeed the longest (positive deviants) from those who breastfeed for a shorter duration or do not breastfeed.
Seven mini-focus groups on infant-feeding attitudes and experiences were conducted with 25 low-income African American women, grouped by infant-feeding practice. Positive deviants, who had breastfed for 4 months or more, were compared with formula-feeding participants who had only formula fed their babies and short-term breastfeeding participants who had breastfed for 3 months or less.
Positive deviant women had more schooling, higher income, breastfeeding intention, positive breastfeeding and unfavorable formula-feeding attitudes, higher self-efficacy, positive hospital and Special Supplemental Nutrition Program for Women, Infants, and Children experiences, more exclusive breastfeeding, and greater comfort breastfeeding in public. Short-term breastfeeding women varied in breastfeeding intention and self-efficacy, seemed to receive insufficient professional breastfeeding support, and supplemented breastfeeding with formula. Some showed ambivalence, concern with unhealthy behaviors, and discomfort with breastfeeding in public. Formula-feeding women intended to formula feed, feared breastfeeding, thought their behaviors were incompatible with breastfeeding, were comfortable with and found formula convenient, and received strong support to formula feed.
Tapping into the strengths of positive deviants; tailoring interventions to levels of general and breastfeeding self-efficacy; increasing social, institutional, and community supports; and removing inappropriate formula promotion may offer promising strategies to increase breastfeeding among low-income African American women." [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 33, n°2 (Mai 2017) . - pp. 368-378[article]Integrative Literature Review of Factors Related to Breastfeeding in African American Women: Evidence for a Potential Paradigm Shift / Stephanie DeVane-Johnson in Journal of Human Lactation, Vol. 33, n°2 (Mai 2017)
Titre : Integrative Literature Review of Factors Related to Breastfeeding in African American Women: Evidence for a Potential Paradigm Shift Type de document : texte imprimé Auteurs : Stephanie DeVane-Johnson, Auteur ; Cheryl Woods-Giscombé, Auteur ; Suzanne Thoyre, Auteur Année de publication : 2017 Article en page(s) : pp. 435-447 Langues : Anglais (eng) Catégories : Afro-américain
Alimentation au biberon
Attitude vis à vis de l'allaitement
Résumé : "Background: Human milk has widespread health benefits for infants, mothers, and society. However, not all populations of
women, particularly African American women, engage in human milk feeding at high rates.
Research aim: The purpose of this integrative literature review is twofold: (a) to examine factors that influence low rates
of human milk feeding among African American women and (b) to introduce a need for a methodological paradigm shift to
develop culturally relevant and effective interventions.
Methods: The authors searched four electronic social science databases for peer-reviewed journal articles pertaining to
human milk among African American women published from 1990 to 2015. Both coauthors independently assessed these
articles using thematic analysis and validation. The database search yielded 47 peer-reviewed articles.
Results: Three main themes emerged explaining the human milk feeding disparity: (a) the social characteristics of women
likely not to feed human milk (e.g., low socioeconomic status, single); (b) women’s perceptions of human milk feeding; and
(c) the quality of human milk feeding information provided by health care providers (i.e., limited human milk information).
Conclusion: Current literature does include sociohistorical factors that have shaped current norms. Adding sociohistorical
frameworks, paying particular attention to the embodied experience of historical trauma, could lead to the development of
new evidence-based, culturally sensitive interventions to enhance human milk feeding in the African American community." [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 33, n°2 (Mai 2017) . - pp. 435-447[article]Reasons for Infant Feeding Decisions in Low-Income Families in Washington, DC / Onize Oniwon in Journal of Human Lactation, Vol. 32 n° 4 (Novembre 2016)
Titre : Reasons for Infant Feeding Decisions in Low-Income Families in Washington, DC Type de document : texte imprimé Auteurs : Onize Oniwon, Auteur ; Jennifer A.F. Tender, Auteur ; Jianping He, Auteur Année de publication : 2016 Article en page(s) : pp. 704-710 Langues : Anglais (eng) Catégories : Afro-américain
Frein à l'allaitement
Résumé : Background: Breastfeeding rates for low-income, African American infants remain low.
Objective: This study aimed to determine the barriers, support, and influences for infant feeding decisions among women enrolled in the Washington, DC, Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) after revisions in the WIC package to include more food vouchers for breastfeeding mothers and their infants and improvement of in-hospital breastfeeding support.
Methods: We surveyed 100 women, using a 42-item verbally administered survey that asked about demographics, infant feeding method, and influences and support for feeding decisions.
Results: The majority of participants (76%) initiated breastfeeding; 31% exclusively breastfed in the hospital. Participants were more likely to breastfeed if they had some college education, were unemployed or employed full-time, had only one child, and had been breastfed themselves as infants. Barriers to prolonged breastfeeding included limited support after hospital discharge, pain, and perceived insufficient milk supply. Participants in this study had higher breastfeeding initiation and in-hospital exclusivity rates after improvement of in-hospital breastfeeding support.
Conclusion: Clients of WIC initiated breastfeeding at a high rate but either supplemented with formula or stopped breastfeeding for reasons that could be remedied by improved prenatal education, encouragement of exclusive breastfeeding in the hospital, and more outpatient support. [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 32 n° 4 (Novembre 2016) . - pp. 704-710[article]Strategies to promote breast-feeding among adolescent mothers / CM Wiemann in Archives of pediatrics and adolescent medicine, Vol.152 n°9 ([01/01/1998])