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Racial and ethnic disparities in breastfeeding among United States infants: Third National Health and Nutrition Examination Survey, 1988-1994.
Birth 2002; 29(4):251-7B

Abstract

BACKGROUND

The studies suggesting that blacks are less likely to initiate and maintain breastfeeding than whites in the United States are limited either by the representativeness of the sample or by the ambiguousness of attribution of racial and ethnic disparities to generally poor socioeconomic status among blacks. The purpose of this study was to examine racial and ethnic disparities in breastfeeding rates among U.S. infants using national representative data.

METHODS

We analyzed breastfeeding data reported by parents of children ages 12 to 71 months at the time of interview from the Third National Health and Nutrition Examination Survey (1988-1994). Breastfeeding data were stratified by both race and ethnicity, and by a series of sociodemographic and health-related characteristics.

RESULTS

The proportion of children ever breastfed was 60 percent among non-Hispanic whites, 26 percent among non-Hispanic blacks, and 54 percent among Mexican Americans. By 6 months postpartum, the proportion still breastfed decreased to 27, 9, and 23 percent, correspondently. Blacks also had a significantly lower rate of exclusive breastfeeding at 4 months than whites (14%). In addition, the differentials in breastfeeding rates between high and low socioeconomic classes were most substantial among blacks.

CONCLUSIONS

Blacks had consistent lower breastfeeding rates than whites regardless of their sociodemographic status. The large differentials between high and low socioeconomic classes among blacks suggest that socioeconomic status has a bigger impact on breastfeeding practices among blacks. Therefore, blacks, particularly those who are poor or less educated, need to be targeted for promotion, protection, and support of breastfeeding.

Authors+Show Affiliations

Division of Nutrition and Physical Activity, Maternal and Child Nutrition branch at the Centers for Disease Control and Prevention, Atlanta, Georgia 30341-3717, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12431264

Citation

Li, Ruowei, and Laurence Grummer-Strawn. "Racial and Ethnic Disparities in Breastfeeding Among United States Infants: Third National Health and Nutrition Examination Survey, 1988-1994." Birth (Berkeley, Calif.), vol. 29, no. 4, 2002, pp. 251-7.
Li R, Grummer-Strawn L. Racial and ethnic disparities in breastfeeding among United States infants: Third National Health and Nutrition Examination Survey, 1988-1994. Birth. 2002;29(4):251-7.
Li, R., & Grummer-Strawn, L. (2002). Racial and ethnic disparities in breastfeeding among United States infants: Third National Health and Nutrition Examination Survey, 1988-1994. Birth (Berkeley, Calif.), 29(4), pp. 251-7.
Li R, Grummer-Strawn L. Racial and Ethnic Disparities in Breastfeeding Among United States Infants: Third National Health and Nutrition Examination Survey, 1988-1994. Birth. 2002;29(4):251-7. PubMed PMID: 12431264.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Racial and ethnic disparities in breastfeeding among United States infants: Third National Health and Nutrition Examination Survey, 1988-1994. AU - Li,Ruowei, AU - Grummer-Strawn,Laurence, PY - 2002/11/15/pubmed PY - 2003/3/22/medline PY - 2002/11/15/entrez SP - 251 EP - 7 JF - Birth (Berkeley, Calif.) JO - Birth VL - 29 IS - 4 N2 - BACKGROUND: The studies suggesting that blacks are less likely to initiate and maintain breastfeeding than whites in the United States are limited either by the representativeness of the sample or by the ambiguousness of attribution of racial and ethnic disparities to generally poor socioeconomic status among blacks. The purpose of this study was to examine racial and ethnic disparities in breastfeeding rates among U.S. infants using national representative data. METHODS: We analyzed breastfeeding data reported by parents of children ages 12 to 71 months at the time of interview from the Third National Health and Nutrition Examination Survey (1988-1994). Breastfeeding data were stratified by both race and ethnicity, and by a series of sociodemographic and health-related characteristics. RESULTS: The proportion of children ever breastfed was 60 percent among non-Hispanic whites, 26 percent among non-Hispanic blacks, and 54 percent among Mexican Americans. By 6 months postpartum, the proportion still breastfed decreased to 27, 9, and 23 percent, correspondently. Blacks also had a significantly lower rate of exclusive breastfeeding at 4 months than whites (14%). In addition, the differentials in breastfeeding rates between high and low socioeconomic classes were most substantial among blacks. CONCLUSIONS: Blacks had consistent lower breastfeeding rates than whites regardless of their sociodemographic status. The large differentials between high and low socioeconomic classes among blacks suggest that socioeconomic status has a bigger impact on breastfeeding practices among blacks. Therefore, blacks, particularly those who are poor or less educated, need to be targeted for promotion, protection, and support of breastfeeding. SN - 0730-7659 UR - https://www.unboundmedicine.com/medline/citation/12431264/Racial_and_ethnic_disparities_in_breastfeeding_among_United_States_infants:_Third_National_Health_and_Nutrition_Examination_Survey_1988_1994_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0730-7659&date=2002&volume=29&issue=4&spage=251 DB - PRIME DP - Unbound Medicine ER -