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Prenatal and perinatal factors associated with breast-feeding initiation among inner-city Puerto Rican women.
J Am Diet Assoc. 1998 Jun; 98(6):657-63.JA

Abstract

OBJECTIVE

To identify factors associated with the initiation of breast-feeding in a predominantly Puerto Rican population living in inner-city Hartford, Conn.

DESIGN

Retrospective study of 144 Latino women (mean +/- standard deviation age = 26.3 +/- 5.7 years) with children at least 1 year old but younger than 6 years old (mean +/- standard deviation age = 3.0 +/- 1.2 years) at the time of the survey. Women were recruited from agencies sponsoring health programs for mothers and children. They were interviewed in their homes (69%) or at the Hispanic Health Council, Hartford, Conn (31%).

SUBJECTS/SETTING

Low-income Latino women who had at least 1 preschooler at the time of the interview. The women lived in inner-city Hartford, and the overwhelming majority were Puerto Rican and received welfare assistance and food stamps. Seventy-eight percent of the women chose to be interviewed in Spanish; the other 22% were interviewed in English.

STATISTICAL ANALYSES

Explanatory variables that related to breast-feeding initiation (P < or = .2) in bivariate chi 2 analyses were entered into a multivariate logistic regression model that was reduced using backward stepwise elimination procedures.

RESULTS

Multivariate analyses indicated that breast-feeding the previous child, shorter length of maternal residence in the United States, not receiving prenatal bottle-feeding advice, more recent birth, and higher birth weight were positively associated with breast-feeding initiation. A major reason for choosing not to breast-feed was that women felt socially uncomfortable doing it.

APPLICATIONS

Breast-feeding initiation was more likely in Latino women who received prenatal breast-feeding counselling and postpartum support. Mothers of low-birth-weight infants and women breast-feeding for the first time may need additional help. These findings can be used by programs like the Special Supplemental Nutrition Program for Women, Infants, and Children to increase breast-feeding initiation.

Authors+Show Affiliations

Department of Nutritional Sciences, University of Connecticut, Storrs, CT 06269-4017, USA. rperez@canr1.cag.uconn.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

9627623

Citation

Pérez-Escamilla, R, et al. "Prenatal and Perinatal Factors Associated With Breast-feeding Initiation Among Inner-city Puerto Rican Women." Journal of the American Dietetic Association, vol. 98, no. 6, 1998, pp. 657-63.
Pérez-Escamilla R, Himmelgreen D, Segura-Millán S, et al. Prenatal and perinatal factors associated with breast-feeding initiation among inner-city Puerto Rican women. J Am Diet Assoc. 1998;98(6):657-63.
Pérez-Escamilla, R., Himmelgreen, D., Segura-Millán, S., González, A., Ferris, A. M., Damio, G., & Bermúdez-Vega, A. (1998). Prenatal and perinatal factors associated with breast-feeding initiation among inner-city Puerto Rican women. Journal of the American Dietetic Association, 98(6), 657-63.
Pérez-Escamilla R, et al. Prenatal and Perinatal Factors Associated With Breast-feeding Initiation Among Inner-city Puerto Rican Women. J Am Diet Assoc. 1998;98(6):657-63. PubMed PMID: 9627623.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prenatal and perinatal factors associated with breast-feeding initiation among inner-city Puerto Rican women. AU - Pérez-Escamilla,R, AU - Himmelgreen,D, AU - Segura-Millán,S, AU - González,A, AU - Ferris,A M, AU - Damio,G, AU - Bermúdez-Vega,A, PY - 1998/6/17/pubmed PY - 1998/6/17/medline PY - 1998/6/17/entrez SP - 657 EP - 63 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 98 IS - 6 N2 - OBJECTIVE: To identify factors associated with the initiation of breast-feeding in a predominantly Puerto Rican population living in inner-city Hartford, Conn. DESIGN: Retrospective study of 144 Latino women (mean +/- standard deviation age = 26.3 +/- 5.7 years) with children at least 1 year old but younger than 6 years old (mean +/- standard deviation age = 3.0 +/- 1.2 years) at the time of the survey. Women were recruited from agencies sponsoring health programs for mothers and children. They were interviewed in their homes (69%) or at the Hispanic Health Council, Hartford, Conn (31%). SUBJECTS/SETTING: Low-income Latino women who had at least 1 preschooler at the time of the interview. The women lived in inner-city Hartford, and the overwhelming majority were Puerto Rican and received welfare assistance and food stamps. Seventy-eight percent of the women chose to be interviewed in Spanish; the other 22% were interviewed in English. STATISTICAL ANALYSES: Explanatory variables that related to breast-feeding initiation (P < or = .2) in bivariate chi 2 analyses were entered into a multivariate logistic regression model that was reduced using backward stepwise elimination procedures. RESULTS: Multivariate analyses indicated that breast-feeding the previous child, shorter length of maternal residence in the United States, not receiving prenatal bottle-feeding advice, more recent birth, and higher birth weight were positively associated with breast-feeding initiation. A major reason for choosing not to breast-feed was that women felt socially uncomfortable doing it. APPLICATIONS: Breast-feeding initiation was more likely in Latino women who received prenatal breast-feeding counselling and postpartum support. Mothers of low-birth-weight infants and women breast-feeding for the first time may need additional help. These findings can be used by programs like the Special Supplemental Nutrition Program for Women, Infants, and Children to increase breast-feeding initiation. SN - 0002-8223 UR - https://www.unboundmedicine.com/medline/citation/9627623/Prenatal_and_perinatal_factors_associated_with_breast_feeding_initiation_among_inner_city_Puerto_Rican_women_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(98)00150-3 DB - PRIME DP - Unbound Medicine ER -