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Racial/ethnic differences in the decision to breastfeed among adolescent mothers
C M Wiemann1, J C DuBois, A B Berenson
1Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX 77555-0587, USA.
Pediatrics
|June 2, 1998
Summary
Breastfeeding decisions among adolescent mothers vary significantly by race/ethnicity. Interventions should be tailored to address specific cultural and social factors influencing these choices, particularly for African-American mothers.
Area of Science:
- Public Health
- Sociology
- Maternal and Child Health
Background:
- Adolescent mothers represent a vulnerable population for breastfeeding initiation and duration.
- Understanding racial/ethnic disparities in breastfeeding is crucial for targeted public health interventions.
Purpose of the Study:
- To examine racial/ethnic differences in breastfeeding prevalence among adolescent mothers.
- To identify factors influencing breastfeeding decisions across different racial/ethnic groups.
Main Methods:
- A study surveyed 696 Mexican-American, African-American, and Caucasian adolescent mothers (age <=18) within 48 hours of delivery.
- Self-reported factors associated with the decision to breastfeed were assessed using interviews.
Main Results:
- Breastfeeding prevalence was highest among Mexican-American (55%), followed by Caucasian (45%), and lowest among African-American (15%) adolescent mothers.
- Key influencing factors varied significantly by race/ethnicity, including partner/family preferences, perceived benefits, educational materials, social support, and prenatal behaviors.
Conclusions:
- Significant racial/ethnic disparities exist in breastfeeding initiation and influencing factors among adolescent mothers.
- Culturally sensitive, targeted interventions during pregnancy are recommended to promote breastfeeding, especially for African-American adolescents, by addressing misinformation and emphasizing benefits.