| Autor: |
Stanhope KK; Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia, USA.; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA., Perreira KM; Department of Social Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA., Isasi CR; Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, New York, USA., LeCroy MN; Department of Population Health, NYU Grossman School of Medicine, New York, New York, USA., Daviglus ML; Institute for Minority Health Research, University of Illinois Chicago College of Medicine, Chicago, Illinois, USA., Gonzalez F; Collaborative Studies Coordinating Center, University of North Carolina, Chapel Hill, North Carolina, USA., Gallo LC; Department of Psychology, San Diego State University, San Diego, California, USA., Poelinz CM; Department of Pediatrics, Rush University Medical Center, Chicago, Illinois, USA.; Alivio Medical Center, Chicago, Illinois, USA., Suglia SF; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA. |
| Abstrakt: |
Objective: To estimate differences in breastfeeding initiation and duration across dimensions of migration history (migration to the U.S. 50 states/District of Columbia [DC] in childhood, adulthood, or not at all) in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Methods: We used data from HCHS/SOL on 520 individuals with a post-baseline live birth and information on breastfeeding collected at Visit 2 (2014-2017). We fit log binomial models adjusted for parity, age at pregnancy, education, income, and immigration history and incorporating sampling weights. Results: Overall, 84% of participants reported initiating breastfeeding and 30% reported breastfeeding for 6 or more months. On average, individuals reported breastfeeding for a median of 88 days (interquartile range: 156). Compared with those born in the U.S. 50 states/DC, individuals born in another country or U.S. territory who arrived in the U.S. 50 states/DC as children (<18 years old) were 2.7 times more likely to initiate breastfeeding (adjusted prevalence ratio 2.7, 95% confidence interval [CI]: 1.4, 4.9) and those who arrived as adults were 2 times more likely to initiate breastfeeding (adjusted prevalence ratio 2.0, 95% CI: 1.1, 3.6). We observed similar patterns for breastfeeding continuation. Conclusions: The timing and duration of life course experiences such as migration are key determinants of breastfeeding behavior among Hispanic/Latina postpartum persons. |
