Interracial couples and breastfeeding initiation in the United States
Autor: | Jordyn T. Wallenborn, Olubunmi Orekoya, Saba W. Masho, Anna Scialli, Gregory J. Chambers |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Parents medicine.medical_specialty Databases Factual Epidemiology Breastfeeding Birth certificate Logistic regression 01 natural sciences Risk Assessment White People Odds 03 medical and health sciences Social support Young Adult 0302 clinical medicine Pregnancy Confidence Intervals Odds Ratio Medicine Humans 030212 general & internal medicine 0101 mathematics Retrospective Studies business.industry Incidence 010102 general mathematics Public Health Environmental and Occupational Health Social Support Odds ratio Hispanic or Latino Race Relations Confidence interval United States Black or African American Breast Feeding Logistic Models Multivariate Analysis Female business Attitude to Health Stress Psychological Demography |
Zdroj: | Preventive medicine. 120 |
ISSN: | 1096-0260 |
Popis: | In the past decade, the prevalence of interracial couples has steadily increased. Recent reports state that nearly one in five marriages are between spouses of different races. Interracial couples receive less social support and are more likely to separate. As a result, children born to these couples may be at an increased risk of poor health outcomes. This study aims to investigate the relationship between interracial couples and breastfeeding initiation. Data from the 2014 Vital Statistics Natality Birth database were analyzed. Data were restricted to singleton births and infants with no congenital malformations. Racial composition of parents was categorized as non-Hispanic (NH) white, NH black; Hispanic; NH white/NH black; NH white/Hispanic; and NH black/Hispanic. Breastfeeding initiation (yes; no) was categorized according to information from the child's birth certificate file. Multiple logistic regression was used to generate crude and adjusted odds ratios and 99% confidence intervals. After adjusting for confounders, all interracial couples with at least one Hispanic parent had increased odds of breastfeeding initiation. Interracial white and black parents had 18% lower odds of breastfeeding initiation. The lowest odds of breastfeeding initiation were observed among intraracial black parents, who had 43% lower odds of breastfeeding initiation compared to intraracial white parents. Breastfeeding non-initiation continues to pose the greatest risk for infants with at least one black parent. Nurses, midwives, physicians, and other medical staff should discuss potential barriers that may be unique to interracial couples and provide additional breastfeeding education and support. |
Databáze: | OpenAIRE |
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