Acculturation and the initiation of breastfeeding

David K. Rassin, Kyriakos Markides, Tom Baranowski, Carol Richardson, William D. Mikrut, David E. Bee

Research output: Contribution to journalArticle

59 Citations (Scopus)

Abstract

Despite the fact that breastfeeding is the most appropriate form of nutrition for the healthy term infant, the rate of initiation in the U.S. is declining. One demographic factor associated with this low rate is ethnicity and so in this study we measured acculturation (one aspect of ethnicity) into the U.S. and its relationship to the successful initiation of breastfeeding in a sample of women recruited approximately 2 months prenatally in a U.S.-Mexico border city. Interviews were administered in English or Spanish by bilingual interviewers prenatally (n = 906), natally (n = 788), and postnatally (n = 715). Acculturation (measured with a 20 item instrument) was strongly related to the intent to (p < 0.001) or the successful initiation of breastfeeding (p < 0.001). Marital status (p = 0.014) and education (p = 0.002) were related to breastfeeding prenatally and natally. Initiation of breastfeeding was highest among those women least acculturated (52.9%) and lowest in those most acculturated (36.1 %) indicating an inhibiting effect of acculturation. To improve the rate of initiation of breastfeeding in the U.S. (a national health goal) intervention programs must consider cultural factors.

Original languageEnglish (US)
Pages (from-to)739-746
Number of pages8
JournalJournal of Clinical Epidemiology
Volume47
Issue number7
DOIs
StatePublished - 1994

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Acculturation
Breast Feeding
Interviews
Marital Status
Mexico
Demography
Education
Health

Keywords

  • Acculturation
  • Breastfeeding
  • Health
  • Hispanic health
  • Infant nutrition
  • U.S.-Mexico border

ASJC Scopus subject areas

  • Medicine(all)
  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Acculturation and the initiation of breastfeeding. / Rassin, David K.; Markides, Kyriakos; Baranowski, Tom; Richardson, Carol; Mikrut, William D.; Bee, David E.

In: Journal of Clinical Epidemiology, Vol. 47, No. 7, 1994, p. 739-746.

Research output: Contribution to journalArticle

Rassin, David K. ; Markides, Kyriakos ; Baranowski, Tom ; Richardson, Carol ; Mikrut, William D. ; Bee, David E. / Acculturation and the initiation of breastfeeding. In: Journal of Clinical Epidemiology. 1994 ; Vol. 47, No. 7. pp. 739-746.
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