Incidence of Breast-Feeding in a Low Socioeconomic Group of Mothers in the United States: Ethnic Patterns

PEDIATRICS ◽  
1984 ◽  
Vol 73 (2) ◽  
pp. 132-137
Author(s):  
David K. Rassin ◽  
C. Joan Richardson ◽  
Tom Baranowski ◽  
Philip R. Nader ◽  
Nancy Guenther ◽  
...  
Keyword(s):  
United States ◽  
Breast Feeding ◽  
Mexican Americans ◽  
Maternal Education ◽  
The United States ◽  
Low Socioeconomic ◽  
Head Of Household ◽  
Lower Socioeconomic ◽  
Breast Feed ◽  
Study Population

Breast-feeding has been shown to have increased in incidence during recent years in the United States. However, this increase is not particularly evident in lower socioeconomic groups. Factors associated with the decision to breast-feed or not were investigated in a population of 379 mothers. Self-completed questionnaires were obtained from 94.5% of these mothers. Data with respect to demographics, reproductive history, prenatal care, and education were collected. Only 27.2% of the study population indicated that they intended to breastfeed. Using the x2 test for equality of proportions, marital status, head of household, maternal and paternal ethnicity, maternal education, income, and number of pregnancy were found to be the most important variables associated with breast-feeding. The effect of ethnicity predominated over that of the other demographic variables when they were examined jointly within ethnic groups. The effect of ethnicity was apparent when the number of each ethnic group in the study population was compared with the percent of that group that intended to breast-feed: 145 Anglo-Americans, 43.5% breast-feeding; 131 black Americans, 9.2%; 62 Mexican Americans, 22.6%; 19 others, 42.1%. The importance of ethnicity in the decision to breast-feed has probably been underestimated. Efforts to increase breast-feeding in the United States ought to be designed with full consideration of this factor.

Recent Declines in Breast-Feeding in the United States, 1984 Through 1989

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 719-727 ◽  
Author(s):  
Alan S. Ryan ◽  
David Rush ◽  
Fritz W. Krieger ◽  
Gregory E. Lewandowski
Keyword(s):  
United States ◽  
Birth Weight ◽  
Breast Feeding ◽  
College Education ◽  
The United States ◽  
Sociodemographic Factors ◽  
Infants And Children ◽  
Supplemental Food ◽  
White Ethnicity ◽  
Breast Feed

Ongoing surveys performed by Ross Laboratories demonstrate recent declines both in the initiation of breast-feeding and continued breast-feeding at 6 months of age. Comparing rates in 1984 and 1989, the initiation of breast-feeding declined approximately 13% (from 59.7% to 52.2%), and there was a 24% decline in the rate of breast-feeding at 6 months of age (from 23.8% to 18.1%). The decline in breast-feeding was seen across all groups studied but was greater in some groups than in others. Logistic regression analysis indicates that white ethnicity, some college education, increased maternal age, and having an infant of normal birth weight were all positively associated with the likelihood of both initiating breast-feeding and continuing to breast-feed to at least 6 months of age. Women who were black and who were younger, no more than high school educated, enrolled in the Women, Infants and Children supplemental food program, working outside the home, not living in the western states, and who had an infant of low birth weight were less likely either to initiate breast-feeding or to be nursing when their children were 6 months of age. The factors influencing the decline in breast-feeding were not uniform. There were fewer sociodemograpahic factors associated with the decline in the initiation of breast-feeding than in the decline in prolonged breast-feeding. While the disparity between older and younger mothers in initiating breast-feeding increased, there was an offsetting trend as the disparity associated with parity decreased. The only other significantly changed relationship for initiation of breast-feeding was that the disparity associated with higher income increased significantly: the decline in the rates of breast-feeding among the less affluent was greater than among the more affluent. Many more sociodemographic factors were significantly associated with declines in breast-feeding at 6 months of age. The disparity between those mothers not employed and those employed increased (from an odds ratio of 1.65 in 1984 to 2.43 in 1989). The disparities associated with age and parity both increased over time: the rate of breast-feeding declined more steeply among younger and primiparous mothers than among older and multiparous mothers. Similarly, the declines were greater among those enrolled in the Women, Infants and Children program (compared with those not enrolled), those with less than a college education (compared with some college education), and those not residing in the western region of the United States (compared with those residing in the West). Educational efforts to promote breast-feeding are needed for all pregnant women and should be particularly directed toward the groups who have experienced the most rapid recent decline in the rates of breast-feeding.

Breast-Feeding Trends: A Cause for Action

PEDIATRICS ◽  
1991 ◽  
Vol 88 (4) ◽  
pp. 867-868
Author(s):  
RUTH A. LAWRENCE
Keyword(s):  
United States ◽  
Breast Feeding ◽  
The United States ◽  
Infant Formulas ◽  
Surgeon General ◽  
Human Lactation ◽  
Breast Feed ◽  
The Many ◽  
National Effort

Breast-feeding in the United States reached a peak in 1982 after suffering an abysmal decline in the 1940s, 1950s, and 1960s which followed the introduction of the many conveniences afforded by infant formulas. Much effort, energy, and enthusiasm has been poured into the encouragement of women to breast-feed their infants for at least the first 6 months. In 1984, C. Everett Koop, MD, Surgeon General of the United States, said, "We must identify and reduce the barriers that keep women from beginning or continuing to breast-feed their infants."1 A major national effort followed the Surgeon General's Workshop on Breast-feeding and Human Lactation in 1984.2

Breast-Feeding Intentions and Practice Among Hispanic Mothers in Southern California

PEDIATRICS ◽  
1989 ◽  
Vol 84 (4) ◽  
pp. 626-632
Author(s):  
Eunice Romero-Gwynn ◽  
Lucia Carias
Keyword(s):  
United States ◽  
Breast Feeding ◽  
Odds Ratio ◽  
Southern California ◽  
The United States ◽  
Clinical Aspects ◽  
Feeding Practice ◽  
Hispanic Mothers ◽  
Breast Feed ◽  
At Home

Breast-feeding intentions, breast-feeding in the hospital, and breast-feeding at home were studied among 132 Hispanic mothers participating in the Expanded Food and Nutrition Education Program in southern California. There was not a large difference between total breast-feeding intention (77.7%) and total breast-feeding practice (63.8%). However, the 67.7% intention of exclusive breast-feeding drastically decreased to 19.7% and 17.2% in the hospital and at home, respectively. Formula supplementation increased by 4.5 times from intention to practice. Exclusive formula feeding increased from 10.0% to approximately 37.0% in the hospital and at home. Stepwise logistic regression identified that the likelihood of intending breast-feeding was greater for mothers who migrated from Mexico than for mothers born in the United States (odds ratio 4.75). The likelihood of breast-feeding practice was greater for mothers who initiated breast-feeding within the first 10 hours after birth as opposed to 11 or more hours (odds ratio 1.27), for mothers who had a vaginal rather than cesarean delivery (odds ratio 12.76), for mothers who did not return to work postpartum as opposed to working mothers (odds ratio 28.26), and for mothers who migrated from Mexico compared with mothers born in the United States (odds ratio 8.54). The importance of assessing and supporting mothers' breast-feeding intentions in the pre- and postpartum period is documented. Training in the clinical aspects of breast-feeding and improvement of hospital protocols is recommended. Mothers intending to breast- feed should be identified and supported.

Breast-feeding Among Women Attending Women, Infants, and Children Clinics in Georgia, 1987

PEDIATRICS ◽  
1991 ◽  
Vol 87 (3) ◽  
pp. 361-366
Author(s):  
Robin J. MacGowan ◽  
Carol A. MacGowan ◽  
Mary K. Serdula ◽  
J. Michael Lane ◽  
Riduan M. Joesoef ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Low Income ◽  
Maternal Education ◽  
Infants And Children ◽  
Wic Program ◽  
Supplemental Food ◽  
Low Income Population ◽  
Lower Socioeconomic ◽  
Breast Feed ◽  
Nutritional Status Of Children

Breast-feeding is an important determinant of the health and nutritional status of children, particularly in lower socioeconomic populations. A major goal of the Georgia Special Supplemental Food Program for Women, Infants, and Children (WIC) is to increase the practice of breast-feeding among the women it serves. Breast-feeding practices were determined among a random sample of 404 women from a cohort of 2010 who attended WIC prenatal clinics in Georgia in 1986 and were expected to deliver in February 1987. Respondents were interviewed 6 months postpartum. Of these women, 24% initially breast-fed, but only 6% continued for 6 months or longer. The initiation of breast-feeding was associated with greater maternal education and with being married. The adjusted odds of breast-feeding for mothers who were married or living as married were 3.0 (95% confidence interval, 1.7 to 5.3) times greater than for mothers who were not married or living as married. Mothers with more than 12 years, 12 years, or 10 to 11 years of education were 5.2 (1.8 to 15.3), 2.7 (1.0 to 6.9), and 2.5 (0.9 to 6.9) times more likely, respectively, to breast-feed than mothers with 9 or fewer years of education. After adjustment was made for marital status and education, the remaining variables (ethnicity, parity, age, and employment status) did not influence the initiation of breast-feeding in this low-income population. The need for vigorous promotion of breast-feeding by the Georgia WIC program is emphasized by the low rate of initiation and short duration of breast-feeding in this low-income population.

INTRODUCTION

PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 589-590
Keyword(s):  
United States ◽  
Developing Countries ◽  
Infant Feeding ◽  
Breast Feeding ◽  
Infant Health ◽  
Feeding Practices ◽  
The United States ◽  
Protective Effects ◽  
Infant Feeding Practices ◽  
Breast Feed

This report focuses on the recent scientific literature concerning infant feeding worldwide. The first four papers examine infant-feeding practices in the United States; the last five papers focus on such practices in developing countries. DOMESTIC REPORT The domestic section of the report examines the available literature from industrialized countries that may be relevant to the United States' situation. In brief, the findings of the domestic report are that the evidence is generally inconclusive that breast-feeding has a large, positive effect on infant health in the United States. Modest protective effects may exist with regard to gastroenteritis. The evidence is somewhat stronger among American Indian and Alaskan native populations in which risk of infant morbidity and mortality is high. Little information exists on the effects in disadvantaged urban groups. The available evidence concerning trends in infant-feeding practices indicates that the rate and duration of breast-feeding are increasing, especially among the more affluent groups. The evidence is less clear among the disadvantaged. In general, lower socioeconomic groups are less likely to breast-feed. INTERNATIONAL REPORT The international section of the report examines some of the central issues regarding methods of infant feeding in the developing world and discusses the implications of the findings. In developing countries, where infant mortality is much higher than in the United States, the potential for breast-feeding to be an important determinant of infant survival is much greater. Sanitation is likely to be poorer; traditional foods offered in lieu of breast milk are likely to be nutritionally deficient; and commercial formula—if available and used—is more likely to be inappropriately diluted and stored.

Overeducation and the Earnings of Black, Hispanic, and White Male Workers

1988 ◽  
Vol 31 (2) ◽  
pp. 190-212 ◽  
Author(s):  
Richard R. Verdugo ◽  
Naomi Turner Verdugo
Keyword(s):  
United States ◽  
Mexican Americans ◽  
Minority Groups ◽  
Puerto Ricans ◽  
White Male ◽  
The United States ◽  
Using Data ◽  
The Impact ◽  
Male Workers ◽  
White Minority

This study addresses two issues: (1) the impact of overeducation on the earnings of male workers in the United States, and (2) white-minority earnings differences among males. Given that educational attainment levels are increasing among workers, there is some suspicion that earnings returns to education are not as great as might be expected. This topic is examined by including an overeducation variable in an earnings function. Regarding the second issue addressed in this article, little is actually known about white-minority differences because the bulk of such research compares whites and blacks. By including selected Hispanic groups in this analysis (Mexican Americans, Puerto Ricans, Cubans, and Other Hispanics) we are able to assess white-minority earnings differences to a greater degree. Using data from a 5% sample of the 1980 census to estimate an earnings function, we find that overeducated workers earn less than either undereducated or adequately educated workers. Second, we find that there are substantial earnings differences between whites and minorities, and, also, between the five minority groups examined.

Attitudes of Expectant Fathers Regarding Breast-Feeding

PEDIATRICS ◽  
1992 ◽  
Vol 90 (2) ◽  
pp. 224-227
Author(s):  
Gary L. Freed ◽  
J. Kennard Fraley ◽  
Richard J. Schanler
Keyword(s):  
Breast Feeding ◽  
Formula Feeding ◽  
Education Programs ◽  
Feeding Method ◽  
Familial Support ◽  
Feeding Group ◽  
Breast Feed ◽  
Nursing Mothers ◽  
Expectant Fathers ◽  
Study Population

Fathers participate in choosing the feeding method for their newborns. However they traditionally have not been included in most breast-feeding education programs. To examine expectant fathers' attitudes and knowledge regarding breast-feeding, we surveyed 268 men during the first session of their Childbirth education classes at five private hospitals in Houston, Texas. The study population was 81% white, 8% black, and 6% hispanic. Ninety-seven percent (n = 259) of the total were married. Fifty-eight percent (n = 156) reported that their spouses planned to breast-feed exclusively; several signficant differences existed between these men and those who reported plans for exclusive formula feeding. The breast-feeding group was more likely to believe breast-feeding is better for the baby (96% vs 62%; P < .0001), helps with infant bonding (92% vs 53%; P < .0001), and protects the infant from disease (79% vs 47% P < .001). The breast-feeding group was also more likely to want their partner to breast-feed (90% vs 13%; P < .0001) and to have respect for breast-feeding women (57% vs 16%; P < .0001). Conversely, those in the formula feeding group were more likely to think breast-feeding is bad for breasts (52% vs 22%; P < .01), makes breasts ugly (44% vs 23%; P < .05), and interferes with sex (72% vs 24%; P < .0001). The majority of both groups indicated breast-feeding was not acceptable in public (breast-feeding = 71%, formula feeding = 78%, P < .05). These data demonstrate misperceptions and a lack of education regarding breast-feeding in the formula feeding group and a lack of public acceptance in both groups. We conclude that fathers must be included in breast-feeding education programs. Confrontation of myths and misperceptions prenatally may help to overcome obstacles to the initiation of breast-feeding and to provide greater familial support for nursing mothers.

Trends in Breast-Feeding

PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 591-602
Author(s):  
Gerry E. Hendershot
Keyword(s):  
Infant Feeding ◽  
Breast Feeding ◽  
Market Research ◽  
The United States ◽  
Upward Trend ◽  
Disadvantaged Women ◽  
Breast Feed ◽  
Statistical Studies ◽  
Low Levels ◽  
Short Section

Starting from very high levels in the 1940s, breast-feeding declined steadily to low levels in the early 1970s, and then began an upward trend which has apparently continued until the present (Fig. 1). In the 1940s, breast-feeding was more common among disadvantaged women. The subsequent decline was also more rapid among the disadvantaged, however, so that by the early 1970s, disadvantaged women were considerably less likely than others to breast-feed. Because the increase since the early 1970s has not been so pronounced among the disadvantaged, they continue to have relatively low levels of breast-feeding. The causes of these trends and differentials are not well understood. These are the principal conclusions drawn from a review of statistical studies of trends and differentials in breast-feeding in the United States. The studies included national health surveys conducted by the federal government, market research surveys conducted by infant formula manufacturers, and infant feeding surveys conducted by medical researchers. The studies differed markedly in their methods—a fact that affects their validity, reliability, and comparability. The first section of this paper discusses these data sources and their limitations. The next two sections discuss the downward trend in breast-feeding from the 1940s to the early 1970s, and the upward trend since. Each of these sections examines demographic differences in these trends. A short section that addresses possible causes of the trends and differentials follows those two sections. SOURCES AND LIMITATIONS OF THE DATA The principal sources of data on trends and differentials in breast-feeding are national fertility surveys, market research surveys, and special purpose infant-feeding surveys.

Good Neighbor in the American Historical Imagination: Mexican American Intellectual Thought in the Fight for Civil Rights, 1930s–1940s

2021 ◽  
Author(s):  
Natalie Mendoza
Keyword(s):  
United States ◽  
Civil Rights ◽  
Identity Formation ◽  
Mexican Americans ◽  
Mexican American ◽  
The United States ◽  
Historical Narrative ◽  
Historical Imagination ◽  
American Intellectual ◽  
Good Neighbor

Abstract This article argues that historical narrative has held a significant role in Mexican American identity formation and civil rights activism by examining the way Mexican Americans in the 1930s and 1940s used history to claim full citizenship status in Texas. In particular, it centers on how George I. Sánchez (1906–1972), a scholar of Latin American education, revised historical narrative by weaving history and foreign policy together through a pragmatic lens. To educators and federal officials, Sánchez used this revisionist history to advocate for Mexican Americans, insisting that the Good Neighbor policy presented the United States with the chance to translate into reality the democratic ideals long professed in the American historical imagination. The example of Sánchez also prompts us to reexamine the historiography in our present day: How do we define the tradition and trajectory of Mexican American intellectual thought in U.S. history? This article posits that when Sánchez and other Mexican Americans thought about their community’s collective identity and civil rights issues through history, they were contributing to a longer conversation driven by questions about identity formation and equality that first emerged at the end of the U.S. War with Mexico in 1848. These questions remain salient in the present, indicating the need for a historiographic examination that will change how we imagine the tradition of intellectual thought in the United States.

Motivational Accounts of the Vicious Cycle of Social Status: An Integrative Framework Using the United States as a Case Study

2018 ◽  
Vol 14 (2) ◽  
pp. 107-137 ◽  
Author(s):  
Kristin Laurin ◽  
Holly R. Engstrom ◽  
Adam Alic
Keyword(s):  
United States ◽  
Social Mobility ◽  
The United States ◽  
Value Theory ◽  
Industrialized Countries ◽  
Vicious Cycle ◽  
Expectancy Value ◽  
Integrative Framework ◽  
Lower Socioeconomic ◽  
Classic Theory

Social mobility is limited in most industrialized countries, and especially in the United States: Children born to relatively poor parents are less likely to prosper than other children. This observation has multiple explanations; in the current article, we focus on emerging motivational perspectives, synthesizing them into a novel integrative framework grounded in a classic theory of motivation: expectancy-value theory. Together, these findings indicate that individuals with lower socioeconomic status (SES) may be less motivated to achieve status relative to individuals with higher SES—not because of their own personal failings, but as a result of their material, social and cultural contexts. We then consider the significant theoretical advantages of this integrative framework, most notably that it enables us to consider how the disparate perspectives linking motivation to SES are linked and may at times compound or offset each other. In turn, this enables us to make sophisticated predictions concerning the conditions that will enable individuals with low SES to escape the vicious cycle of low motivation. Moreover, our account helps bridge the gap between explanations that locate the cause for low social mobility within individuals and those that locate it in the broader system. We end by addressing implications for the psychological understanding of low status and implications for social policy.

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