The decision to breastfeed in the United States: Does race matter?
The decision to breastfeed in the United States: Does race matter?
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DOI：
10.1542/peds.108.2.291
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发表时间：
2001-08-01
期刊：
影响因子：
8
通讯作者：
Lippincott, E
中科院分区：
文献类型：
--
作者：
Forste, R;Weiss, J;Lippincott, E
目标。评估母亲和出生特征对母乳喂养决定的影响，并将母乳喂养做法与婴儿死亡率的种族差异联系起来。利用1995年第五周期全国家庭成长调查(NSFG)中有年幼子女的妇女样本，使用Logistic回归技术对母乳喂养的可能性进行了建模。此外，NSFG 1988年和1995年的调查中的单个活产婴儿被分析，以使用COX回归方法来模拟种族和母乳喂养对婴儿死亡率的影响。在控制了社会经济背景和出生特征后，种族仍然是母乳喂养的有力预测因素。黑人妇女比非黑人妇女不太可能母乳喂养，黑人妇女指出的不母乳喂养的主要原因是她们“更喜欢用奶瓶喂养”。对婴儿死亡率的分析表明，母乳喂养至少和低出生体重一样可以解释美国婴儿死亡率的种族差异。种族是母乳喂养的一个重要预测因素，大多数黑人女性报告说她们“更喜欢用奶瓶喂养”。在黑人社区增加婴儿母乳喂养的努力应该有助于缩小婴儿死亡率的种族差距。
Objectives. To estimate the effects of maternal and birth characteristics on the decision to breastfeed and to relate breastfeeding practices to racial differences in infant mortality.Methods. Using a sample of women with young children from the National Survey of Family Growth (NSFG), Cycle V, 1995, the likelihood of breastfeeding was modeled using logistic regression techniques. In addition, single, live births from the NSFG 1988 and 1995 surveys were analyzed to model the effects of race and breastfeeding on infant mortality using Cox regression methods.Results. After controlling for socioeconomic background and birth characteristics, race remained a strong predictor of breastfeeding. Black women were less likely to breastfeed than nonblack women were, and the primary reason indicated by black women for not breastfeeding was that they "preferred to bottle-feed." Analyses of infant mortality indicated that breastfeeding accounts for the race difference in infant mortality in the United States at least as well as low birth weight does.Conclusions. Race is an important predictor of breastfeeding, with most black women reporting that they "preferred bottle-feeding." Efforts to increase breastfeeding of infants in the black community should help narrow the racial gap in infant mortality.