Breastfeeding advice given to African American and white women by physicians and WIC counselors.
Breastfeeding advice given to African American and white women by physicians and WIC counselors.
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医生和 WIC 顾问向非裔美国和白人女性提供母乳喂养建议。
DOI：
10.1093/phr/118.4.368
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Perrin,JamesM
中科院分区：
文献类型：
--
作者：
Beal,AnneC;Kuhlthau,Karen;Perrin,JamesM
目的：本研究确定了医疗服务提供者和WIC营养顾问给予非裔美国人和白色妇女母乳喂养建议的比率，并试图确定建议的种族差异是否导致母乳喂养率的种族差异。1988年婴儿死亡或胎儿死亡。作者比较了白色妇女（n= 3，966）和非洲裔美国妇女（n= 4，791）与活产在1988年的自我报告率的医疗提供者和WIC的建议母乳喂养，WIC的建议奶瓶喂养，和breastfeed.Results.Self-reported种族识别并没有预测医疗提供者的意见。然而，非裔美国人与母乳喂养建议的可能性较低，而WIC营养顾问的奶瓶喂养建议的可能性较高。在多变量分析控制的建议的差异，是非洲裔美国人独立与较低的母乳喂养率（比值比[OR]= 0.41，95% CI 0.32，0.52）。结论。非洲裔美国妇女不太可能比白色妇女报告已收到母乳喂养的建议，从WIC顾问和更有可能报告已收到奶瓶喂养的建议，从WIC顾问。然而，非裔美国人和白色妇女同样有可能报告从医疗提供者那里得到母乳喂养的建议。来自医疗或营养专业人员的母乳喂养建议率较低，并不能解释非裔美国妇女母乳喂养率较低的原因。
Objective.This study determined rates of breastfeeding advice given to African American and white women by medical providers and WIC nutrition counselors, and sought to determine whether racial differences in advice contributed to racial differences in rates of breastfeeding.Methods.The study used data from the 1988 National Maternal and Infant Health Survey, a cross-sectional survey of a nationally representative sample of mothers with a live birth, infant death, or fetal death in 1988. The authors compared white women (n= 3,966) and African American women (n= 4,791) with a live birth in 1988 on self-reported rates of medical provider and WIC advice to breastfeed, WIC advice to bottlefeed, and breastfeeding.Results.Self-reported racial identification did not predict medical provider advice. However, being African American was associated with less likelihood of breastfeeding advice and greater likelihood of bottlefeeding advice from WIC nutrition counselors. In multivariate analyses controlling for differences in advice, being African American was independently associated with lower breastfeeding rates (odds ratio [OR]= 0.41, 95% CI 0.32, 0.52).Conclusions.African American women were less likely than white women to report having received breastfeeding advice from WIC counselors and more likely to report having received bottlefeeding advice from WIC counselors. However, African American and white women were equally likely to report having received breastfeeding advice from medical providers. Lower rates of breastfeeding advice from medical or nutritional professionals do not account for lower rates of breastfeeding among African American women.