title: Breastfeeding in African-American women.
abstract: Currently, a disparity in breastfeeding exists between White, Hispanic, and African-American women. When education and income level are similar in women of these populations, the disparity is minimized. Until similar education and incomes are more fully realized, the disparity in breastfeeding may be reduced by provision of culturally competent care. The purpose of this manuscript is to provide data supporting the disparity in breastfeeding, define culture, and relate how one provides culturally competent care in relation to breastfeeding. Cultural points such as kinship, religion, matriarchy, characteristics of males and adolescents in this group, as well as early introduction of cereal feedings are reviewed. Interventions based on cultural points and characteristics that have been found to or may promote breastfeeding in African-American women are presented.
authors.affiliation: Case Western Reserve University, Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Room 322D, Cleveland, OH 44106-4904, USA. sm115@po.cwru.edu
authors.forename: Susan M
authors.initials: SM
authors.lastname: Ludington-Hoe
authors.forename: Patricia E
authors.initials: PE
authors.lastname: McDonald
authors.forename: Rosemarie
authors.initials: R
authors.lastname: Satyshur
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology*; D001942:Breast Feeding / Q000208:ethnology*; D004522:Educational Status; D005247:Feeding Behavior / Q000208:ethnology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007182:Income; D007223:Infant; D007225:Infant Food; D007231:Infant, Newborn; D016389:Maternal-Child Nursing / Q000592:standards; D010353:Patient Education as Topic / Q000379:methods; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000208:ethnology; D012944:Social Support; D016746:Transcultural Nursing / Q000592:standards; D014930:Women / Q000193:education / Q000523:psychology*