title: Increased breastfeeding rates in black women after a treatment intervention.
abstract: There has been a considerable increase in rates of breastfeeding in the United States. Despite these trends, black women continue to fall below medical recommendations. Impoverished and poorly educated women also have a comparatively lower rate of breastfeeding. Provider encouragement and supportive interventions increase breastfeeding initiation among women of all backgrounds. The data presented come from a three-site randomized controlled bilingual depression treatment trial from 2005 to 2011 that examined the comparative effectiveness of interpersonal psychotherapy and a parenting education program. Breastfeeding education and support were provided for the majority of participants in each intervention. Breastfeeding status was queried at postpartum week 4. We found higher rates of breastfeeding in black women compared with those reported in national surveys. The black breastfeeding rate did not significantly differ from that of white or Hispanic women. American-born black women were just as likely to breastfeed as American-born white women, both at significantly greater rates than American-born Hispanic women. We also found no differences in breastfeeding rate in poorly educated and impoverished women. These data must be seen against the backdrop of a significant intervention to treat depression. Because breastfeeding interventions have been shown to increase breastfeeding rates, the support provided in our study likely increased rates in groups that lag behind.
authors: Columbia University College of Physicians and Surgeons , New York State Psychiatric Institute, New York, New York.
authors: Margaret G
authors: MG
authors: Spinelli
authors: Jean
authors: J
authors: Endicott
authors: Raymond R
authors: RR
authors: Goetz
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D001942:Breast Feeding / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data; D015928:Cognitive Behavioral Therapy; D019052:Depression, Postpartum / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D004522:Educational Status; D005006:Ethnicity; D005260:Female; D006293:Health Promotion; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009035:Mothers / Q000523:psychology; D009518:New York / Q000453:epidemiology / Q000208:ethnology; D010298:Parity; D010353:Patient Education as Topic; D011247:Pregnancy; D015995:Prevalence; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D044465:White People / Q000523:psychology
references: Pediatrics. 2001 Aug;108(2):291-6
references: 11483790
references: J Neurol Neurosurg Psychiatry. 1960 Feb;23:56-62
references: 14399272
references: Pediatrics. 2004 Apr;113(4):e283-90
references: 15060254
references: J Clin Psychiatry. 2013 Apr;74(4):393-9
references: 23656847
references: Pediatr Rev. 2003 Aug;24(8):289-90
references: 12897271
references: Pediatrics. 2006 Aug;118(2):e309-14
references: 16882775
references: Pediatr Rev. 2009 Mar;30(3):e11-21
references: 19255121
references: Public Health Rep. 2006 Jan-Feb;121(1):51-9
references: 16416698
references: J Hum Lact. 2008 Aug;24(3):278-88
references: 18689715
references: J Clin Psychiatry. 2010 Aug;71(8):1069-78
references: 20584521
references: J Hum Lact. 2008 May;24(2):175-85
references: 18436969
references: Qual Health Res. 2004 Nov;14(9):1197-210
references: 15448295
references: Pediatrics. 2005 Jan;115(1):e31-7
references: 15579667
references: J Obstet Gynecol Neonatal Nurs. 2009 Mar-Apr;38(2):244-52
references: 19323721
references: Pediatrics. 2009 Jun;123(6):e1017-27
references: 19482734
references: J Adv Nurs. 2005 May;50(3):272-82
references: 15811106
references: J Epidemiol Community Health. 2010 Dec;64(12):1080-5
references: 19996356
references: Arch Pediatr Adolesc Med. 2005 Mar;159(3):255-60
references: 15753269
references: Pediatrics. 2002 Dec;110(6):1103-9
references: 12456906
references: Pediatrics. 2007 Feb;119 Suppl 1:S38-46
references: 17272583
references: Pediatrics. 2010 May;125(5):e1048-56
references: 20368314
references: Breastfeed Med. 2009 Oct;4 Suppl 1:S17-30
references: 19827919
references: MMWR Morb Mortal Wkly Rep. 2013 Feb 8;62(5):77-80
references: 23388550
references: J Hum Lact. 2012 May;28(2):167-73
references: 22526345
references: Obstet Gynecol. 2001 Feb;97(2):290-5
references: 11165597