title: Breastfeeding Exposure, Attitudes, and Intentions of African American and Caucasian College Students.
abstract: BACKGROUND
  African American mothers lag behind in breastfeeding initiation. Research is needed to gain an understanding of potential reasons for breastfeeding disparities. Research aim: This study explored breastfeeding exposure, attitudes, and intentions of African American and Caucasian college students by race and gender.
  
  
  METHODS
  Women and men (696) attending college, who were younger than 45 years and without children, were included in this study. Survey data were collected using a demographic questionnaire and the Iowa Infant Feeding Attitude Scale.
  
  
  RESULTS
  Overall, students demonstrated favorable attitudes regarding breastfeeding but viewed formula feeding as more practical. Students who were Caucasian and female and experienced breastfeeding exposure demonstrated higher breastfeeding attitudes and intent. Breastfeeding exposure and attitudes contributed 32% of the variance in breastfeeding intentions. The odds of experiencing breastfeeding exposure and positive breastfeeding attitudes were approximately 3 times higher for Caucasian students than for African American students.
  
  
  CONCLUSIONS
  External factors demonstrated a stronger association with breastfeeding intentions. The link with race and gender appears to operate through their effect on attitudes and exposure. More research is needed to identify strategies to improve breastfeeding exposure and attitudes among African Americans.
authors.affiliation: 1 Sinclair School of Nursing, University of Missouri, Columbia, MO, USA.
authors.forename: Urmeka T
authors.initials: UT
authors.lastname: Jefferson
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000208:ethnology / Q000523:psychology; D001942:Breast Feeding / Q000523:psychology / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008923:Missouri / Q000208:ethnology; D009035:Mothers / Q000193:education / Q000523:psychology; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014495:Universities / Q000458:organization & administration; D044465:White People / Q000208:ethnology / Q000523:psychology
keywords: African Americans; breastfeeding; breastfeeding rates; health status disparities; human milk