Skip to main content
Log in

Intention to Breastfeed as a Predictor of Initiation of Exclusive Breastfeeding in Hispanic Women

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Exclusive breastfeeding (EBF) is the most efficacious form of infant feeding and nutrition. Hispanic mothers in the US are more likely than mothers of other racial/ethnic groups to supplement with formula in the first 2 days of life. The purpose of this study was to explore infant feeding intentions during the prenatal period as a predictor of EBF at postpartum discharge in a sample of Hispanic women (n = 99). At discharge, 51 % of the women were EBF, 44 % were breastfeeding and supplementing with formula, and 5 % were feeding only formula. Intention to breastfeed was found to be a strong and potentially modifiable predictor of breastfeeding behavior, showing a significant association with EBF upon discharge from the hospital after birth when linked with acceptance of pregnancy and method of delivery. Prenatal care offers a unique opportunity to enhance intentions to breastfeed that may lead to improved EBF in this health vulnerable population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. American Academy of Pediatrics. Breastfeeding and the use of human milk. Pediatrics. 2012;129(3):e827–41.

    Article  Google Scholar 

  2. Kramer MS, et al. Breastfeeding and child cognitive development: new evidence from a large randomized trial. Arch Gen Psychiatry. 2008;65(5):578–84.

    Article  PubMed  Google Scholar 

  3. Quigley MA, et al. Breastfeeding is associated with improved child cognitive development: a population-based cohort study. J Pediatr. 2012;160(1):25–32.

    Article  PubMed  Google Scholar 

  4. Faraz A. Clinical recommendations for promoting breastfeeding among Hispanic women. J Am Acad Nurse Pract. 2010;22(6):292–9.

    Article  PubMed  Google Scholar 

  5. Kendal-Tackett K. Depression in new mothers. New York: Routledge Taylor $ Francis Group; 2010. p. 212.

    Google Scholar 

  6. Wiklund PK, et al. Lactation is associated with greater maternal bone size and bone strength later in life. Osteoporos Int. 2012;23(7):1939–45.

    Article  CAS  PubMed  Google Scholar 

  7. Hornell A, et al. Breastfeeding, introduction of other foods and effects on health: a systematic literature review for the 5th Nordic Nutrition Recommendations. Food Nutr Res. 2013;57:20823. doi:10.3402/fnr.v57i0.20823.

  8. Frederiksen B, et al. Infant exposures and development of type 1 diabetes mellitus: the diabetes autoimmunity study in the young (DAISY). JAMA Pediatr. 2013;167:808–15.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Belfort MB, et al. Infant feeding and childhood cognition at ages 3 and 7 years: effects of breastfeeding duration and exclusivity. JAMA Pediatr. 2013;167:836–44.

    Article  PubMed Central  PubMed  Google Scholar 

  10. World Health Organization. Nutrition exclusive breastfeeding. [cited 2012 December 2012]; http://www.who.int/nutrition/topics/exclusive_breastfeeding/en/ (2012).

  11. United States Breastfeeding Committee. Breastfeeding saves billions. http://www.usbreastfeeding.org/LinkClick.aspx?link=Publications%2fHealth-Care-Reform-One-Page-USBC-update.pdf&tabid=70&mid=388 (2011).

  12. United States Breastfeeding Committee. Healthy people 2020: breastfeeding objectives 2010 Feb]; http://www.usbreastfeeding.org/LegislationPolicy/FederalPoliciesInitiatives/HealthyPeople2020BreastfeedingObjectives/tabid/120/Default.aspx (2011).

  13. Centers for Disease Control and Prevention, Breastfeeding among U.S. children born 2000–2009, CDC National Immunization Survey. 2012.

  14. Centers for Disease Control and Prevention. Final formula supplementation of breast milk rates by socio-demographic factors, among children born in 2006. [cited 2012; http://www.cdc.gov/breastfeeding/data/NIS_data/2006/socio-demographic_formula.htm (2012).

  15. Petrova A, Hegyi T, Mehta R. Maternal race/ethnicity and one-month exclusive breastfeeding in association with the in-hospital feeding modality. Breastfeed Med. 2007;2(2):92–8.

    Article  PubMed  Google Scholar 

  16. Bartick M, Reyes C. Las dos cosas: an analysis of attitudes of latina women on non-exclusive breastfeeding. Breastfeed Med. 2012;7(1):19–24.

    Article  PubMed  Google Scholar 

  17. Wojcicki JM, et al. Infant formula, tea, and water supplementation of latino infants at 4-6 weeks postpartum. J Hum Lact. 2011;27(2):122–30.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Hopkinson J, Konefal Gallagher M. Assignment to a hospital-based breastfeeding clinic and exclusive breastfeeding among immigrant Hispanic mothers: a randomized, controlled trial. J Hum Lact. 2009;25(3):287–96.

    Article  PubMed  Google Scholar 

  19. Newton KN, et al. Factors associated with exclusive breastfeeding among Latina women giving birth at an inner-city baby-friendly hospital. J Hum Lact. 2009;25(1):28–33.

    Article  PubMed  Google Scholar 

  20. Vaughn LM, et al. Sociocultural influences on the determinants of breast-feeding by Latina mothers in the Cincinnati area. Fam Community Health. 2010;33(4):318–28.

    Article  PubMed  Google Scholar 

  21. Pender N, Murdaugh C, Parsons M. Health promotion in nursing practice. New Jersey: Upper Saddle River; 2002.

    Google Scholar 

  22. Nommsen-Rivers LA, Dewey KG. Development and validation of the infant feeding intentions scale. Matern Child Health J. 2009;13(3):334–42.

    Article  PubMed  Google Scholar 

  23. Semenic S, Loiselle C, Gottlieb L. Predictors of the duration of exclusive breastfeeding among first-time mothers. Res Nurs Health. 2008;31(5):428–41.

    Article  PubMed  Google Scholar 

  24. Ismail TA, Muda WM, Bakar MI. Intention of pregnant women to exclusively breastfeed their infants: the role of beliefs in the theory of planned behaviour. J Child Health Care. 2013;18(2):123–32.

  25. Bai Y, Wunderlich SM, Fly AD. Predicting intentions to continue exclusive breastfeeding for 6 months: a comparison among racial/ethnic groups. Matern Child Health J. 2011;15(8):1257–64.

    Article  PubMed  Google Scholar 

  26. Meedya S, Fahy K, Kable A. Factors that positively influence breastfeeding duration to 6 months: a literature review. Women Birth. 2010;23(4):135–45.

    Article  PubMed  Google Scholar 

  27. Gill SL. Breastfeeding by Hispanic women. J Obstet Gynecol Neonatal Nurs. 2009;38(2):244–52.

    Article  PubMed  Google Scholar 

  28. Juckett G. Caring for Latino patients. Am Fam Physician. 2013;87(1):48–54.

    PubMed  Google Scholar 

  29. Walker AW, et al. Dominant and diet-responsive groups of bacteria within the human colonic microbiota. ISME J. 2011;5(2):220–30.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  30. Gress-Smith JL, et al. Prenatal expectations in Mexican American women: development of a culturally sensitive measure. Arch Womens Ment Health. 2013;16(4):303–14.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Caplan S, Whittemore R. Barriers to treatment engagement for depression among Latinas. Issues Ment Health Nurs. 2013;34(6):412–24.

    Article  PubMed  Google Scholar 

  32. Ahluwalia IB, et al. Association between acculturation and breastfeeding among Hispanic women: data from the Pregnancy Risk Assessment and Monitoring System. J Hum Lact. 2012;28(2):167–73.

    Article  PubMed  Google Scholar 

  33. Chapman DJ, Pérez-Escamilla R. Acculturative type is associated with breastfeeding duration among low-income Latinas. Matern Child Nutr. 2013;9(2):188–98.

  34. University of Kentucky. Informed consent. 2013. https://www.research.uky.edu/ori/SOPs_Policies/22-Children_in_Research_Policy.pdf.

  35. Marin G, et al. Development of a short acculturation scale for Hispanics. Hisp J Behav Sci. 1987;9(2):183–205.

    Article  Google Scholar 

  36. Hall LA, Kiernan BS. Psychometric assessment of a measure of the quality of primary intimate relationships. Health Values. 1992;16(4):30–9.

    Google Scholar 

  37. Lauwers J, Swisher A. Counseling the nursing mother: a lactation consultant’s guide. 5th ed. US: Jones & Bartlett Learning, LLC; 2011.

  38. Pew Hispanic Center. Hispanic women in the United States. 2008 [cited 2012; http://www.pewhispanic.org/files/2011/08/42.pdf.

  39. Ulep VG, Borja MP. Association between pregnancy intention and optimal breastfeeding practices in the Philippines: a cross-sectional study. BMC Pregnancy Childbirth. 2012;12:69. doi:10.1186/1471-2393-12-69.

    Article  PubMed Central  PubMed  Google Scholar 

  40. Hromi-Fiedler AJ, Perez-Escamilla R. Unintended pregnancies are associated with less likelihood of prolonged breast-feeding: an analysis of 18 demographic and health surveys. Public Health Nutr. 2006;9(3):306–12.

    Article  PubMed  Google Scholar 

  41. Karacam Z, Sen E, Amanak K. Effects of unplanned pregnancy on neonatal health in Turkey: a case-control study. Int J Nurs Pract. 2010;16(6):555–63.

    Article  PubMed  Google Scholar 

  42. Wambach KA. Breastfeeding intention and outcome: a test of the theory of planned behavior. Res Nurs Health. 1997;20(1):51–9.

    Article  CAS  PubMed  Google Scholar 

  43. Hill GJ, Arnett DB, Mauk E. Breast-feeding intentions among low-income pregnant and lactating women. Am J Health Behav. 2008;32(2):125–36.

    Article  PubMed  Google Scholar 

  44. Bai DL, Wu KM, Tarrant M. Association between intrapartum interventions and breastfeeding duration. J Midwifery Womens Health. 2013;58(1):25–32.

    Article  PubMed  Google Scholar 

  45. Ahluwalia IB, Li R, Morrow B. Breastfeeding practices: does method of delivery matter? Matern Child Health J. 2012;16(Suppl 2):231–7.

    Article  PubMed  Google Scholar 

  46. Watt S, et al. The effect of delivery method on breastfeeding initiation from the The Ontario Mother and Infant Study (TOMIS) III. J Obstet Gynecol Neonatal Nurs. 2012;41(6):728–37.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ana M. Linares.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Linares, A.M., Rayens, M.K., Gomez, M.L. et al. Intention to Breastfeed as a Predictor of Initiation of Exclusive Breastfeeding in Hispanic Women. J Immigrant Minority Health 17, 1192–1198 (2015). https://doi.org/10.1007/s10903-014-0049-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-014-0049-0

Keywords

Navigation