ArticleInternational breastfeeding journal2016
Low rate of initiation and short duration of breastfeeding in a maternal and infant home visiting project targeting rural, Southern, African American women.
Article in International breastfeeding journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01746394 (Delta Healthy Sprouts), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Delta Healthy Sprouts: A Randomized Trial to Determine the Comparative Efficacy of Two Maternal, Infant, and Early Childhood Home Visiting Programs on Maternal Weight Control and Childhood Obesity in the Mississippi Delta
Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic literature review of breastfeeding interventions among Black populations using the RE-AIM framework.International breastfeeding journal · 2022Pooled it
- Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review.International journal for equity in health · 2021Pooled it
- It Takes a Village: How Community-Based Peer Support for Breastfeeding Bolsters Lactation Prevalence Among Black Mississippians on the Gulf Coast.Pediatric reports · 2024Article
- The heterogeneous associations of universal cash-payouts with breastfeeding initiation and continuation.SSM - population health · 2023Article
- Racial Differences in Breastfeeding on the Mississippi Gulf Coast: Making Sense of a Promotion-Prevalence Paradox with Cross-Sectional Data.Healthcare (Basel, Switzerland) · 2022Article
- Feeding practices and micronutrient status of children aged 0-36 months in Thulamela Municipality, Limpopo province.Health SA = SA Gesondheid · 2022Article
- Black/African American Breastfeeding Experience: Cultural, Sociological, and Health Dimensions Through an Equity Lens.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2021Review
- Engaging African American Parents to Develop a Mobile Health Technology for Breastfeeding: KULEA-NET.Journal of human lactation : official journal of International Lactation Consultant Association · 2020Article
- Infant growth outcomes from birth to 12 months of age: findings from the Delta Healthy Sprouts randomized comparative impact trial.Obesity science & practice · 2018Article
- A Narrative Review of Culturally Informed Breastfeeding Interventions for African American Women.The Journal of perinatal & neonatal nursingReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the benefits of breastfeeding for both infant and mother, rates in the United States remain below Healthy People 2020 breastfeeding objectives. This paper describes breastfeeding outcomes of the Delta Healthy Sprouts participants during gestational and postnatal periods. Of specific interest was whether breastfeeding intent, knowledge, and beliefs changed from the early to late gestational period. Additionally, analyses were conducted to test for associations between breastfeeding initiation and breastfeeding intent, knowledge and beliefs as well as sociodemographic characteristics and other health measures.
methodsEighty-two pregnant women were enrolled in this project spanning three Mississippi counties. Participants were randomly assigned to one of two treatment groups. Because both groups received information about breastfeeding, breastfeeding outcomes were analyzed without regard to treatment assignment. Hence participants were classified into two groups, those that initiated breastfeeding and those that did not initiate breastfeeding. Generalized linear mixed models were used to test for significant group, time, and group by time effects on breastfeeding outcomes.
resultsBreastfeeding knowledge scores increased significantly from baseline to late gestational period for both groups. Across time, breastfeeding belief scores were higher for the group that initiated breastfeeding as compared to the group that did not breastfeed. Only 39% (21 of 54) of participants initiated breastfeeding. Further, only one participant breastfed her infant for at least six months. Breastfeeding intent and beliefs as well as pre-pregnancy weight class significantly predicted breastfeeding initiation.
conclusionsOur findings indicate that increasing knowledge about and addressing barriers for breastfeeding were insufficient to empower rural, Southern, primarily African American women to initiate or continue breastfeeding their infants. Improving breastfeeding outcomes for all socioeconomic groups will require consistent, engaging, culturally relevant education that positively influences beliefs as well as social and environmental supports that make breastfeeding the more accepted, convenient, and economical choice for infant feeding.
trial registrationclinicaltrials.gov NCT01746394. Registered 5 December 2012.
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