ArticleMaternal & child nutrition2023
Barriers and facilitators to exclusive breastfeeding among Black mothers: A qualitative study utilizing a modified Barrier Analysis approach.
Article in Maternal & child nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evidence for incentive-based strategies to promote breastfeeding: a systematic literature review of randomised controlled trials.BMC pregnancy and childbirth · 2025Pooled it
- Experiences of Primiparous Mothers Using ChatGPTfor Breastfeeding and Infant Care.Maternal & child nutrition · 2026Article
- Listening to Community to Improve Breastfeeding Friendliness: Findings From a Community Readiness Assessment on Breastfeeding.Health promotion practice · 2026Article
- The role of support on breastfeeding exclusivity and duration among African migrant mothers in the United States.International breastfeeding journal · 2025Article
- What compels enrollment in a mobile maternal health wallet? A mixed-methods doer/non-doer analysis in Analamanga, Madagascar.BMC health services research · 2025Article
- Hypertensive Disorders of Pregnancy and Breastfeeding Among US Women.JAMA network open · 2025Article
- Observational
- Black Fathers' Views on Breastfeeding Facilitators, Barriers, and Support Services: Insights From a Qualitative Community-Based Participatory Research Study.Maternal & child nutrition · 2025Article
- Designing a Digital Intervention to Increase Human Milk Feeding Among Black Mothers: Qualitative Study of Acceptability and Preferences.JMIR formative research · 2025Article
- The effectiveness of a theory‑based health education program on self-efficacy and breastfeeding behaviors continuity of working mothers in Iran.Scientific reports · 2025Article
- A community Milk Share initiative promoting health equity through Black community leadership.Frontiers in public health · 2025Article
- What is effective communication in breastfeeding care? Perspectives from Latina women.PloS one · 2025Article
- Analyzing early childhood allergy prevention motivation of mothers of infants and its predictors using latent class analysis and structural equation modelling.BMC public health · 2024Article
- A Pilot Breastfeeding-Supportive Texting Program for African American and Black Mothers.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024Article
- Retention and the Intersection of Structural Inequities in a Breastfeeding Intervention Study.medRxiv : the preprint server for health sciences · 2024Article
- Pumps: A Possible Tool to Promote More Equitable Lactation Outcomes.The Yale journal of biology and medicine · 2024Review
- Disparities in Infant Nutrition: WIC Participation and Rates of Breastfeeding in Florida.International journal of environmental research and public health · 2023Article
- A randomized controlled trial of pectoralis major myofascial release massage for breastfeeding mothers: breast pain, engorgement, and newborns' breast milk intake and sleeping patterns.Korean journal of women health nursing · 2023Article
- Barriers and facilitators to exclusive breastfeeding among Black mothers: A qualitative study utilizing a modified Barrier Analysis approach.Maternal & child nutrition · 2023Article
- Perspectives of Infant Mortality from African American Community Members.Women's health reports (New Rochelle, N.Y.) · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Breastfeeding has health benefits for both infants and mothers, yet Black mothers and infants are less likely to receive these benefits. Despite research showing no difference in breastfeeding intentions by race or ethnicity, inequities in breastfeeding rates persist, suggesting that Black mothers face unique barriers to meeting their breastfeeding intentions. The aim of this study is to identify barriers and facilitators that Black women perceive as important determinants of exclusively breastfeeding their children for at least 3 months after birth. Utilizing a Barrier Analysis approach, we conducted six focus group discussions, hearing from Black mothers who exclusively breastfed for 3 months and those who did not. Transcripts were coded starting with a priori parent codes based on theory-derived determinants mapped onto the Socioecological Model; themes were analysed for differences between groups. Facilitators found to be important specifically for women who exclusively breastfed for 3 months include self-efficacy, lactation support, appropriate lactation supplies, support of mothers and partners, prior knowledge of breastfeeding, strong intention before birth and perceptions of breastfeeding as money-saving. Barriers that arose more often among those who did not exclusively breastfeed for 3 months include inaccessible lactation support and supplies, difficulties with pumping, latching issues and perceptions of breastfeeding as time-consuming. Lack of access to and knowledge of breastfeeding laws and policies, as well as negative cultural norms or stigma, were important barriers across groups. This study supports the use of the Socioecological Model to design multicomponent interventions to increase exclusive breastfeeding outcomes for Black women.
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