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Journal Articles
Abstract:
Objectives: We investigated how couples’
immigration status and ethnicity determined
the decision to initiate breastfeeding and
to breastfeed at six months.
Methods: From data collected on 4,207
mothers and 3,013 fathers participating in
a longitudinal birth cohort study, we used
linear regression and covariate-adjusted
proportions to estimate the determinants of
breastfeeding behaviors. The sample was
divided by immigration status (either
foreign-born or born in the United States)
and further sub-divided by ethnicity
(Mexican Hispanic, non-Mexican Hispanic,
and non-Hispanic).
Results: Mothers born in the U.S. are 85%
less likely to breastfeed than are foreign-
born mothers and 66% less likely to be
breastfeeding at six months. Each
additional year of U.S. residency decreases
breastfeeding rates by 4%. These
differences by immigration status were seen
for Mexicans, other Hispanics, and non-
Hispanics.
Conclusion: The Hispanic paradox may extend
to other non-Hispanic immigrants for
breastfeeding behaviors, but may not be
true for Hispanic mothers born in the
United States. Low rates of breastfeeding
for American Hispanic mothers indicate that
they should not be overlooked by
breastfeeding promotion programs.