5057.0: Wednesday, October 24, 2001 - Board 5

Abstract #22246

Breastfeeding practices among Mexican American mothers

Matiana C. Gonzalez Vela, EdD, RD, School of Public Health Center for Health Promotion and Prevention Research, The University of Texas Health Science Center Houston, 7000 Fannin, P.O. Box 20036, Houston, TX 77030, (956)547-9800, MatianaGVela@cs.com, Alexandra Evans, PhD, MPH, Norman J. Arnold School of Public Health, University of South Carolina, Department of Health Promotion and Education, Health Sciences Building, Columbia, SC 29208, Karol Kaye Harris, PhD, LMSW-ACP, Dept. of Kinesiology and Health Education, University of Texas at Austin, Bellmont Hall, Room 222, Austin, TX 78712, and Nell H. Gottlieb, PhD, Dept. of Kinesiology & Health Education, University of Texas at Austin, Bellmont Hall, Room 222, Austin, TX 78712.

Epidemiologic research suggests that breastfeeding yields significant health effects for the infant and the mother, including a decreased risk for insulin-dependent diabetes mellitus, diarrhea and allergic diseases. Although research has failed to show a consistent relationship between breastfeeding, infant adiposity, and subsequent persistent obesity, sufficient research suggests that diminished duration of breastfeeding results in an early initiation of feeding practices that may lead to adiposity in infants. To guide the development of a behavioral intervention to reduce the prevalence of obesity among Mexican American infants, we conducted a qualitative study on specific breastfeeding practices among Mexican American women. An exhaustive literature review guided the development of interview questions that focused on psychosocial and behavioral practices concerning breastfeeding. We interviewed 22 Mexican American women and 6 health care providers at 3 WIC clinics across Texas. The women interviewed were diverse in age (17 to 32 years), generational status and living arrangements. Healthcare providers indicated the more prevalent factors that affect a Mexican American woman’s decision to breastfeed include: embarrassment, attendance of WIC classes, family support, cost of formula, maternal and infant health, not enough milk production, and convenience. Interviews with women confirmed these results. In addition, the women identified specific cultural beliefs that affected their decision to breastfeed. Results suggest the need for an intervention that focuses on both general and culture-specific beliefs and practices. Furthermore, interventions need to target the women, as well as the women’s husbands and close relatives.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to: 1. Identify prevalent factors that affect a Mexican American mother’s decision to breastfeed. 2. List common cultural beliefs that affect a Mexican American mother’s decision to breastfeed. 3. Recognize how breastfeeding practices among Mexican American mothers can contribute to obesity in infants and young children.

Keywords: Breast Feeding, Obesity

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
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The 129th Annual Meeting of APHA