262088 Timing of discussion of infant-feeding method and its relationship to breastfeeding initiation

Wednesday, October 31, 2012 : 8:55 AM - 9:05 AM

Penny Liberatos, PhD , School of Health Sciences & Practice, New York Medical College, Valhalla, NY
Sophia McIntyre-Daniel, MD, MPH , Hudson River Health Care, Monticello, NY
Background: Rates of breastfeeding among African-Americans have long been found to be lower than those for Whites and Latinas. Although low socioeconomic status among African-Americans has often been cited as a factor, other factors may play a role especially the timing of the discussion about infant-feeding method (IFM) with the health care provider (HCP). Objective: To assess whether the timing of the discussion by the HCP regarding infant feeding method (IFM) influences the likelihood of breastfeeding among college-educated African-American women, a subgroup not often studied in this area. Methods: 85 African-American women were recruited through the alumni association of Spelman College and through local chapters of Delta Sigma Theta sorority. They were asked to complete a survey questionnaire through Survey Monkey regarding their infant-feeding choices. Results: More than of the women reported no discussion regarding IFM by their HCP and an additional 1/3 had already decided by the time the HCP raised the issue. Timing of discussion was subdivided into 3 groups: early 1st trimester or before (N=12); late after 1st trimester (N=36); or no discussion (N=19). Women reporting an early discussion with their HCP were also significantly more likely to report that their HCP had discussed the benefits of breastfeeding, that the HCP showed strong/moderate support for breastfeeding, and were more likely to breastfeed. Conclusions: The findings of this study support the importance of early and frequent discussions by the HCP regarding IFM in contributing to improving rates of breastfeeding among African-American women.

Learning Areas:
Communication and informatics
Public health or related research

Learning Objectives:
1)Compare the rates of breastfeeding initiation among African-American women with other groups and relative to Healthy People 2020 objectives. 2)Describe the pattern of timing of discussions between health care providers and mothers regarding infant-feeding method.

Keywords: Breast Feeding, Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I helped to develop the survey that this research is based on and I analyzed the data for the project. I have been an Assistant Professor of Practice and Project Director, Immigrant Project, New York Medical College School of Public Health
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.