Although it is well documented that race and education are associated with breastfeeding initiation, the possible interaction between these 2 demographic variables has not been explored in a geographically stable, biracial population. This study explores the relationship between race, education, and breastfeeding among women in Louisiana. J Hum Lact. 24(2):175-185.
Para determinar la relación entre raza, educación e iniciación de lactancia materna en mujeres de Louisiana, los autores analizaron datos del Sistema de Monitoreo de evaluación de riesgo de embarazo de Louisiana (LA PRAMS) y demostraron que solo 54% de mujeres blancas y negras primíparas de embarazo único iniciaron lactancia materna (32% y 67% de madres negras y blancas respectivamente). Luego de controlar la edad, trabajo/ escolaridad, Medicaid, tipo de parto, uso de tabaco/alcohol, edad gestacional, WIC y lugar de nacimiento, las mujeres negras iniciaron la lactancia el 62% menos que las mujeres blancas (OR 0.38, 95% CI 0.30, 0.48). No hubo una interacción significativa entre raza y educación en relación con la iniciación de la lactancia materna (P = .88) y factores asociados a la iniciación de la lactancia materna fueron diferentes entre mujeres negras y blancas. En Louisiana, la raza sigue siendo un precursor de la iniciación de la lactancia materna, aun después de controlar la educación y otras variables sociodemográficas. Educación en salud a mujeres embarazadas debe incluir intervenciones especificas a la raza para aumentar los índices de iniciación de la lactancia materna.
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