Research has noted a rural disadvantage in breastfeeding initiation; however, most previous research has been based on nonrepresentative samples and has been limited in its ability to compare racial/ethnic differences in breastfeeding initiation based on residential location. This research fills this gap by examining a nationally representative sample of births using the Early Childhood Longitudinal Study—Birth Cohort (ECLS—B) to explore associations between rural-urban residence and maternal race/ethnicity on breastfeeding initiation. Results indicate that associations observed for rural-urban breastfeeding initiation differ based on maternal race/ethnicity and poverty status. These patterns likely reflect differences in economic resources, work environments, and social support among rural minority postpartum women. J Hum Lact. 26(2):118-129
Barton SJInfant feeding practices of low-income rural mothers. Am J Matern Child Nurs. 2001;26:93-97.
2.
Flower KB, Willoughby M., Cadigan RJ, Perrin EM, Randolph G.; The Family LifeProject Investigative Team.Understanding breastfeeding initiation and continuation in rural communities: a combined qualitative/quantitative approach. Matern Child Health J. 2008;12: 402-414.
3.
Li RW, Grummer-Strawn L.Racial and ethnic disparities in breastfeeding among United States infants: Third National Health and Nutrition Examination Survey, 1988-1994. Birth. 2002;29:251-257.
4.
Li RW, Ogden C., Ballew C., Gillespie C., Grummer-Strawn L.Prevalence of exclusive breastfeeding among US infants: the Third National Health and Nutrition Examination Survey (phase II, 1991-1994). Am J Public Health. 2002;92:1107-1110.
5.
Li RW, Zhao Z., Mokdad A., Barker L., Grummer-Strawn L.Prevalence of breastfeeding in the United States: the 2001 National Immunization Survey. Pediatrics. 2003;111:1198-1201.
6.
Hurley KM, Black MM, Papas MA, Quigg AMVariation in breastfeeding behaviours, perceptions, and experiences by race/ethnicity among a low-income statewide sample of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participants in the United States. Matern Child Nutr. 2008;4:95-105.
7.
Ryan AS, Zhou WJLower breastfeeding rates persist among the special supplemental nutrition program for women, infants, and children participants, 1978-2003. Pediatrics. 2006;117:1136-1146.
8.
Ryan AS, Zhou WJ, Gaston MHRegional and sociodemographic variation of breastfeeding in the United States , 2002. Clin Pediatr. 2004;43:815-824.
9.
Chin AC, Myers L., Magnus JHRace, education, and breastfeeding initiation in Louisiana, 2000-2004. J Hum Lact. 2008;24:175-185.
10.
Forste R., Weiss J., Lippincott E.The decision to breastfeed in the United States: does race matter? Pediatrics. 2001;108:291-296.
11.
Li RW, Darling N., Maurice E., Barker L., Grummer-Strawn LMBreastfeeding rates in the United States by characteristics of the child, mother, or family: the 2002 National Immunization Survey. Pediatrics. 2005;115:E31-E37.
12.
Ahluwalia I. , Morrow B., Hsia J., Grummer-Strawn L.Who is breastfeeding? Recent trends from the pregnancy risk assessment and monitoring system. J Pediatr. 2003;142:486-491.
13.
Dubois L., Girard M.Social determinants of initiation, duration and exclusivity of breastfeeding at the population level: the results of the Longitudinal Study of Child Development in Quebic (ELDEQ 1998-2002). Can J Public Health. 2003;94:300-305.
14.
Fein SB, Roe B.The effect of work status on initiation and duration of breast-feeding. Am J Public Health. 1998;88:1042-1046.
15.
Smith MM, Durkin M., Hinton VJ, Bellinger D., Kuhn L.Initiation of breastfeeding among mothers of very low birth weight infants . Pediatrics. 2003;111:1337-1342.
16.
Taveras EM, Capra AM, Braveman PA, Jensvold NG, Escobar GJ, Lieu TAClinician support and psychosocial risk factors associated with breastfeeding discontinuation. Pediatrics. 2003;112:108-115.
17.
Gibson-Davis CM, Brooks-Gunn J.Couples’ immigration status and ethnicity as determinants of breastfeeding. Am J Public Health. 2006;96:641-646.
18.
Jones CA, Parker TS, Ahearn M., Mishra AK, Variyam JNHealth status and health care access of farm and rural populations. Econ Inf Bull. 2009;August(EIB-57):1-72.
19.
Johnson KMUnpredictable directions of rural population growth and migration. In: Brown DL, Swanson LE, eds. Challenges for Rural America in the 21st Century. University Park: Pennsylvania State University Press;2003:19-31.
20.
Celi AC, Rich-Edwards JW, Richardson MK, Kleinman KP, Gillman MWImmigration, race/ethnicity, and social and economic factors as predictors of breastfeeding initiation. Arch Pediatr Adolesc Med. 2005;159:255-260.
21.
Clark SJ, Savitz LARural children’s health. West J Med. 2001;174: 142-147.
22.
Khoury AJ, Moazzem SW, Jarjoura CM, Carothers C., Hinton A.Breast-feeding initiation in low-income women: role of attitudes, support, and perceived control. Womens Health Issues. 2005;15:64-72.
23.
Kuan LW, Britto M., Decolongon J., Schoettker PJ, Atherton HD, Kotagal URHealth system factors contributing to breastfeeding success. Pediatrics. 1999;104:e28.
24.
Ogbuanu CA, Probst J., Laditka SB, Liu JH, Baek J., Glover S.Reasons why women do not initiate breastfeeding: a Southeastern State Study . Womens Health Issues. 2009;19:268-278.
25.
Chatterji P. , Brooks-Gunn J.WIC participation, breastfeeding practices, and well-child care among unmarried, low-income mothers. Am J Public Health. 2004;94:1324-1327.
26.
Jacknowitz A., Novillo D., Tiehen L.Special supplemental nutrition program for women, infants, and children and infant feeding practices. Pediatrics. 2007;119:281-289.
27.
Fein SB, Mandal B., Roe BESuccess of strategies for combining employment and breastfeeding. Pediatrics. 2008;122:S56-S62.
28.
Guendelman S., Kosa JL, Pearl M., Graham S., Goodman J., Kharrazi M.Juggling work and breastfeeding: effects of maternity leave and occupational characteristics. Pediatrics . 2009;123:E38-E46.
29.
Ahluwalia IB , Morrow B., Hsia J.Why do women stop breastfeeding? Findings from the pregnancy risk assessment and monitoring system. Pediatrics. 2005;116:1408-1412.
30.
Kanotra S., D’Angelo D., Phares TM, Morrow B., Barfield WD, Lansky A.Challenges faced by new mothers in the early postpartum period: an analysis of comment data from the 2000 Pregnancy Risk Assessment Monitoring System (PRAMS) survey. Matern Child Health J. 2007 ;11: 549-558.
31.
O’Brien M., Buikstra E., Hegney D.The influence of psychological factors on breastfeeding duration. J Adv Nurs. 2008;63:397-408.
32.
Centers for Disease Control and Prevention.Racial and socioeconomic disparities in breastfeeding-United States, 2004. Morb Mortal Wkly Rep. 2006;55:335-339.
33.
Bentley M., Gavin L., Black MM, Teti L.Infant feeding practices of low-income, African-American, adolescent mothers: an ecological, multigenerational perspective. Soc Sci Med . 1999;49:1085-1100.
34.
Kurinij N., Shiono PH, Rhoads GGBreast-feeding incidence and duration in black and white women. Pediatrics. 1988;81:365-371.
35.
Li R., Fridinger F., Grummer-Strawn L.Racial/ethnic disparities in public opinion about breastfeeding: the 1999-2000 health-styles surveys in the United States. Adv Exp Med Biol . 2004;554: 287-291.
36.
Rassin DK, Richardson CJ, Baranowski T., et al. Incidence of breastfeeding in a low socioeconomic group of mothers in the United States: ethnic patterns. Pediatrics. 1984;73:132-137.
37.
Gibson MV, Diaz VA, Mainous AG, Geesey MEPrevalence of breastfeeding and acculturation in Hispanics: results from NHANES 1999-2000 study. Birth. 2005;32:93-98.
38.
Guendelman S., Siega-Riz AMInfant feeding practices and maternal dietary intake among Latino immigrants in California. J Immigrant Health. 2002;4:137-146.
39.
US Department of Education.Early Childhood Longitudinal Study, Birth Cohort (ECLS-B), Longitudinal 9-Month-Preschool Restricted-Use Data File. Vol NCES 2008-024. Washington, DC: National Center for Education Statistics; 2008.
40.
US Department of Education, ed. User’s Manual for the ECLS-B Nine-Month Private Data File and Electronic Code Book . Washington, DC: US Department of Education; 2005.
41.
Flanagan KD, Park J.American Indian and Alaska Native Children: Findings From the Base Year of the Early Childhood Longitudinal Study, Birth Cohort (ECLS-B). Vol NCES 2005-116 . Washington, DC: National Center for Education Statistics; 2005.
42.
US Census Bureau, Geography Division.Census 2000 Urban and Rural Classification. December 30, 2008. http://www.census.gov/geo/www./ua/ua_2k.html. Accessed August 20, 2009.
43.
An ABPerforming logistic regression on survey data with the new SURVEYLOGISTIC procedure. Presented at: Proceedings of the Twenty-Seventh Annual SAS® Users Group International Conference, April 117, 2002; Orlando, FL.
Williams DR, Collins C.U.S. socioeconomic and racial differences in health. In: LaVeist TA, ed. Race, Ethnicity and Health: A Public Health Reader. San Francisco: Jossey-Bass; 2002:391-431.
46.
Raisler J.Against the odds: breastfeeding experiences of low income mothers. J Midwifery Womens Health. 2000;45:253-263.
47.
American Academy of Pediatrics Section on Breastfeeding.Breastfeeding and the use of human milk. Pediatrics. 2005;115:496-506.
