The Influence of Mental Health, Confidence, and Acculturation on Breastfeeding in Hispanic People.

IF 2.5 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American Journal of Health Promotion Pub Date : 2025-04-17 DOI:10.1177/08901171251336899

Paige D Gilliland, Victoria F Keeton, Sarah Haynes, Sebastian Castro-Alvarez, Aubrey Golden, Leigh Ann Simmons

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引用次数: 0

Abstract

PurposeTo examine breastfeeding behaviors among Hispanic women who participated in a postpartum nurse home visiting program with a focus on improving breastfeeding rates overall.DesignAn analysis comparing breastfeeding rates between Hispanic and non-Hispanic women and the impacts of anxiety, depression, breastfeeding confidence, and acculturation.SettingYolo County, CA.SubjectsParticipants of the First 5 Yolo Welcome Baby: Road to Resilience home visiting program who completed both an initial and follow-up visit (N = 158).MeasuresMothers self-reported breastfeeding behavior, breastfeeding confidence, anxiety, depression, ethnicity, insurance status, access to WIC, and acculturation (ie, language preference).AnalysisMultinomial logistic regression with ridge regularization.ResultsOverall, anxiety and breastfeeding confidence were associated with more breastfeeding at 3 months postpartum. Anxiety had a greater negative impact on exclusive breastfeeding for non-Hispanic participants compared to Hispanic participants. High breastfeeding confidence was associated with increased exclusive breastfeeding at 3 months only for Spanish-preferring Hispanic participants.ConclusionUnderstanding health behaviors and resilience factors in Hispanic communities may inform interventions and policies in the US that improve breastfeeding rates overall.

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西班牙裔人群的心理健康、自信和文化适应对母乳喂养的影响。

目的探讨参加产后护士家访计划的西班牙裔妇女的母乳喂养行为，以提高总体母乳喂养率。设计一项比较西班牙裔和非西班牙裔妇女母乳喂养率以及焦虑、抑郁、母乳喂养信心和文化适应的影响的分析。研究对象：参与“欢迎宝宝：恢复之路”家访项目并完成了首次和随访的参与者（N = 158）。测量方法母亲自我报告的母乳喂养行为、母乳喂养自信、焦虑、抑郁、种族、保险状况、获取WIC和文化适应（即语言偏好）。基于岭正则化的多项逻辑回归。结果总体而言，焦虑和母乳喂养自信与产后3个月母乳喂养增加有关。与西班牙裔参与者相比，焦虑对非西班牙裔参与者的纯母乳喂养有更大的负面影响。高母乳喂养信心与3个月时纯母乳喂养增加有关，仅对于偏爱西班牙语的西班牙裔参与者。结论了解西班牙裔社区的健康行为和恢复力因素可以为美国提高母乳喂养率的干预措施和政策提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Health Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

3.70%

发文量

184

期刊介绍： The editorial goal of the American Journal of Health Promotion is to provide a forum for exchange among the many disciplines involved in health promotion and an interface between researchers and practitioners.