IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i18p6893-d416685.html
   My bibliography  Save this article

Social Determinants of Breastfeeding Preferences among Black Mothers Living with HIV in Two North American Cities

Author

Listed:
  • Josephine Etowa

    (School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada)

  • Egbe Etowa

    (Department of Sociology, Anthropology & Criminology, Faculty of Arts, Humanities & Social Sciences, University of Windsor, Windsor, ON N9B 3P4, Canada)

  • Hilary Nare

    (School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada)

  • Ikenna Mbagwu

    (School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1N 6N5, Canada)

  • Jean Hannan

    (Nicole Wertheim College of Nursing and Health Sciences, Academic Centre 3, Florida International University, Miami, FL 33199, USA)

Abstract

The study is motivated by the need to understand the social determinants of breastfeeding attitudes among HIV-positive African, Caribbean, and Black (ACB) mothers. To address the central issue identified in this study, analysis was conducted with datasets from two North American cities, where unique country-specific guidelines complicate infant feeding discourse, decisions, and practices for HIV-positive mothers. These national infant feeding guidelines in Canada and the US present a source of conflict and tension for ACB mothers as they try to navigate the spaces between contradictory cultural expectations and national guidelines. Analyses in this paper were drawn from a broader mixed methods study guided by a community-based participatory research (CBPR) approach to examine infant feeding practices among HIV-positive Black mothers in three countries. The survey were distributed through Qualtrics and SPSS was used for data cleaning and analysis. Results revealed a direct correlation between social determinants and breastfeeding attitude. Country of residence, relatives’ opinion, healthcare providers’ advice and HIV-related stigma had statistically significant association with breastfeeding attitude. While the two countries’ guidelines, which recommend exclusive formula feeding, are cardinal in preventing vertical transmission, they can also be a source of stress. We recommend due consideration of the cultural contexts of women’s lives in infant feeding guidelines, to ensure inclusion of diverse women.

Suggested Citation

  • Josephine Etowa & Egbe Etowa & Hilary Nare & Ikenna Mbagwu & Jean Hannan, 2020. "Social Determinants of Breastfeeding Preferences among Black Mothers Living with HIV in Two North American Cities," IJERPH, MDPI, vol. 17(18), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6893-:d:416685
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/18/6893/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/18/6893/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wolf, J.H., 2003. "Low Breastfeeding Rates and Public Health in the United States," American Journal of Public Health, American Public Health Association, vol. 93(12), pages 2000-2010.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. D. Mark Anderson & Ryan Brown & Kerwin Kofi Charles & Daniel I. Rees, 2016. "The Effect of Occupational Licensing on Consumer Welfare: Early Midwifery Laws and Maternal Mortality," NBER Working Papers 22456, National Bureau of Economic Research, Inc.
    2. Pudrovska, Tetyana & Carr, Deborah & McFarland, Michael & Collins, Caitlyn, 2013. "Higher-status occupations and breast cancer: A life-course stress approach," Social Science & Medicine, Elsevier, vol. 89(C), pages 53-61.
    3. Jackie Yenerall & Andrew Muhammad & Karen DeLong & Trey Malone, 2024. "Navigating the challenges of building a more resilient infant formula industry," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 46(2), pages 499-513, June.
    4. D. Mark Anderson & Kerwin Kofi Charles & Daniel I. Rees, 2018. "Public Health Efforts and the Decline in Urban Mortality," NBER Working Papers 25027, National Bureau of Economic Research, Inc.
    5. Anderson, D. Mark & Rees, Daniel I. & Wang, Tianyi, 2020. "The phenomenon of summer diarrhea and its waning, 1910-1930⁎," Explorations in Economic History, Elsevier, vol. 78(C).
    6. Tiffany Green, 2011. "Infant feeding and asthma: is breast milk best?," Review of Economics of the Household, Springer, vol. 9(4), pages 487-504, December.
    7. Marianne Lønnebotn & Natalia El-Merhie & John W. Holloway & William Horsnell & Susanne Krauss-Etschmann & Francisco Gómez Real & Cecilie Svanes, 2018. "Environmental Impact on Health across Generations: Policy Meets Biology. A Review of Animal and Human Models," Challenges, MDPI, vol. 9(2), pages 1-16, December.
    8. D. Mark Anderson & Daniel I. Rees & Tianyi Wang, 2019. "The Phenomenon of Summer Diarrhea and its Waning, 1910-1930," NBER Working Papers 25689, National Bureau of Economic Research, Inc.
    9. Anderson, D. Mark & Charles, Kerwin Kofi & Rees, Daniel I., 2018. "Public Health Efforts and the Decline in Urban Mortality," IZA Discussion Papers 11773, Institute of Labor Economics (IZA).
    10. Wang, Huiqiang, 2016. "Estimating the health impacts of food safety interventions: Optimal counterfactual selections via information criteria in small samples," Food Policy, Elsevier, vol. 63(C), pages 44-52.
    11. Anderson, D. Mark & Charles, Kerwin Kofi & Rees, Daniel I., 2019. "Public Health Efforts and the Decline in Urban Mortality: Reply to Cutler and Miller," IZA Discussion Papers 12077, Institute of Labor Economics (IZA).
    12. Anderson, D. Mark & Rees, Daniel I. & Wang, Tianyi, 2019. "The Phenomenon of Summer Diarrhea and Its Waning, 1910-1930," IZA Discussion Papers 12232, Institute of Labor Economics (IZA).
    13. Veile, Amanda & Martin, Melanie & McAllister, Lisa & Gurven, Michael, 2014. "Modernization is associated with intensive breastfeeding patterns in the Bolivian Amazon," Social Science & Medicine, Elsevier, vol. 100(C), pages 148-158.
    14. Kelleher, Christa M., 2006. "The physical challenges of early breastfeeding," Social Science & Medicine, Elsevier, vol. 63(10), pages 2727-2738, November.
    15. Anderson, D. Mark & Charles, Kerwin Kofi & McKelligott, Michael & Rees, Daniel I., 2022. "Safeguarding Consumers through Minimum Quality Standards: Milk Inspections and Urban Mortality, 1880-1910," IZA Discussion Papers 15295, Institute of Labor Economics (IZA).
    16. Kelaher, Margaret & Dunt, David & Feldman, Peter & Nolan, Andrea & Raban, Bridie, 2009. "The effect of an area-based intervention on breastfeeding rates in Victoria, Australia," Health Policy, Elsevier, vol. 90(1), pages 89-93, April.
    17. D. Mark Anderson & Kerwin Kofi Charles & Michael McKelligott & Daniel I. Rees, 2022. "Safeguarding Consumers Through Minimum Quality Standards: Milk Inspections and Urban Mortality, 1880-1910," NBER Working Papers 30063, National Bureau of Economic Research, Inc.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6893-:d:416685. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.