Breastfeeding Practices among Native Hawaiians and Pacific Islanders
Background. Breastfeeding is associated with a decreased risk of obesity in the early and adult years. Native Hawaiians and Pacific Islanders (NHPI) experience high rates of obesity which is often obfuscated with aggregated data. Using disaggregated data, we examined breastfeeding practices among NH...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2016/2489021 |
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| author | Ingrid K. Richards Adams Chizimuzo T. C. Okoli Akilah Dulin Keita Ana Maria Linares Keiko Tanaka Joshua R. Polanin Annie Koempel |
| author_facet | Ingrid K. Richards Adams Chizimuzo T. C. Okoli Akilah Dulin Keita Ana Maria Linares Keiko Tanaka Joshua R. Polanin Annie Koempel |
| author_sort | Ingrid K. Richards Adams |
| collection | DOAJ |
| description | Background. Breastfeeding is associated with a decreased risk of obesity in the early and adult years. Native Hawaiians and Pacific Islanders (NHPI) experience high rates of obesity which is often obfuscated with aggregated data. Using disaggregated data, we examined breastfeeding practices among NHPI. Methods. Seven databases and reference lists were searched. Two independent researchers extracted relevant studies based on predetermined criteria. Nine studies met our inclusion criteria and a meta-analysis was conducted using random-effects, inverse-various weighted models. Results. Few studies disaggregated NHPI populations when examining breastfeeding practices. Most studies were cross-sectional and our search yielded no randomized or quasirandomized control trials. The results of the meta-analysis indicated that 46.5% NHPI women initiated breastfeeding with 40.8% breastfeeding exclusively. These pooled analyses show that NHPI breastfeeding practices are below the recommended national and international goals and guidelines. Conclusion. Breastfeeding practices among NHPI are heterogeneous and critical disparities exist among certain NHPI subgroups and additional research needs to be conducted to determine the reasons for the disparity. Future studies should work to disaggregate data for NHPI and the various subpopulations. Multicomponent, multilevel strategies are needed to support breastfeeding practices among NHPI. |
| format | Article |
| id | doaj-art-fdfdc313f98d45e1aeb8239f9d6b4af5 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-fdfdc313f98d45e1aeb8239f9d6b4af52025-08-20T03:25:27ZengWileyJournal of Obesity2090-07082090-07162016-01-01201610.1155/2016/24890212489021Breastfeeding Practices among Native Hawaiians and Pacific IslandersIngrid K. Richards Adams0Chizimuzo T. C. Okoli1Akilah Dulin Keita2Ana Maria Linares3Keiko Tanaka4Joshua R. Polanin5Annie Koempel6Department of Dietetics and Human Nutrition, University of Kentucky, 118 Funkhouser Building, Lexington, KY 40506, USAUniversity of Kentucky, 315 CON Building, Lexington, KY 40536, USAInstitute for Community Health Promotion, Department of Behavioral and Social Sciences, Brown University, Box G-S121-8, Providence, RI 02908, USAUniversity of Kentucky, 315 CON Building, Lexington, KY 40536, USAUniversity of Kentucky, Lexington, KY, USAPeabody Research Institute, Vanderbilt University, Nashville, TN, USADepartment of Dietetics and Human Nutrition, University of Kentucky, Lexington, KY, USABackground. Breastfeeding is associated with a decreased risk of obesity in the early and adult years. Native Hawaiians and Pacific Islanders (NHPI) experience high rates of obesity which is often obfuscated with aggregated data. Using disaggregated data, we examined breastfeeding practices among NHPI. Methods. Seven databases and reference lists were searched. Two independent researchers extracted relevant studies based on predetermined criteria. Nine studies met our inclusion criteria and a meta-analysis was conducted using random-effects, inverse-various weighted models. Results. Few studies disaggregated NHPI populations when examining breastfeeding practices. Most studies were cross-sectional and our search yielded no randomized or quasirandomized control trials. The results of the meta-analysis indicated that 46.5% NHPI women initiated breastfeeding with 40.8% breastfeeding exclusively. These pooled analyses show that NHPI breastfeeding practices are below the recommended national and international goals and guidelines. Conclusion. Breastfeeding practices among NHPI are heterogeneous and critical disparities exist among certain NHPI subgroups and additional research needs to be conducted to determine the reasons for the disparity. Future studies should work to disaggregate data for NHPI and the various subpopulations. Multicomponent, multilevel strategies are needed to support breastfeeding practices among NHPI.http://dx.doi.org/10.1155/2016/2489021 |
| spellingShingle | Ingrid K. Richards Adams Chizimuzo T. C. Okoli Akilah Dulin Keita Ana Maria Linares Keiko Tanaka Joshua R. Polanin Annie Koempel Breastfeeding Practices among Native Hawaiians and Pacific Islanders Journal of Obesity |
| title | Breastfeeding Practices among Native Hawaiians and Pacific Islanders |
| title_full | Breastfeeding Practices among Native Hawaiians and Pacific Islanders |
| title_fullStr | Breastfeeding Practices among Native Hawaiians and Pacific Islanders |
| title_full_unstemmed | Breastfeeding Practices among Native Hawaiians and Pacific Islanders |
| title_short | Breastfeeding Practices among Native Hawaiians and Pacific Islanders |
| title_sort | breastfeeding practices among native hawaiians and pacific islanders |
| url | http://dx.doi.org/10.1155/2016/2489021 |
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