Abstract
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.
Document Type
Review
Publication Date
2016
Digital Object Identifier (DOI)
https://doi.org/10.1155/2016/2489021
Funding Information
This study was supported by the Robert Wood Johnson Foundation: New Connections Grant no. 19652.
Repository Citation
Adams, Ingrid K.; Okoli, Chizimuzo T.C.; Dulin Keita, Akilah; Linares, Ana Maria; Tanaka, Keiko; Polanin, Joshua R.; and Koempel, Annie, "Breastfeeding Practices Among Native Hawaiians and Pacific Islanders" (2016). Dietetics and Human Nutrition Faculty Publications. 7.
https://uknowledge.uky.edu/foodsci_facpub/7
Notes/Citation Information
Published in Journal of Obesity, v. 2016, article ID 2489021, p. 1-9.
Copyright © 2016 Ingrid K. Richards Adams et al.
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.