{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T12:10:27Z","timestamp":1780402227153,"version":"3.54.1"},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01HD073237"],"award-info":[{"award-number":["R01HD073237"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["T32 HD007158"],"award-info":[{"award-number":["T32 HD007158"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Biological Anthropology"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Despite growing attention on the issue, racial disparities in birth and breastfeeding outcomes in the United States persist. However, few biocultural studies have explored the interaction between these outcomes specifically in non\u2010Hispanic Black (NHB) women. The present study examines the risks for a mismatch between women's birth intent and birth outcome (labor mismatch) and its impact on achieving their breastfeeding goals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This study used data from the Mothers &amp; Others study, a two\u2010group randomized control trial aimed at reducing rapid weight gain among NHB infants. Data were collected from self\u2010identified NHB women via survey by peer educators at enrollment and from postpartum home visits at 3, 6, 9, 12, and 15\u2009months. Logistic regression was used to test for risks for labor mismatch and whether a labor mismatch was associated with participants' achievement of breastfeeding goals, controlling for BMI, delivery location, education, age, low\u2010income status, previous breastfeeding experience, WIC status, and being in the intervention group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>123 of the 265 participants (47.49%) had a labor mismatch. In adjusted regression models, maternal BMI, education, and low\u2010income status were associated with labor mismatch. We did not find that a labor mismatch was associated with participants achieving their breastfeeding goals. We did find that having a pre\u2010pregnancy BMI over 25 and a high\u2010school education were significantly associated with breastfeeding shorter than mothers intended.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Though labor mismatch was not associated with breastfeeding outcomes, our results suggest that income, education, and BMI are significant for NHB women achieving their birth and breastfeeding goals.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajpa.70115","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T07:35:43Z","timestamp":1756452943000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Impact of Labor Mismatch on Achieving Breastfeeding Goals Among Non\u2010Hispanic Black Women in North Carolina"],"prefix":"10.1002","volume":"188","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4641-1516","authenticated-orcid":false,"given":"Julia A.","family":"Mackessy","sequence":"first","affiliation":[{"name":"Department of Anthropology University of North Carolina  Chapel Hill North Carolina USA"},{"name":"Carolina Population Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda L.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Anthropology University of North Carolina  Chapel Hill North Carolina USA"},{"name":"Carolina Population Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Nutrition Gillings School of Global Public Health, University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peggy E.","family":"Bentley","sequence":"additional","affiliation":[{"name":"Department of Nutrition Gillings School of Global Public Health, University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6752-6483","authenticated-orcid":false,"given":"Morgan K.","family":"Hoke","sequence":"additional","affiliation":[{"name":"Department of Anthropology University of North Carolina  Chapel Hill North Carolina USA"},{"name":"Carolina Population Center University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis L.","family":"Woods Barr","sequence":"additional","affiliation":[{"name":"Carolina Global Breastfeeding Institute Gillings School of Public Health, University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather M.","family":"Wasser","sequence":"additional","affiliation":[{"name":"Department of Nutrition Gillings School of Global Public Health, University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6627a3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13022"},{"key":"e_1_2_9_4_1","unstructured":"CDC.2024.Adult BMI Categories. BMI.https:\/\/www.cdc.gov\/bmi\/adult\u2010calculator\/bmi\u2010categories.html."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7021a1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2018.08.008"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8860"},{"issue":"1","key":"e_1_2_9_8_1","first-page":"139","article-title":"Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory and Antiracist Politics","volume":"1989","author":"Crenshaw K. W.","year":"1989","journal-title":"University of Chicago Legal Forum"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.2307\/1229039"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/08445621221089475"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/01459740.2018.1549389"},{"issue":"14","key":"e_1_2_9_12_1","first-page":"3236","article-title":"Annual Update of HHS Poverty Guidelines","volume":"80","author":"Department of Health of Human Services","year":"2015","journal-title":"Federal Register, Notices"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102393\u201013\u2010168"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008\u20101315c"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010019\u20102369\u20105"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523\u2010536X.2003.00241.x"},{"key":"e_1_2_9_17_1","volume-title":"Building a New Biocultural Synthesis: Political\u2010Economic Perspectives on Human Biology","author":"Goodman A. H.","year":"2010"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuv039"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2005.11.008"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.22238"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1086\/678055"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/napa.12052"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.23471"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022029920000047"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2010.06.024"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/30.4.668"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010anthro\u2010091908\u2010164350"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.20822"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1525\/eth.2005.33.1.046"},{"key":"e_1_2_9_30_1","volume-title":"The Routledge Companion to Contemporary Anthropology","author":"Leatherman T.","year":"2016"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/00981389.2017.1316811"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuropharm.2021.108821"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.051096"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13561\u2010018\u20100190\u2010x"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007\u20102747"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2018.0132"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031\u20103955(08)70039\u20107"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740\u20108709.2009.00213.x"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010008\u20100356\u2010y"},{"key":"e_1_2_9_40_1","volume-title":"Births: Final Data for 2021","author":"Osterman M. J. K.","year":"2023"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12294"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/10998004221097085"},{"key":"e_1_2_9_43_1","unstructured":"Reproductive Justice.2024.In Our Own Voice: National Black Women's Reproductive Justice Agenda.https:\/\/blackrj.org\/our\u2010causes\/reproductive\u2010justice\/."},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12284"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2014.5059"},{"key":"e_1_2_9_46_1","volume-title":"Computer Software","author":"Stata\/SE (Version 17.0)","year":"2024"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2012.12.007"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.23219"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552\u20106909.2009.01021.x"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2022.01.010"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2020.0138"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2017.06.002"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010020\u201002273\u20109"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010021\u201003898\u2010z"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20101785\u20108843"}],"container-title":["American Journal of Biological Anthropology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajpa.70115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T06:47:31Z","timestamp":1760424451000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajpa.70115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,29]]},"references-count":54,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1002\/ajpa.70115"],"URL":"https:\/\/doi.org\/10.1002\/ajpa.70115","archive":["Portico"],"relation":{},"ISSN":["2692-7691","2692-7691"],"issn-type":[{"value":"2692-7691","type":"print"},{"value":"2692-7691","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,29]]},"assertion":[{"value":"2024-09-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70115"}}