{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:03:40Z","timestamp":1791425020277,"version":"4.3.3"},"reference-count":45,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2015,4,21]],"date-time":"2015-04-21T00:00:00Z","timestamp":1429574400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Prepregnancy overweight\/obesity can adversely affect breastfeeding initiation, but studies examining this association among different racial\/ethnic groups of U.S. women are limited. This study used a large, nationally representative sample to assess racial\/ethnic differences in breastfeeding noninitiation among U.S. women of different body mass index (BMI) classifications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      This study analyzed data from the Pregnancy Risk Assessment Monitoring System, including 95,141 women who delivered a live, singleton baby from 2009 to 2011 and provided BMI and breastfeeding information. Prepregnancy BMI was categorized as underweight (&lt;18.5 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), normal weight (18.5\u201324.9 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), overweight (25.0\u201329.9 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), and obese (\u226530.0 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). Breastfeeding initiation was reported as having ever breastfed after delivery (yes or no). Adjusted models, which included only potential confounders resulting in a 10% or greater change in estimate, generated adjusted odds ratios (AOR) and 95% confidence intervals (CI) for breastfeeding noninitiation. Analysis was stratified by race\/ethnicity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Compared with normal weight non-Hispanic white women, the odds of breastfeeding noninitiation were 17% and 25% higher among overweight (AOR=1.17, 95% CI=1.07\u20131.29) and obese (AOR=1.25, 95% CI=1.14\u20131.36) non-Hispanic white women, respectively. Among non-Hispanic black women, the odds of breastfeeding noninitiation were 29% higher only in obese women compared with normal weight non-Hispanic black women. No association was observed among Hispanic women or women of other races.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Prepregnancy BMI is a significant predictor for breastfeeding noninitiation for non-Hispanic white and non-Hispanic black women. Further exploration of the differences underlying the association between prepregnancy BMI and breastfeeding behaviors among racial subpopulations of women in the United States is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/bfm.2015.0006","type":"journal-article","created":{"date-parts":[[2015,4,21]],"date-time":"2015-04-21T16:02:22Z","timestamp":1429632142000},"page":"253-262","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Prepregnancy Obesity and Breastfeeding Noninitiation in the United States: An Examination of Racial and Ethnic Differences"],"prefix":"10.1177","volume":"10","author":[{"given":"Saba W.","family":"Masho","sequence":"first","affiliation":[{"name":"School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Cha","sequence":"additional","affiliation":[{"name":"School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle R.","family":"Morris","sequence":"additional","affiliation":[{"name":"School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,4,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2009.0050"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.2005.10719480"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8709.2008.00176.x"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)09454-0"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"e_1_3_3_7_2","unstructured":"Centers for Disease Control and Prevention. 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