{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:56:08Z","timestamp":1777456568752,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"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":[[2025,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breastfeeding is a key public health priority with known racial inequities. Despite the well-described and far-reaching health benefits of breastfeeding for mothers and infants, rates of breastfeeding initiation, continuation, and exclusivity lag meaningfully among African American and Black (AA\/B) women compared with other racial and ethnic groups due in main to current and historical structural racism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study objective was to assess the replicability of Breast for Success (BFS) on breastfeeding rates among home-visited low-income predominantly AA\/B mothers. The BFS Excels a Second Time (BEST) trial was an observational study conducted at the Neighborhood Health Association, Toledo, OH, enrolling expectant women (June 2022\u2013March 2023, followed to October 2023) participating in the Moms and Babies First (MBF) Community Health Worker (CHW)-led home visiting program. The exposure, BFS, includes 11 CHW-delivered breastfeeding-supportive modules, breastfeeding supplies, and a postnatal lactation visit. All MBF mothers received BFS; those who agreed to data sharing were BEST participants. The outcomes were breastfeeding initiation, and breastfeeding continuation, and exclusivity at 1 month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The majority of participants were AA\/B (48, 83%), had an income &lt;200% poverty level (55, 95%), and were unmarried (57, 98%); mean age was 25.8 years (SD 5.5). Of the 58 participants, 57 (98%) initiated breastfeeding and continued breastfeeding at 1 month postpartum; 53 (91%) were exclusively breastfeeding at 1 month postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>BFS piggybacks seamlessly onto CHW-led home-visiting curricula and increased breastfeeding rates among women at high risk for not breastfeeding. Public health programs can add BFS to fill a critical curricular and impact gap with respect to breastfeeding support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/bfm.2024.0229","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T13:42:31Z","timestamp":1729777351000},"page":"19-24","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Reducing Disparities in Breastfeeding: \u201cBreast for Success\u201d Excels a Second Time"],"prefix":"10.1177","volume":"20","author":[{"given":"Deborah","family":"Hamilton","sequence":"first","affiliation":[{"name":"Moms &amp; Babies First Program, Neighborhood Health Association, Toledo, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"P\u00e9rez","sequence":"additional","affiliation":[{"name":"University Hospitals Center for Clinical Research, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4829-4875","authenticated-orcid":false,"given":"Lydia","family":"Furman","sequence":"additional","affiliation":[{"name":"University Hospitals Rainbow Babies and Children\u2019s Hospital, Cleveland OH and Case Western Reserve University School of Medicine, Cleveland, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"e_1_3_5_3_2","first-page":"e187","article-title":"Optimizing Support for Breastfeeding as Part of Obstetric Practice. Obstetr Gynecol","volume":"132","author":"American College of Obstetricians and Gynecologists","year":"2018","unstructured":"American College of Obstetricians and Gynecologists. Optimizing Support for Breastfeeding as Part of Obstetric Practice. Obstetr Gynecol. ACOG Committee Opinion No. 756, 2018; 132:e187\u2013e196; doi: 10.1097\/AOG.0000000000002890","journal-title":"ACOG Committee Opinion No. 756"},{"key":"e_1_3_5_4_2","unstructured":"Breastfeeding Data and Statistics Breastfeeding Rates. Division of Physical Activity Nutrition and Obesity National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention. Available from: https:\/\/www.cdc.gov\/breastfeeding\/data\/nis_data\/results.html [Last accessed: September4 2024]."},{"key":"e_1_3_5_5_2","unstructured":"Ohio Department of Health Breastfeeding Data. Breastfeeding at Discharge 2015-2019. Available from: https:\/\/odh.ohio.gov\/know-our-programs\/Breastfeeding\/Data [Last accessed: February8 2022]."},{"key":"e_1_3_5_6_2","volume-title":"Assessment Survey Dashboard.","author":"The Ohio Pregnancy","year":"2024","unstructured":"The Ohio Pregnancy. Assessment Survey Dashboard. grcapps. osu.edu\/opas\/; 2024; [Last accessed: December18, 2023]."},{"key":"e_1_3_5_7_2","unstructured":"Breast for Success. Available from: https:\/\/www.uhhospitals.org\/services\/obgyn-womens-health\/patient-resources\/breast-for-success [Last accessed: January15 2024]."},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1353\/cpr.2016.0041"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2012.0012"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2012.0027"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2012.0147"},{"key":"e_1_3_5_12_2","volume-title":"Focus Groups: A practical guide for applied research","author":"Krueger RA","year":"2002","unstructured":"Krueger RA, , Casey MA. Focus Groups: A practical guide for applied research (4th edition).. Sage Publications, Inc: Thousand Oaks, California; 2002.","edition":"4"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980017004281"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2017.0025"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2024.114192"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.16182"},{"key":"e_1_3_5_18_2","unstructured":"Breastfeeding Initiation Rates by County or County Equivalent in Ohio. US Birth Certificate Breastfeeding Initiation Data 2018\u20132019. Available from: https:\/\/www.cdc.gov\/breastfeeding\/data\/county\/2018-2019\/ohio.html [Last accessed: September4 2024]."},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2016.01.005"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-045014"},{"key":"e_1_3_5_21_2","unstructured":"Healthy Start EPIC Center. A National Training and Technical Assistance Center operated by the National Institute for Children\u2019s Health Quality (NICHQ) with funding from HRSA. Available from: https:\/\/healthystartepic.org\/ [Last accessed: January18 23 2024]."},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu12020440"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2021.0258"},{"key":"e_1_3_5_24_2","unstructured":"Ahsan S Jain S Walters D. The Global Cost of Not Breastfeeding. Nutrition International. August 2022. Available from: https:\/\/www.aliveandthrive.org\/sites\/default\/files\/2022-07\/CONBF%20Global%20Brief-v6%20%281%29.pdf [Last accessed: February26 2024]."},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czz050"},{"key":"e_1_3_5_26_2","unstructured":"Mothers\u2019 Milk Tool. 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