scholarly journals Effect of a Home-Based Lifestyle Intervention on Breastfeeding Initiation Among Socioeconomically Disadvantaged African American Women with Overweight or Obesity

2018 ◽  
Vol 13 (6) ◽  
pp. 418-425 ◽  
Author(s):  
Adam K. Lewkowitz ◽  
Julia D. López ◽  
Richard I. Stein ◽  
Janine S. Rhoades ◽  
Rosa C. Schulz ◽  
...  
2018 ◽  
Vol 21 (2) ◽  
pp. 268-276 ◽  
Author(s):  
Dori Pekmezi ◽  
Cole Ainsworth ◽  
Renee Desmond ◽  
Maria Pisu ◽  
Victoria Williams ◽  
...  

African American women report low participation in physical activity and are disproportionately burdened by related conditions (obesity, breast, and colon cancer). Physical activity interventions have shown promising results among African American women, but most studies in this area have focused on short-term increases. More enduring changes in health behavior will be needed to eliminate existing health disparities. Thus, the current study examined 12-month physical activity and psychosocial outcomes from a pilot randomized controlled trial ( N = 84) of a Home-based Individually tailored Physical activity Print (HIPP) intervention for African American women in the Deep South. Retention was 77.4% at 12 months. HIPP participants increased self-reported moderate-to-vigorous physical activity from 35.1 minutes/week (standard deviation [SD] = 47.8) at baseline to 124 minutes/week ( SD = 95.5) at 12 months, compared with the wellness contact control participants who reported increases from 48.2 minutes/week ( SD = 51.3) to 102.5 minutes/week ( SD = 94.5) over 12 months (between-group p > .05). Results indicate that modest improvements in moderate-to-vigorous physical activity and related psychosocial variables occurred during the active intervention phase (months 0-6) and were sustained during the tapered maintenance period (months 6-12). Low-cost, high-reach, home-based strategies have great potential for supporting sustained participation in physical activity and achieving long-term health benefits among African American women in the Deep South.


2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Adryan Eastin ◽  
Manoj Sharma

The purpose of this study was to apply social cognitive theory (SCT) to predict breastfeeding initiation and duration in African-American women in a community sample. A total of 238 African-American women completed a 50-item valid and reliable questionnaire assessing their knowledge, expectations, self-efficacy, self-efficacy in overcoming barriers and self-control in initiation and duration of breastfeeding. Regression results indicated that self-efficacy for initiation and self-efficacy in overcoming barriers for initiation were significant predictors for initiation of breastfeeding in African-American women. Logistic regression revealed that self-efficacy to breast feed for more than six months and self-control for duration were significant predictors.


2018 ◽  
Vol 47 (3) ◽  
pp. 290-300 ◽  
Author(s):  
Tyonne D. Hinson ◽  
Asheley Cockrell Skinner ◽  
Kristen Hassmiller Lich ◽  
Diane L. Spatz

2008 ◽  
Vol 22 (5) ◽  
pp. 307-317 ◽  
Author(s):  
JoEllen Wilbur ◽  
Judith H. McDevitt ◽  
Edward Wang ◽  
Barbara L. Dancy ◽  
Arlene M. Miller ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-31 ◽  
Author(s):  
Lisa M. Tussing-Humphreys ◽  
Marian L. Fitzgibbon ◽  
Angela Kong ◽  
Angela Odoms-Young

We performed a systematic review of the behavioral lifestyle intervention trials conducted in the United States published between 1990 and 2011 that included a maintenance phase of at least six months, to identify intervention features that promote weight loss maintenance in African American women. Seventeen studies met the inclusion criteria. Generally, African American women lost less weight during the intensive weight loss phase and maintained a lower % of their weight loss compared to Caucasian women. The majority of studies failed to describe the specific strategies used in the delivery of the maintenance intervention, adherence to those strategies, and did not incorporate a maintenance phase process evaluation making it difficult to identify intervention characteristics associated with better weight loss maintenance. However, the inclusion of cultural adaptations, particularly in studies with a mixed ethnicity/race sample, resulted in less % weight regain for African American women. Studies with a formal maintenance intervention and weight management as the primary intervention focus reported more positive weight maintenance outcomes for African American women. Nonetheless, our results present both the difficulty in weight loss and maintenance experienced by African American women in behavioral lifestyle interventions.


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