Understanding Breastfeeding Barriers at an Urban Pediatric Practice.

Breastfeeding is the optimal nutrition for infants given the numerous health benefits that are conferred on mothers, infants, and society in a dose-dependent manner. However, low breastfeeding rates and racial breastfeeding inequities persist for the African American (AA) community due to historic structural racism. The issue is especially salient at the Rainbow Center for Women and Children, an urban health center in Cleveland, Ohio where approximately 90% of their mothers are AA, WIC-eligible, and publicly insured.

Mobile Phone Applications to Support Breastfeeding Among African-American Women: a Scoping Review.

Background: Racial disparities persist with respect to breastfeeding. The use of health e-technology is increasing, with promise for a role in improving breastfeeding outcomes.

Objective: We undertook a scoping review of both individual breastfeeding apps and the literature on breastfeeding apps to map the available evidence on app-based breastfeeding support for African-American mothers.

Community health workers: collaborating to support breastfeeding among high-risk inner-city mothers.

Background: Low breastfeeding rates persist as a health disparity among high-risk inner-city mothers. We sought to obtain input of community health workers (CHWs) in preparation for a breastfeeding intervention.

Subjects And Methods: We conducted audiotaped focus groups with CHWs of the Cleveland (OH) Department of Public Health's MomsFirst™, a federally funded Healthy Start program, which addressed interest in breastfeeding, positives and negatives of breastfeeding, perceived barriers, and an intervention concept.

Breastfeeding among high-risk inner-city African-American mothers: a risky choice?

Objective: This study identified barriers to breastfeeding among high-risk inner-city African-American mothers.

Subjects And Methods: We used audiotaped focus groups moderated by an experienced International Board Certified Lactation Consultant, with recruitment supported by the community partner MomsFirst™ (Cleveland Department of Public Health, Cleveland, OH). Institutional Review Board approval and written informed consent were obtained.

Attention-deficit hyperactivity disorder (ADHD): does new research support old concepts?

Objective: To examine the evidence for and against the classification of attention-deficit hyperactivity disorder (ADHD) as a valid disease entity, as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV ), criteria.

Data Sources: Sources included but were not limited to published literature on ADHD accessed via PubMed (http://www.ncbi.

Breast-feeding rates at an inner-city pediatric practice.

Objective: To determine rates of breast-feeding in the first 2 months of life at an inner-city pediatric practice.

Methods: Using retrospective chart reviews, we examined all visits through 2 months of age for infants seen from April 1, 2007, to June 29, 2007, at the Pediatric Practice of Rainbow Babies and Children's Hospital, Cleveland, Ohio, which serves a low-income urban population. Rates of breast-feeding were analyzed by visit number and by infant age category.