Brand E, et al. Breastfeeding among low income, African-American women: power, beliefs, and decision making. J Nutr. Jan 2003;133(1):305S-309S.
This study applied a social ecological framework to investigate reasons for lagging breastfeeding rates among African-American women. Results show that macro-level factors—such as the media, aggressive marketing of breast milk substitutes, welfare reform, hospital policy, and breastfeeding legislation—interact with micro-level factors to influence a woman’s decision to breastfeed.