Understanding Infant Feeding Choices among Hmong-American Women in Saint Paul, MN

Abstract

To understand infant-feeding patterns among Hmong women in St. Paul, MN, this qualitative study used a convenience sample of 21 Hmong mothers who had at least 1 child under the age of 2. Drawing on interviews and questionnaires, this researcher explored (a) how participants described their traditional and American cultural traditions, beliefs, and values, (b) their infant-feeding practices, and (c) how their infant-feeding practices are shaped by adaptations to traditional and American cultures. In this sample, those women who had recently immigrated to the United States were more likely to exclusively use formula. Interviews suggest that American norms of breastfeeding in public, hectic lifestyles in a new country, and lack of cultural knowledge about pumping and storing breast milk influenced 1st- and 1.5-generation participants to exclusively use formula. For 2nd-generation participants, the awkwardness of breastfeeding in public was also cited as an important influence on their decision to use formula. However, quite different from 1st- and 1.5-generation women, 2nd-generation women were more educated and more likely to be employed in less segregated and professional occupations, which exposed them to mothers of different backgrounds who were breastfeeding. This exposure to breastfeeding mothers appeared to influence breastfeeding initiation among 2nd-generation Hmong. This study also found that negative social support from participants' mothers and mothers-in-law, and positive social support from sisters and sisters-in-law had a strong impact on their infant-feeding decisions. Unlike previous research among Hispanic immigrants, this study revealed that 2nd-generation Hmong immigrants were slightly more likely to include some form of breastfeeding in their infant-feeding method. This study also revealed the importance of social support and the role of the ethnic community in infant-feeding choices. More research is needed, however, to further clarify the relationship between acculturation and social support on breastfeeding initiation and duration among various immigrant populations.