Document Type

Thesis - Open Access

Award Date


Degree Name

Master of Science (MS)

Department / School

Health and Consumer Sciences

First Advisor

Lacey McCormack


Introduction: The purpose of this report was to determine the prevalence of breastfeeding at initiation and two months continuation in American Indian South Dakota mothers who gave birth between 2017-2019 and determine the factors associated with breastfeeding and various health behaviors and beliefs. This study serves to fill the current gaps in research focusing on breastfeeding in American Indian women in South Dakota. Methods: Data from the South Dakota Pregnancy Risk Assessment Monitoring System (SD PRAMS), a state-based surveillance system, was used to investigate the relationship between breastfeeding and maternal behaviors, attitudes, and experiences. Logistic regression was used to determine which factors were associated with breastfeeding rates. Results: Women who ever breastfed were significantly more likely to have received prenatal care in the 1st trimester (p=0.002), attended >80% of prenatal visits (p=0.045), visited with a healthcare provider 12 months before pregnancy (p=0.028), and were significantly less likely to have practiced safe sleep (p

Library of Congress Subject Headings

Indian women -- Health and hygiene -- South Dakota.
Breastfeeding -- Health aspects.
Infants -- Nutrition.

Number of Pages



South Dakota State University



Rights Statement

In Copyright