Breastfeeding Initiation Trends by Special Supplemental Nutrition Program for Women, Infants, and Children Participation and Race/Ethnicity Among Medicaid Births

Thoma, Marie E.; Silva, Dane A. De; Kim, Jinhee; Hodges, Leslie; Guthrie, Joanne F.

doi:10.1016/j.jneb.2022.09.006

Cited by 7 publications

(2 citation statements)

References 34 publications

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“…Although breastfeeding initiation declined as infant formula supply recovered, rates remained higher than preshortage levels, which may partially explain the delay in return of demand for infant formula. Limitations include the inability to rule out confounding events that occurred simultaneously with the shortage and potential misclassification; however, other studies have shown breastfeeding and WIC information on the birth certificate to be reliable . The reasons for and longer-term outcomes, including breastfeeding continuation, infant and maternal health, and economic effects, of these shifts warrant further study.…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding Initiation by WIC Receipt After Formula Shortages in 2022

Thoma,

Mallick,

Hodges

et al. 2024

JAMA

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Section: Discussionmentioning

confidence: 99%

Breastfeeding Initiation by WIC Receipt After Formula Shortages in 2022

Thoma,

Mallick,

Hodges

et al. 2024

JAMA

Self Cite

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“…(9,10) WIC participants have lower breastfeeding rates than the general U.S. population (71% compared to 84%). (3,11) Compared to those who are eligible but not participating, WIC participants are less likely to breastfeed, (11,12) although this gap has decreased with the 2009 WIC food package change that supported and incentivized breastfeeding. (7) WIC Infant Toddler Feeding Practices Study-2 (ITFPS-2) is the most recent longitudinal study of the WIC population to assess feeding practices and nutritional status from 2013-2020, as ITFPS-1 was conducted over 20 years prior.…”

Section: Introductionmentioning

confidence: 99%

Familial sources of encouragement and breast-feeding practices among women participating in the US Special Supplemental Nutrition Programme for Women, Infants and Children

Doig

Aparicio

Gallo

2023

Public Health Nutr.

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Objective: To explore how sources of familial encouragement are associated with breastfeeding initiation and duration among a national sample participating in the United States Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Design: This study uses the 2013-2015 WIC Infant and Toddler Feeding Practices Study 2 (WIC ITFPS-2) data. Breastfeeding initiation was measured at the first month while duration was derived from a composite of the first 13 months. The analysis used logistic and linear regression to explore the association between encouragement sources and breastfeeding outcomes. Setting: A nationally representative sample of WIC participants in the United States. Participants: WIC participants who completed the 13-month interview of the WIC ITFPS-2 (n=2,807). Results: Encouragement was significantly associated with both initiation and duration. Each source of encouragement was associated with a 3.2 (95% CI 2.8-3.8) increase in odds of initiating breastfeeding in the unadjusted model and 3.0 (95% CI 2.5-3.6) increased odds, controlling for age, education, nativity, poverty status, race, and ethnicity (<0.0001). When predicting log duration, each percent increase in source of encouragement was associated with an increasing duration on average by 0.003 days (95% CI 0.2-0.3, <0.0001). When controls were added, it was associated with an increase of an average of 0.002 days (95% CI 0.2-0.3) days per percent increase in encouragement source (<0.0001). Conclusions: Women who receive encouragement appear to be more likely to breastfeed. Additional work is needed to explore sources of encouragement and how to include them in intervention work.

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Impact of Breastfeeding Barriers on Racial/Ethnic Disparities in Breastfeeding Outcomes in North Dakota

Ross,

MacPherson,

Baker

et al. 2024

J. Racial and Ethnic Health Disparities

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Objective Exclusive breastfeeding is recommended for the first 6 months of life, but there are racial/ethnic disparities in meeting this recommendation. Methods 2017–2020 North Dakota Pregnancy Risk Assessment Monitoring System (weighted N = 11,754) data were used to examine racial/ethnic differences in the association between self-reported breastfeeding barriers and breastfeeding duration. Breastfeeding duration was self-reported breastfeeding at 2 and 4 months, and number of weeks until breastfeeding cessation. Self-reported breastfeeding barriers were yes/no responses to 13 barriers (e.g., “difficulty latching,” “household duties”). Logistic regression estimated odds ratios and 95% confidence intervals to determine if barriers accounted for breastfeeding disparities by race/ethnicity. Cox proportional hazard models estimated hazard ratios for stopping breastfeeding for American Indian and other race/ethnicity individuals, compared to White individuals. Models were adjusted for birthing parents’ demographic and medical factors. Results Logistic regression results suggest American Indian birthing parents had similar odds for breastfeeding duration (2-month duration: OR 0.94 (95%CI 0.50, 1.77); 4-month duration: OR 1.24 (95%CI 0.43, 3.62)) compared to White birthing parents, after accounting for breastfeeding barriers. Cox proportional hazard models suggest American Indian birthing parents had a lower hazard of stopping breastfeeding (HR 0.76 (95%CI 0.57, 0.99)) than White parents, after accounting for breastfeeding barriers. Conclusions Accounting for breastfeeding barriers eliminated observed disparities in breastfeeding outcomes between American Indian and White birthing parents. Targeted and culturally safe efforts to reduce barriers to breastfeeding are warranted to reduce racial/ethnic disparities in breastfeeding.

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Breastfeeding Initiation Trends by Special Supplemental Nutrition Program for Women, Infants, and Children Participation and Race/Ethnicity Among Medicaid Births

Cited by 7 publications

References 34 publications

Breastfeeding Initiation by WIC Receipt After Formula Shortages in 2022

Breastfeeding Initiation by WIC Receipt After Formula Shortages in 2022

Familial sources of encouragement and breast-feeding practices among women participating in the US Special Supplemental Nutrition Programme for Women, Infants and Children

Impact of Breastfeeding Barriers on Racial/Ethnic Disparities in Breastfeeding Outcomes in North Dakota

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