Abstract
This study examined the association between length of exposure to Women, Infants, and Children (WIC) services and breastfeeding initiation/duration. All women with singleton live births, first certified into MA WIC prenatally or postpartum (2001–2009), with complete breastfeeding and covariate data (maternal race, age, education, smoking status, BMI, HH income and size, birth weight, whether full or preterm, and sex) were included (n = 122,506). Regressions models were used to examine timing of WIC entry (i.e., trimester of prenatal or postpartum) with: (1) breastfeeding initiation, (2) mean duration (3) and 3, 6 and 12 month durations. Among prenatal entrants, first (vs. third) trimester entry was associated with a higher likelihood of initiation for both primiparous, and multiparous mothers (10 and 32 % respectively; p < .01). Prenatal entrants breastfed 1.7 (primiparous), and 3.4 (multiparous) weeks longer than postpartum entrants (p < .0001). Among multiparous women, first trimester entry was associated a greater likelihood of breastfeeding for three (15 % greater), six (25 % greater) and twelve (33 % greater) months compared to third trimester entrants (p < .0001). Greater exposure to WIC services improves breastfeeding rates among a low income diverse population of women.
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Gartner, L. M., Morton, J., Lawrence, R. A., Naylor, A. J., O’Hare, D., Schanler, R. J., et al. (2005). Breastfeeding and the use of human milk. Pediatrics, 115(2), 496–506.
Wu, T.-C., & Chen, P.-H. (2009). Health consequences of nutrition in childhood and early infancy. Pediatrics and Neonatology, 50(4), 135–142.
August, G. P., Caprio, S., Fennoy, I., Freemark, M., Kaufman, F. R., Lustig, R. H., et al. (2008). Prevention and treatment of pediatric obesity: An endocrine society clinical practice guideline based on expert opinion. Journal of Clinical Endocrinology and Metabolism, 93(12), 4576–4599.
Davis, J. N., Goran, M. I., & Whaley, S. E. (2012). Effects of breastfeeding and low sugar-sweetened beverage intake on obesity prevalence in Hispanic toddlers. Am J Clin Nutr. 2012/01//:3+ .
Ip, S., Chung, M., Raman, G., Chew, P., Magula, N., DeVine, D., et al. (2007). Breastfeeding and maternal and infant health outcomes in developed countries. Evid Rep Technol Assess (Full Rep) [Internet]. 153(1):[1–186 pp.]. http://www.ncbi.nlm.nih.gov/pubmed/17764214.
James, D. C. S., & Lessen, R. (2009). Position of the American Dietetic Association: Promoting and supporting breastfeeding. Journal of the American Dietetic Association, 109(11), 1926–1942.
Ryan, A. S. W. Z., & Acosta, A. (2002). Breastfeeding continues to increase into the new millennium. Pediatrics, 110(6), 1103–1109.
Black, M. M., Cutts, D. B., Frank, D. A., Geppert, J., Skalicky, A., Levenson, S., et al. (2004). Special supplemental nutrition program for women, infants, and children participation and infants’ growth and health: A multisite surveillance study. Pediatrics, 114(1), 169–176.
Joyce T, Racine A, Yunzal-Butler C. Reassessing the WIC effect: Evidence from the pregnancy nutrition surveillance system. Journal of Policy Analysis and Management : [the Journal of the Association for Public Policy Analysis and Management]. 2008;27(2):277–303.
Anderson, A. K., Damio, G., Chapman, D. J., & Perez-Escamilla, R. (2007). Differential response to an exclusive breastfeeding peer counseling intervention: The role of ethnicity. Journal of Human Lactation: Official Journal of International Lactation Consultant Association, 23(1), 16–23.
Yun, S., Liu, Q., Mertzlufft, K., Kruse, C., White, M., Fuller, P., et al. (2010). Evaluation of the Missouri WIC (special supplemental nutrition program for women, infants, and children) breast-feeding peer counselling programme. Public Health Nutrition, 13(2), 229–237.
Meier, E. R., Olson, B. H., Benton, P., Eghtedary, K., & Song, W. O. (2007). A qualitative evaluation of a breastfeeding peer counselor program. Journal of Human Lactation: Official Journal of International Lactation Consultant Association, 23(3), 262–268. doi:10.1177/0890334407303892.
Whaley, S. E., Koleilat, M., Whaley, M., Gomez, J., Meehan, K., & Saluja, K. (2012). Policy changes impact infant feeding decisions among low-income women participating in WIC. Am J Public Health (Journal Article).
Wilde, P., Wolf, A., Fernandes, M., & Collins, A. (2012). Food-package assignments and breastfeeding initiation before and after a change in the Special Supplemental Nutrition Program for Women, Infants, and Children. American Journal of Clinical Nutrition, 96(3), 560–566. doi:10.3945/ajcn.112.037622.
Forster, D. A., McLachlan, H. L., & Lumley, J. (2006). Factors associated with breastfeeding at six months postpartum in a group of Australian women. International Breastfeeding Journal. 1(Journal Article):18.
Heck, K. E., Braveman, P., Cubbin, C., Chávez, G. F., & Kiely, J. L. (2006). Socioeconomic status and breastfeeding initiation among California mothers. Public Health Reports, 121(1), 51–59.
Kehler, H. L., Chaput, K. H., & Tough, S. C. (2009). Risk factors for cessation of breastfeeding prior to six months postpartum among a community sample of women in Calgary Alberta. Canadian Journal of Public Health, 100(5), 376–380.
Hurley, K. M., Black, M. M., Papas, M. A., & Quigg, A. M. (2008). Variation in breastfeeding behaviours, perceptions, and experiences by race/ethnicity among a low-income statewide sample of special supplemental nutrition program for women, infants, and children (WIC) participants in the United States. Maternal & Child Nutrition, 4(2), 95–105.
Cooklin, A. R., Donath, S. M., & Amir, L. H. (2008). Maternal employment and breastfeeding: Results from the longitudinal study of Australian children. Acta Paediatrica, 97(5), 620–623.
Li, R., Darling, N., Maurice, E., Barker, L., & Grummer-Strawn, L. M. (2005). Breastfeeding rates in the United States by characteristics of the child, mother, or family: The 2002 National Immunization Survey. Pediatrics, 115(1), e31–e37.
Di Napoli A, Di Lallo D, Pezzotti P, Forastiere F, Porta D. Effects of parental smoking and level of education on initiation and duration of breastfeeding. Acta Paediatr (Oslo, Norway: 1992). 2006;95(6):678-85.
Brekke, H. K., Ludvigsson, J. F., van Odijk, J., & Ludvigsson, J. (2005). Breastfeeding and introduction of solid foods in Swedish infants: The all babies in Southeast Sweden study. British Journal of Nutrition, 94(3), 377–382.
Mok, E., Multon, C., Piguel, L., Barroso, E., Goua, V., Christin, P., et al. (2008). Decreased full breastfeeding, altered practices, perceptions, and infant weight change of pre-pregnant obese women: A need for extra support. Pediatrics, 121(5), e1319–e1324.
Murray, E. K., Ricketts, S., & Dellaport, J. (2007). Hospital practices that increase breastfeeding duration: Results from a population-based study. Birth: Issues in Perinatal Care., 34(3), 202–211.
CDC. Breastfeeding among U.S. children born 2000–2009, CDC National Immunization Survey Web2010 [cited 2010 Web Page]. http://www.cdc.gov/breastfeeding/data/nis_data/.
Jacknowitz, A., Novillo, D., & Tiehen, L. (2007). Special supplemental nutrition program for women, infants, and children and infant feeding practices. Pediatrics, 119(2), 281–289.
Gross, S. M., Resnik, A. K., Cross-Barnet, C., Nanda, J. P., Augustyn, M., & Paige, D. M. (2009). The differential impact of WIC peer counseling programs on breastfeeding initiation across the state of Maryland. Journal of Human Lactation, 25(4), 435–443. doi:10.1177/0890334409342070.
USDA Food and Nutrition Services; Women, Infants, and Children; Frequently Asked Questions about WIC. 2012.
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Metallinos-Katsaras, E., Brown, L. & Colchamiro, R. Maternal WIC Participation Improves Breastfeeding Rates: A Statewide Analysis of WIC Participants. Matern Child Health J 19, 136–143 (2015). https://doi.org/10.1007/s10995-014-1504-1
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DOI: https://doi.org/10.1007/s10995-014-1504-1