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Cross-Sectional Analysis of Infant Diet, Outcomes, Consumer Behavior and Parental Perspectives to Optimize Infant
Karla Damian-Medina1, Karina Cernioglo1, Maha Waheed1
1Department of Nutrition, University of California Davis, Davis, CA 95616, USA.
Insights
The 2022 infant formula shortage caused widespread formula switching and increased parental stress. Greater formula availability and lactation support are crucial for infant feeding security.
Area of Science:
- Nutrition Science
- Public Health Policy
Background:
- The May 2022 infant formula shortage created significant challenges for millions of U.S. parents.
- Ensuring safe and adequate infant nutrition is a critical public health concern.
Purpose of the Study:
- To investigate the impact of the infant formula shortage on U.S. parents and their feeding practices.
- To identify parental coping strategies and support needs during the shortage.
Main Methods:
- An anonymous, electronic, cross-sectional, retrospective survey was administered.
- The survey collected data from 178 U.S. parents whose infants were approximately 10 weeks old during the shortage.
Main Results:
- 81% of parents switched formulas, with 87% doing so due to unavailability.
- Many parents engaged in extensive searching behaviors (e.g., visiting multiple stores, traveling long distances).
- Infants on specialty formulas experienced adverse outcomes; parental support systems provided suboptimal help.
Conclusions:
- The study highlights the need for enhanced government oversight and policy changes to protect the infant feeding system.
- Recommendations include increasing commercial formula availability, improving access to donor milk, and strengthening lactation support services.
Abstract:
In May of 2022, millions of U.S. parents encountered uncertainty in safely feeding their infants due to the infant formula shortage.
Methods:
An anonymous, electronic, cross-sectional, retrospective survey was used.
Results:
U.S. parents (n = 178) whose infants were ~10 weeks old during the shortage completed the survey. Of parents, 81% switched formulas during the shortage, 87% switched because they could not find the formula they typically used, 34% switched 3-5 times, 29% of parents visited ≥4 stores/24 h and 26% of parents traveled >20 miles/24 h to purchase formula. Use of infant formula increased (p < 0.01); in infants requiring specialty formula, use of intact cow's milk formula increased (p < 0.05) and use of premature infant formulas decreased (p < 0.05). Infants relying on specialty formulas experienced at least one undesirable outcome compared with non-specialty users. Parents used social media, relatives/friends and healthcare providers for support during the shortage, but their helpfulness scores were suboptimal. Parents reported the need for greater infant formula availability, free prenatal lactation education and postpartum lactation support.
Conclusions:
Government, regulatory and healthcare policy oversight are needed to protect the infant feeding system, including more commercially available products, access to banked donor milk and lactation support.
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