The Association Between Prenatal Food Insecurity and Breastfeeding Initiation and Exclusive Breastfeeding Duration: A
Dane A De Silva1, Elaine A Anderson1, Jinhee Kim1
1Department of Family Science, School of Public Health, University of Maryland, College Park, Maryland, USA.
Summary
Prenatal food insecurity showed minimal impact on breastfeeding initiation and duration among Oregon women. However, persistent food insecurity may reduce exclusive breastfeeding duration, influenced by factors like education and marital status.
Area of Science:
- Public Health
- Maternal and Child Health
- Nutrition and Dietetics
Background:
- Food insecurity affects 11.1% of US households, disproportionately impacting pregnant women.
- Maternal food insecurity can be a source of chronic stress, potentially influencing infant feeding decisions like breastfeeding initiation and continuation.
Purpose of the Study:
- To determine the association between prenatal food insecurity and breastfeeding initiation among Oregon women.
- To examine the relationship between prenatal food insecurity and exclusive breastfeeding duration.
Main Methods:
- Utilized data from the Oregon Pregnancy Risk Assessment Monitoring System (PRAMS) and PRAMS-2 follow-up survey (n=3,624).
- Employed multivariable logistic regression for breastfeeding initiation and accelerated failure time (AFT) models for duration.
- Adjusted models for maternal sociodemographic and pre-pregnancy health characteristics.
Main Results:
- Nearly 10% of women reported prenatal food insecurity.
- Adjusted models showed non-significant increased odds for breastfeeding initiation (OR 1.41 [CI: 0.58, 3.47]).
- Adjusted models indicated non-significant decreased odds for exclusive breastfeeding duration (OR 0.89 [CI: 0.57, 1.39]).
Conclusions:
- Prenatal food insecurity demonstrated minimal differences in breastfeeding initiation and duration.
- Persistent food insecurity may negatively impact exclusive breastfeeding duration.
- Lower breastfeeding initiation may be linked to confounding factors such as education and marital status.
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