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Breastfeeding Among First-Time Mothers Reporting Housing Insecurity and Food Insecurity.

Jennifer Ayline Aranda1, Adrienne E Hoyt-Austin2, Agatha Okobi3

  • 1School of Medicine, University of California at San Francisco, San Francisco, California, USA.

Journal of Women'S Health (2002)
|January 20, 2025
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Summary
This summary is machine-generated.

Housing insecurity significantly impacts breastfeeding duration, with affected mothers less likely to breastfeed at 12 months. Food insecurity showed no significant association with breastfeeding outcomes.

Keywords:
breastfeedingfood assistancefood insecurityhousing insecurityinfant nutritionpostpartum

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Area of Science:

  • Public Health
  • Maternal and Child Health
  • Socioeconomic Determinants of Health

Background:

  • National breastfeeding guidelines offer significant infant and maternal health benefits.
  • Existing research on housing and food insecurity's effects on breastfeeding is limited and inconsistent.
  • Understanding these social determinants is crucial for improving infant feeding practices.

Purpose of the Study:

  • To investigate the association between housing insecurity, food insecurity, and breastfeeding intention and duration.
  • To analyze how these factors influence breastfeeding exclusivity and cessation within the first year of life.

Main Methods:

  • Secondary analysis of a U.S. cohort of nulliparous pregnant individuals using web-based surveys.
  • Screening for housing insecurity, food insecurity, and participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) at enrollment.
  • Multivariable logistic regression to examine breastfeeding variations, controlling for demographic factors.

Main Results:

  • Housing insecurity affected 16% of participants; food insecurity affected 12%.
  • Housing insecurity was linked to lower exclusive breastfeeding rates at 6 months (p=0.06) and significantly lower any breastfeeding at 12 months (p=0.003).
  • Housing insecurity was significantly associated with breastfeeding cessation before 12 months; food insecurity was not.

Conclusions:

  • Housing insecurity adversely impacts infant feeding practices and breastfeeding duration.
  • There is a critical need for screening for housing insecurity and increasing access to affordable housing.
  • Enhanced support through food assistance programs like WIC is recommended.