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

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Journal of women's health Pub Date : 2025-04-01 Epub Date: 2025-01-20 DOI:10.1089/jwh.2024.0346
Jennifer Ayline Aranda, Adrienne E Hoyt-Austin, Agatha Okobi, Margaret Fix, Melissa Chen, Eleanor Bimla Schwarz
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Abstract

Background: Despite health benefits to both infants and mothers, many are not breastfeeding as recommended by national guidelines. Prior studies examining the effects of housing insecurity and food insecurity on breastfeeding intention and duration have been limited and yielded mixed findings. Methods: To assess the relationship among housing insecurity, food insecurity, and breastfeeding, we conducted a secondary analysis of a cohort of nulliparous U.S.-born pregnant individuals with a singleton gestation of ≥28 weeks who completed web-based surveys on five occasions over their infant's first year of life. Upon enrollment, we screened participants for housing and food insecurity and participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). We examined variations in breastfeeding intentions and practice by housing insecurity and food insecurity, controlling for demographic factors, using multivariable logistic regression. Results: Of 411 participants, 67 (16%) reported housing insecurity, and 48 (12%) reported food insecurity. Participants with housing insecurity were less likely to report exclusive breastfeeding at 6 months (17.9% versus 29.1%, p = 0.06) and significantly less likely to report any breastfeeding at 12 months (34.3% versus 56.9%, p = 0.003) compared to those with secure housing. In both bivariate and multivariable models, housing insecurity was significantly associated with cessation of breastfeeding before 12 months. Food insecurity was not significantly associated with breastfeeding duration or exclusivity. Conclusions: Housing insecurity is associated with and may adversely impact infant feeding, highlighting the need for screening and accessible and affordable family housing, with further investment in food assistance programs such as WIC.

报告住房不安全和粮食不安全的第一次母亲的母乳喂养。
背景:尽管母乳喂养对婴儿和母亲都有益,但许多人并没有按照国家指南的建议进行母乳喂养。先前关于住房不安全和食品不安全对母乳喂养意图和持续时间的影响的研究是有限的,并且得出了不同的结果。方法:为了评估住房不安全、食品不安全和母乳喂养之间的关系,我们对美国出生的单胎妊娠≥28周的未生育孕妇进行了二次分析,这些孕妇在婴儿出生后的一年内完成了五次基于网络的调查。在入组时,我们筛选了住房和食品不安全的参与者,以及妇女、婴儿和儿童特殊补充营养计划(WIC)的参与者。我们通过住房不安全和食品不安全检查了母乳喂养意图和实践的变化,控制了人口因素,使用多变量逻辑回归。结果:在411名参与者中,67人(16%)报告住房不安全,48人(12%)报告食品不安全。与住房安全的参与者相比,住房不安全的参与者在6个月时不太可能报告纯母乳喂养(17.9%对29.1%,p = 0.06),在12个月时不太可能报告任何母乳喂养(34.3%对56.9%,p = 0.003)。在双变量和多变量模型中,住房不安全感与12个月前停止母乳喂养显著相关。粮食不安全与母乳喂养持续时间或排他性没有显著关联。结论:住房不安全与婴儿喂养有关,并可能对婴儿喂养产生不利影响,这突出了筛查和可获得和负担得起的家庭住房的必要性,并进一步投资于WIC等粮食援助计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of women's health
Journal of women's health 医学-妇产科学
CiteScore
6.60
自引率
5.70%
发文量
197
审稿时长
2 months
期刊介绍: Journal of Women''s Health is the primary source of information for meeting the challenges of providing optimal health care for women throughout their lifespan. The Journal delivers cutting-edge advancements in diagnostic procedures, therapeutic protocols for the management of diseases, and innovative research in gender-based biology that impacts patient care and treatment. Journal of Women’s Health coverage includes: -Internal Medicine Endocrinology- Cardiology- Oncology- Obstetrics/Gynecology- Urogynecology- Psychiatry- Neurology- Nutrition- Sex-Based Biology- Complementary Medicine- Sports Medicine- Surgery- Medical Education- Public Policy.
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