Breastfeeding by Disability Status in the United States: Pregnancy Risk Assessment Monitoring System, 2018-2020

To describe breastfeeding initiation and breastfeeding at 1, 2, and 3 months, and information sources on breastfeeding among women with a recent live birth by disability status. We analyzed October 2018 to December 2020 data from the Pregnancy Risk Assessment Monitoring System for 24 sites in the Un...

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Bibliographic Details
Published in:American journal of public health (1971) 2024-01, Vol.114 (1), p.108-117
Main Authors: Ramer, Stephanie, Nguyen, Antoinette T, Nelson, Jennifer M, Whiteman, Maura K, Warner, Lee, Thierry, JoAnn M, Folger, Suzanne, von Essen, Beatriz Salvesen, Kortsmit, Katherine
Format: Article
Language:English
Subjects:
Activities of daily living
Babies
Birth certificates
Breast feeding
Breastfeeding & lactation
Disability
Education
Health care industry
Hispanic people
Information sources
Lactation
Monitoring
Monitoring systems
Pacific Islander people
Pregnancy
Public health
Questions
Respondents
Risk assessment
Risk communication
Specialists
Womens health
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Summary:To describe breastfeeding initiation and breastfeeding at 1, 2, and 3 months, and information sources on breastfeeding among women with a recent live birth by disability status. We analyzed October 2018 to December 2020 data from the Pregnancy Risk Assessment Monitoring System for 24 sites in the United States that included the Washington Group Short Set of Questions on Disability (seeing, hearing, walking or climbing stairs, remembering or concentrating, self-care, communicating). We defined disability as reporting "a lot of difficulty" or "cannot do this at all" on any of these questions. Among 39 673 respondents, 6.0% reported disability. In adjusted analyses, breastfeeding was lower among respondents with disability at 2 (62.6% vs 66.6%; adjusted prevalence ratio [APR] = 0.94; 95% confidence interval [CI] = 0.89, 0.99) and 3 months (54.7% vs 59.6%; APR = 0.92; 95% CI = 0.86, 0.98) than those without disability. Respondents with disability were less likely to receive information from health care providers or support professionals (89.3% vs 92.3%), but as likely from breastfeeding or lactation specialists (78.1% vs 75.3%). Strategies to ensure women with disability, receive breastfeeding support, including breastfeeding information, could improve breastfeeding outcomes. ( 2024;114(1):108-117. https://doi.org/10.2105/AJPH.2023.307438).
ISSN:0090-0036
1541-0048
1541-0048
DOI:10.2105/AJPH.2023.307438