Disparities in Breastfeeding Initiation Among African American and Black Immigrant WIC Recipients in the District of Columbia, 2007-2019

To estimate differences in breastfeeding initiation (BFI) rates between African Americans and Black immigrants enrolled in the District of Columbia Special Supplemental Nutrition Program for Women, Infants and Children (WIC) between 2007 and 2019. We used data collected as part of routine WIC progra...

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Bibliographic Details
Published in:American journal of public health (1971) 2022-04, Vol.112 (4), p.671-674
Main Authors: Roess, Amira A, Robert, Rebecca C, Kuehn, Doris, Ume, Nwanneamaka, Ericson, Brianna, Woody, Emily, Vinjamuri, Swathi, Thompson, Paulette
Format: Article
Language:English
Subjects:
African Americans
African Americans/Blacks
African cultural groups
Black or African American
Black white differences
Breast Feeding
Breastfeeding & lactation
Child
District of Columbia
Emigrants and Immigrants
Female
Humans
Immigrants
Immigration
Infant
Infants
Latin American cultural groups
Low-Income Children
Maternal and infant welfare
Minority & ethnic groups
Nutrition
Nutrition programs
Nutrition/Food
Public health
Racial differences
Regression analysis
Regression models
Research & Analysis
Research Brief
Statistical analysis
White People
Womens health
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Summary:To estimate differences in breastfeeding initiation (BFI) rates between African Americans and Black immigrants enrolled in the District of Columbia Special Supplemental Nutrition Program for Women, Infants and Children (WIC) between 2007 and 2019. We used data collected as part of routine WIC program activities for first-time mothers (n = 38 142). Using multivariable logistic regression models, we identified determinants of BFI for African Americans, Black immigrants, non-Hispanic Whites, and Hispanics. To assess the trend in BFI over time, we calculated the average of the annual percentage changes. Compared with African Americans, Black immigrants had a 2.7-fold higher prevalence and Hispanics had a 5.8-fold higher prevalence of BFI. The average of the annual percentage changes was 0.85 for Hispanics, 3.44 for Black immigrants, 4.40 for Non-Hispanic Whites, and 4.40 for African Americans. African Americans had the only statistically significant change (  
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2021.306652