medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2025, Volume and Issue: unknown
Published: Feb. 10, 2025
The COVID-19 pandemic has intensified economic hardships, with potential negative impacts on food insecurity and infant feeding beliefs practices. relationship between practices during the is not yet fully understood. Neither how these relationships changed over course of waves pandemic. We examined in a cohort infants born various New York City (NYC). conducted cross-sectional analysis enrolled from birth into Mother-Baby Outcomes (COMBO) study March 2020 to May 2024. measured prior 30 days 2-item survey adapted Hunger Vital Sign™, confidence at hospital discharge, current 40% women our sample had been exposed prenatal SARS-CoV-2 infection approximately 24% mothers were insecure. There was significant association infection, Spanish as one's preferred language, self-identifying Latina. In unadjusted models entire sample, associated formula (p<0.001), but this no longer after adjusting for covariates (p=0.059). comparing first second (March 2020-December 2021 vs. January 2022-May 2024), there difference rate insecurity. When different pandemic, increased likelihood feeding, even confounders. Food initially methods, lost significance However, when analyzed separately, significantly linked lower odds exclusive breastfeeding suggesting influence external factors like policy changes social support variations. Other factors, such maternal BMI, ethnicity, delivery mode, also practices, highlighting need targeted interventions breastfeeding, especially among food-insecure mothers.
Language: Английский