The Impact of Marriage on Breastfeeding Duration: Examining the Disproportionate Effect of COVID-19 Pandemic on Low-Income Communities DOI Creative Commons

Anna Charlotta Kihlstrom,

Tara Stiller,

Nishat Sultana

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 17, 2024

Abstract Background. Marriage promotes breastfeeding duration through economic and social supports. The COVID-19 pandemic disproportionately affected marginalized communities impacted women's employment interpersonal dynamics. This study examined how marital status affects across socioeconomic racially minoritized groups during COVID-19, aiming to inform support strategies for vulnerable families in public health crises. Methods. Data were drawn from the 2017-2021 North Dakota Pregnancy Risk Assessment Monitoring System(weighted n=41433). Breastfeeding was self-reported, 2-, 4-, 6-month variables calculated. Marital status(married, unmarried) education (<high school education, ≥high education) birth certificates. Income(≤$48,000, >$48,000) race/ethnicity (White, American Indian, Other) self-reported. Infant date used identify pre-COVID(2017-2019) COVID(2020-2021) births. Logistic regression estimated odds ratios 95% confidence intervals association between outcomes. Models fit overall, by era demographic factors. Lastly, demographic-specific models further stratified COVID era. adjusted maternal sociodemographic Results. Overall, married women consistently had 2-fold higher of all durations both pre-COVID eras. Pre-COVID, marriage a stronger predictor low-income (4-month OR4.07,95%CI 2.52,6.58) than high-income OR1.76,95%CI 1.06,2.91). Conversely, COVID, OR 2.89,95%CI1.47,5.68) 1.59,95%CI0.80, 3.15). Findings similar among Indian those with less high that lost benefit on pandemic. Conclusion. Marriage duration, yet reduced low-socioeconomic populations Policies like paid parental leave enhanced access lactation consultants could help mitigate disproportionate impacts Continued research examining major societal disruptions intersect determinants shape outcomes can more equitable systems care.

Language: Английский

The impact of marriage on breastfeeding duration: examining the disproportionate effect of COVID-19 pandemic on marginalized communities DOI Creative Commons

Anna Charlotta Kihlstrom,

Tara Stiller,

Nishat Sultana

et al.

International Breastfeeding Journal, Journal Year: 2025, Volume and Issue: 20(1)

Published: Jan. 2, 2025

Marriage promotes breastfeeding duration through economic and social supports. The COVID-19 pandemic disproportionately affected marginalized communities impacted women's employment interpersonal dynamics. This study examined how marriage affects across socioeconomic racially minoritized groups during COVID-19, aiming to inform support strategies for vulnerable families in public health crises. For this cross-sectional study, data were drawn from the 2017–2021 North Dakota Pregnancy Risk Assessment Monitoring System (weighted n = 41433). Breastfeeding was self-reported, 2-, 4-, 6-month variables calculated. Marital status(married, not married) education (< high school education, ≥high education) birth certificates. Income (≤ US$48,000, > US$48,000) race/ethnicity (White, American Indian, Other) self-reported. Infant date used identify pre-COVID (2017–2019) COVID (2020–2021) births. Logistic regression estimated odds ratios 95% confidence intervals association between marital status outcomes. Models fit overall, by era demographic factors. Lastly, demographic-specific models further stratified era. adjusted maternal sociodemographic Overall, married women consistently had 2-fold higher of all durations both eras. Pre-COVID, a stronger predictor low-income (4-month OR 4.07, 95%CI 2.52, 6.58) than high-income 1.76, 1.06, 2.91). Conversely, COVID, 2.89, 1.47, 5.68) 1.59, 0.80, 3.15). Findings similar among Indian those with less that lost benefit on pandemic. duration, yet observed reduced low-socioeconomic populations These observations highlight disproportionate impacts face Continued research examining major societal disruptions intersect determinants shape outcomes can more equitable systems care.

Language: Английский

Citations

0
The role of nurses, midwives, and doulas on breastfeeding: changes during the COVID-19 pandemic DOI Creative Commons
Shubhecchha Dhaurali, Shikhar Shrestha

Frontiers in Global Women s Health, Journal Year: 2025, Volume and Issue: 6

Published: April 14, 2025

Introduction The COVID-19 pandemic has significantly altered maternal healthcare delivery, including breastfeeding practices. Our study investigated the influence of nurses, midwives, and doulas on education rates, with a specific focus changes that transpired during pandemic. Methods Using cross-sectional design, we performed secondary data analysis stratified systematic sample forty-six U.S. states New York City respondents who completed Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 7 (2012–2015) 8 (2016–2020) surveys ( n = 193,068). Descriptive analyses adjusted multivariable logistic regression models reporting odds ratios (aORs) 95% confidence intervals (95% CIs) were used to assess associations between provision guidance mothers from doulas, or midwife professionals; breastfeeding/pumping rates; Cox-proportional hazard examine association duration. Results findings revealed participants received twice as likely have engaged in milk pumping for their infants than did not receive (aOR 1.99, CI: 1.89–2.11, p &lt; 0.0001). Additionally, gave birth notably less nurse, midwife, doula those before 0.92, 0.88–0.96, We also find stopping was lower among (HR 0.94, 0.91–0.97, 0.001) Discussion underscores vital role professionals play educating, advocating for, promoting behaviors. This further highlights pressing need sustained efforts support initiatives address disparities child health, particularly context challenges presented by

Language: Английский

Citations

0
The Role of Nurses, Midwives, and Doulas in Breastfeeding Education and Rates: Changes During the COVID-19 Pandemic DOI Creative Commons
Shubhecchha Dhaurali, Shikhar Shrestha

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 13, 2024

Abstract Background The COVID-19 pandemic has significantly altered maternal healthcare delivery, including breastfeeding practices. Our study investigated the influence of nurses, midwives, and doulas on education rates, with a specific focus changes that transpired during pandemic. Methods Using cross-sectional design, we performed secondary data analysis stratified systematic sample forty-six U.S. states New York City respondents who completed Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 7 (2012–2015) 8 (2016–2020) surveys (n = 193,068). Descriptive analyses adjusted multivariable logistic regression models reporting odds ratios (aORs) 95% confidence intervals (95% CIs) were used to assess associations between provision guidance mothers from doulas, or midwife professionals; breastfeeding/pumping rates; Results findings revealed participants received twice as likely have engaged in milk pumping for their infants than did not receive (aOR 1.99, CI: 1.89–2.11, p ≤ 0.0001). Additionally, gave birth notably less nurse, midwife, doula those before 0.92, 0.88–0.96, Conclusion underscores vital role professionals play educating, advocating for, promoting behaviors. This further highlights pressing need sustained efforts support initiatives address disparities child health, particularly context challenges presented by

Language: Английский

Citations

0
Increase in Breastfeeding Rates in Baby-Friendly Hospitals in Greece: Comparison with the National Study of 2017 DOI Creative Commons
Evangelos Christou,

Eftychia Liakou,

Abraham Pouliakis

et al.

Children, Journal Year: 2024, Volume and Issue: 11(8), P. 932 - 932

Published: July 31, 2024

The primary purpose of this study was to correlate the factors influencing onset and duration exclusive breastfeeding (EBF) (BF) rates at different time points in baby-friendly hospitals (BFHs) Greece.

Language: Английский

Citations

0
The Impact of Marriage on Breastfeeding Duration: Examining the Disproportionate Effect of COVID-19 Pandemic on Low-Income Communities DOI Creative Commons

Anna Charlotta Kihlstrom,

Tara Stiller,

Nishat Sultana

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 17, 2024

Abstract Background. Marriage promotes breastfeeding duration through economic and social supports. The COVID-19 pandemic disproportionately affected marginalized communities impacted women's employment interpersonal dynamics. This study examined how marital status affects across socioeconomic racially minoritized groups during COVID-19, aiming to inform support strategies for vulnerable families in public health crises. Methods. Data were drawn from the 2017-2021 North Dakota Pregnancy Risk Assessment Monitoring System(weighted n=41433). Breastfeeding was self-reported, 2-, 4-, 6-month variables calculated. Marital status(married, unmarried) education (<high school education, ≥high education) birth certificates. Income(≤$48,000, >$48,000) race/ethnicity (White, American Indian, Other) self-reported. Infant date used identify pre-COVID(2017-2019) COVID(2020-2021) births. Logistic regression estimated odds ratios 95% confidence intervals association between outcomes. Models fit overall, by era demographic factors. Lastly, demographic-specific models further stratified COVID era. adjusted maternal sociodemographic Results. Overall, married women consistently had 2-fold higher of all durations both pre-COVID eras. Pre-COVID, marriage a stronger predictor low-income (4-month OR4.07,95%CI 2.52,6.58) than high-income OR1.76,95%CI 1.06,2.91). Conversely, COVID, OR 2.89,95%CI1.47,5.68) 1.59,95%CI0.80, 3.15). Findings similar among Indian those with less high that lost benefit on pandemic. Conclusion. Marriage duration, yet reduced low-socioeconomic populations Policies like paid parental leave enhanced access lactation consultants could help mitigate disproportionate impacts Continued research examining major societal disruptions intersect determinants shape outcomes can more equitable systems care.

Language: Английский

Citations

0