The Impact of Marriage on Breastfeeding Duration: Examining the Disproportionate Effect of COVID-19 Pandemic on Low-Income Communities
2024

The Impact of Marriage on Breastfeeding Duration During COVID-19

Sample size: 2793 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kihlstrom Anna Charlotta, Stiller Tara, Sultana Nishat, Njau Grace, Schmidt Matthew, Stepanov Anastasia, Williams Andrew D.

Primary Institution: University of North Dakota

Hypothesis

How does marital status affect breastfeeding duration across socioeconomic and racially minoritized groups during COVID-19?

Conclusion

Marriage promotes breastfeeding duration, but the benefit was reduced for low-socioeconomic and racially minoritized populations during the COVID-19 pandemic.

Supporting Evidence

  • Married women had 2-fold higher odds of breastfeeding across all durations during both pre-COVID and COVID eras.
  • Marriage was a stronger predictor of breastfeeding duration for low-income women pre-COVID compared to high-income women.
  • During COVID, marriage became a stronger predictor of breastfeeding duration for high-income women than low-income women.

Takeaway

Being married helps moms breastfeed longer, but during COVID-19, this help was less for families with less money or from different races.

Methodology

Data were drawn from the North Dakota Pregnancy Risk Assessment Monitoring System, analyzing breastfeeding duration based on marital status, income, education, and race/ethnicity.

Potential Biases

Self-reported data may introduce bias, particularly regarding breastfeeding initiation and duration.

Limitations

The cross-sectional design limits causal interpretations, and self-reported data may be subject to recall bias.

Participant Demographics

Participants included women from North Dakota, with a focus on low-income and racially minoritized groups.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI: 1.29, 3.45

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5139881

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