Ana F Diallo1, Kelly McGlothen-Bell2, Ruth Lucas3, Stephen Walsh4, Carolyn Allen5, Wendy A Henderson6, Xiaomei Cong7, Jacqueline McGrath2. 1. Family and Community Health Nursing, Institute of Inclusion, Inquiry & Innovation (iCubed), Virginia Commonwealth University School of Nursing, Richmond, VA, USA. 2. School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA. 3. Tenure Track, School of Nursing, University of Connecticut, Storrs, CT, USA. 4. Dual Appointment, School of Medicine, Department of Community Medicine & Health Care, School of Nursing, University of Connecticut, Storrs, CT, USA. 5. Division of Intramural Research, National Institute of Nursing Research, National Institutes of Health, Bethesda, MD, USA. 6. School of Nursing, University of Connecticut, Storrs, CT, USA. 7. Center for Advancement in Managing Pain, School of Nursing, University of Connecticut, Storrs, CT, USA.
Abstract
OBJECTIVES: To evaluate the effect of early breastfeeding cessation on incidence of diarrhea in a cohort of U.S. infants. DESIGN, SAMPLE, AND MEASUREMENTS: A secondary data analysis was conducted using data from 2,340 mother-infant dyads participating in the Infant Feeding Practices Study II. We examined associations between duration of feeding type (e.g., exclusive breastfeeding [EBF], any breastfeeding [BF], formula feeding) and incidence of diarrhea before one year. RESULTS: The sample included mother-infant dyads that were 86.2% White, 3% Black, and 5% Hispanic. Interruption of EBF before 3 months was significantly associated with higher odds of having diarrhea at 6 months (OR = 1.80, p value ≤ 0.01) and between 6 and 12 months (OR = 1.45, p ≤ .01). Breastfeeding interruption before 6 months was associated with higher odds of having diarrhea at 6 months (OR = 3.19, p ≤ .01). Formula feeding for ≥3 months was associated with higher odds of diarrhea between 6 and 12 months. CONCLUSIONS: Exclusive breastfeeding for 3 months accompanied by any breastfeeding for 6 months provided the most protective effect against diarrhea. Public health interventions should address disparities in breastfeeding practices and provide support across clinical, workplace and community settings. Research should include more diverse population groups.
OBJECTIVES: To evaluate the effect of early breastfeeding cessation on incidence of diarrhea in a cohort of U.S. infants. DESIGN, SAMPLE, AND MEASUREMENTS: A secondary data analysis was conducted using data from 2,340 mother-infant dyads participating in the Infant Feeding Practices Study II. We examined associations between duration of feeding type (e.g., exclusive breastfeeding [EBF], any breastfeeding [BF], formula feeding) and incidence of diarrhea before one year. RESULTS: The sample included mother-infant dyads that were 86.2% White, 3% Black, and 5% Hispanic. Interruption of EBF before 3 months was significantly associated with higher odds of having diarrhea at 6 months (OR = 1.80, p value ≤ 0.01) and between 6 and 12 months (OR = 1.45, p ≤ .01). Breastfeeding interruption before 6 months was associated with higher odds of having diarrhea at 6 months (OR = 3.19, p ≤ .01). Formula feeding for ≥3 months was associated with higher odds of diarrhea between 6 and 12 months. CONCLUSIONS: Exclusive breastfeeding for 3 months accompanied by any breastfeeding for 6 months provided the most protective effect against diarrhea. Public health interventions should address disparities in breastfeeding practices and provide support across clinical, workplace and community settings. Research should include more diverse population groups.
Authors: Amy Sarah Ginsburg; Augusto Braima de Sa; Victoria Nankabirwa; Raimundo Co; Joanitta Murungi; Mi-Ok Kim; Rachel Brim; Flavia Namiiro; Olive Namugga; Dennis J Hartigan-O'Connor; Susan B Roberts; Valerie Flaherman Journal: PLoS One Date: 2022-02-04 Impact factor: 3.240