Journal article
Breastfeeding Initiation and Continuation Among Women with Substance and Tobacco Use During Pregnancy: Findings from the Pregnancy Risk Assessment Monitoring System 2016-2018
Breastfeeding medicine, Vol.17(6), pp.544-549
06/2022
DOI: 10.1089/bfm.2021.0337
PMCID: PMC9234965
PMID: 35475630
Abstract
Substance and tobacco use is associated with poor maternal and child health outcomes. Although these have each been linked to lower breastfeeding rates when examined separately, studies have yet to examine how the combination of tobacco and other substance use influences breastfeeding initiation and continuation. The aim of this study was to examine how the combination of smoking tobacco and use of illicit substances influences the odds of breastfeeding initiation and continuation.
This retrospective cohort study (
= 15,634) used survey data from the 2016-2018 Centers for Disease Control and Prevention (CDC) Pregnancy Risk Assessment Monitoring System from eight US states to examine the association of tobacco and illicit substance use with breastfeeding initiation and continuation (≥6 weeks). The odds of breastfeeding initiation and continuation for individuals with and without prenatal tobacco and illicit substance use, adjusting for maternal and infant characteristics, were estimated using weighted, multivariable logistic regression models.
The combination of prenatal tobacco and illicit substance use was associated with a 42% reduction in the odds of initiating breastfeeding (adjusted odds ratio [aOR] 0.58 [95% confidence interval, CI 0.39-0.87]) and a 39% reduction in the odds of breastfeeding for at least 6 weeks (aOR 0.61 [95% CI 0.41-0.92]) when compared with those without tobacco and substance use.
The odds of breastfeeding initiation and continuation are significantly lower among individuals with both prenatal tobacco and illicit substance use. Future studies are needed to identify barriers to breastfeeding within this population, to inform patient-centered interventions aimed at overcoming these barriers.
Details
- Title: Subtitle
- Breastfeeding Initiation and Continuation Among Women with Substance and Tobacco Use During Pregnancy: Findings from the Pregnancy Risk Assessment Monitoring System 2016-2018
- Creators
- Nichole Nidey - Cincinnati Children's Hospital Medical CenterKathleen Groh - University of California, DavisAlicia Agnoli - University of California, DavisChristine Wilder - University of Cincinnati Medical CenterTanya E Froehlich - Cincinnati Children's Hospital Medical CenterStephanie Weber - University of Cincinnati Medical CenterLaura R Kair - University of California, Davis
- Resource Type
- Journal article
- Publication Details
- Breastfeeding medicine, Vol.17(6), pp.544-549
- DOI
- 10.1089/bfm.2021.0337
- PMID
- 35475630
- PMCID
- PMC9234965
- NLM abbreviation
- Breastfeed Med
- ISSN
- 1556-8253
- eISSN
- 1556-8342
- Grant note
- K12 HD051958 / NICHD NIH HHS UL1 TR001860 / NCATS NIH HHS
- Language
- English
- Date published
- 06/2022
- Academic Unit
- Stead Family Department of Pediatrics; Epidemiology; Addiction Medicine; Craniofacial Anomalies Research Center
- Record Identifier
- 9984446445602771
Metrics
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