Bunik Maya, Krebs Nancy F, Beaty Brenda, McClatchey Maureen, Olds David L
Department of Pediatrics, University of Colorado Denver, Aurora, Colorado, USA.
Breastfeed Med. 2009 Sep;4(3):145-9. doi: 10.1089/bfm.2008.0140.
Recent studies have raised the issue of lower breastfeeding rates for mothers enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). We wanted to explore this association of WIC and lower breastfeeding in Nurse Family Partnership Program (NFP), a national representative group of mother-baby pairs on which extensive background data are available. Our aim was to compare breastfeeding rates at 6 and 12 months in NFP high-risk mothers who were enrolled in WIC to those who were not enrolled in WIC.
We conducted a retrospective secondary analysis in mothers and infants from this cohort for 2000-2005 (n = 3,570).
We found that at 6 months of age, 87.8% of mothers who were not breastfeeding were enrolled in WIC as compared to 82.6% of mothers who were breastfeeding (p < 0.001). However, in the multivariate analysis, WIC was no longer a significant predictor of breastfeeding.
Prospective evaluation of this issue is warranted particularly with the implementation of changes in the WIC Food Package and Breastfeeding Promotion.
近期研究提出了参与妇女、婴儿和儿童特别补充营养计划（WIC）的母亲母乳喂养率较低的问题。我们希望在护士-家庭伙伴关系计划（NFP）中探究WIC与较低母乳喂养率之间的这种关联，NFP是一个具有全国代表性的母婴群体，有大量背景数据可用。我们的目的是比较NFP中参与WIC的高危母亲与未参与WIC的高危母亲在6个月和12个月时的母乳喂养率。
我们对该队列中2000 - 2005年的母婴进行了回顾性二次分析（n = 3570）。
我们发现，在6个月大时，未进行母乳喂养的母亲中有87.8%参与了WIC，而进行母乳喂养的母亲中这一比例为82.6%（p < 0.001）。然而，在多变量分析中，WIC不再是母乳喂养的显著预测因素。
鉴于WIC食品套餐和母乳喂养促进方面的变化，对这个问题进行前瞻性评估是有必要的。
