Document Detail

Impact of policy changes on infant feeding decisions among low-income women participating in the Special Supplemental Nutrition Program for Women, Infants, and Children.
MedLine Citation:
PMID:  23078467     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We present infant feeding data before and after the 2009 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food package change that supported and incentivized breastfeeding. We describe the key role of California WIC staff in supporting these policy changes.
METHODS: We analyzed WIC data on more than 180,000 infants in Southern California. We employed the analysis of variance and Tukey (honestly significant difference) tests to compare issuance rates of postpartum and infant food packages before and after the changes. We used analysis of covariance to adjust for poverty status changes as a potential confounder.
RESULTS: Issuance rates of the "fully breastfeeding" package at infant WIC enrollment increased by 86% with the package changes. Rates also increased significantly for 2- and 6-month-old infants. Issuance rates of packages that included formula decreased significantly. All outcomes remained highly significant in the adjusted model.
CONCLUSIONS: Policy changes, training of front-line WIC staff, and participant education influenced issuance rates of WIC food packages. In California, the issuance rates of packages that include formula have significantly decreased and the rate for those that include no formula has significantly increased.
Shannon E Whaley; Maria Koleilat; Mike Whaley; Judy Gomez; Karen Meehan; Kiran Saluja
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-10-18
Journal Detail:
Title:  American journal of public health     Volume:  102     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-08     Completed Date:  2013-01-18     Revised Date:  2013-02-08    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2269-73     Citation Subset:  AIM; IM    
Public Health Foundation Enterprises Special Supplemental Nutrition Program for Women, Infants, and Children program, Irwindale, CA 91706, USA.
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MeSH Terms
Breast Feeding / methods*,  statistics & numerical data
California / epidemiology
Food Assistance*
Health Policy*
Health Promotion / methods*
Infant Care / methods*,  statistics & numerical data
Infant Formula / statistics & numerical data
Infant Nutritional Physiological Phenomena*
Poverty / statistics & numerical data*
Comment In:
J Hum Lact. 2013 Feb;29(1):15-6   [PMID:  23277459 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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