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Journal of Human Lactation
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US National Surveillance of Breastfeeding Behavior

Laurence M. Grummer-Strawn, PhD

Centers for Disease Control and Prevention, DNPA/Mailstop K25, 4770 Buford Highway, NE, Atlanta, GA 30341, USA.

Ruowei Li, MD

Centers for Disease Control and Prevention.

The Healthy People 2010objective to increase US national breastfeeding rates uses data from the Ross Laboratories Mothers Survey for monitoring. Because of scientific and political problems related to the use of these data, the Centers for Disease Control and Prevention (CDC) recently held a meeting on surveillance systems for monitoring breastfeeding behaviors in the United States. Participants identified and discussed 12 surveillance systems that collect or could collect breastfeeding data. None of the existing systems met the participants' definition of an ideal system, although each was seen as providing additional insight into breastfeeding behaviors. Key recommendations are to (1) justify the need for additional resources to build a comprehensive national system; (2) add questions on breastfeeding incidence, duration, and exclusivity to the National Immunization Survey; (3) ensure that breastfeeding questions on national surveys are consistent; and (4) encourage state use of the breastfeeding module of the CDC's Pregnancy Risk Assessment Monitoring System.

Key Words: breastfeeding • infant feeding • surveillance • monitoring • Healthy People 2010

Journal of Human Lactation, Vol. 16, No. 4, 283-290 (2000)
DOI: 10.1177/089033440001600403
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