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Journal of Human Lactation, Vol. 23, No. 4, 314-324 (2007)
DOI: 10.1177/0890334407307882
© 2007 International Lactation Consultant Association

Breastfeeding Attitudes and Reported Problems in a National Sample of WIC Participants

Margaret F. McCann, PhD

Maternal and Child Epidemiology, Chapel Hill, North Carolina

Nazli Baydar, PhD

Departments of Psychology and Sociology at Koc University, Istanbul, Turkey

Rick L. Williams, PhD

Statistics and Epidemiology Department at RTI International, Research Triangle Park, North Carolina

Recent reports indicate that breastfeeding rates continue to be dramatically lower among WIC participants, compared with other US mothers. The WIC Infant Feeding Practices Study was a nationally representative 1-year longitudinal study of WIC participants that obtained information about attitudes regarding infant feeding and about infant-feeding practices. Hispanic mothers were most likely to agree with statements about benefits of breastfeeding, and Black mothers were most likely to agree with statements about barriers. Concern about insufficient milk was common in all ethnic groups. Perceived benefits were associated with breastfeeding initiation (P < .05), longer breastfeeding duration (P < .01), and later formula initiation (P < .01); for barriers, the opposite pattern was found. Breastfeeding mothers who reported concern about insufficient milk breastfed for shorter durations (P < .001) and initiated formula earlier (P < .01). These results suggest possible messages that should be communicated as part of a re-energized WIC breastfeeding promotion campaign. In particular, maternal anxiety about insufficient breast milk must be addressed. J Hum Lact. 23(4):314-324.

Key Words: breastfeeding • infant feeding • WIC • maternal attitudes • insufficient milk • prospective study


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