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Timing of WIC Enrollment and Responsive Feeding among Low-Income Women in the US

We examined associations between the timing of The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) enrollment and responsive feeding and assessed food security as a possible effect modifier. We used data from the nationally representative WIC Infant and Toddler Feeding...

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Autores principales: Hudak, Katelin M., Benjamin-Neelon, Sara E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8305462/
https://www.ncbi.nlm.nih.gov/pubmed/34300147
http://dx.doi.org/10.3390/ijerph18147695
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author Hudak, Katelin M.
Benjamin-Neelon, Sara E.
author_facet Hudak, Katelin M.
Benjamin-Neelon, Sara E.
author_sort Hudak, Katelin M.
collection PubMed
description We examined associations between the timing of The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) enrollment and responsive feeding and assessed food security as a possible effect modifier. We used data from the nationally representative WIC Infant and Toddler Feeding Practices Study-2. Our sample includes women-infant dyads interviewed through the first 13 months of age (n = 1672). We dichotomized WIC enrollment as occurring prenatally or after childbirth. The responsive feeding outcome was feeding on demand versus feeding on schedule. We used covariate-adjusted logistic regressions. Of women, 61.8% had a high school education or less and 62.9% lived at 75% or less of the federal poverty guideline. The majority (84.5%) of women enrolled in WIC before childbirth. In unadjusted estimates, 34% of women who enrolled prenatally practiced responsive feeding, compared to 25% of women who enrolled after childbirth. We found no evidence of food security as an effect modifier. In adjusted estimates, women who enrolled in WIC prenatally had 78% higher odds of practicing responsive feeding (OR: 1.78, 95% CI: 1.16, 2.73), compared to women who enrolled after childbirth. Prenatal enrollment in WIC was associated with higher odds of responsive feeding. Future studies should examine how the timing of WIC enrollment relates to responsive feeding in older children and over time.
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spelling pubmed-83054622021-07-25 Timing of WIC Enrollment and Responsive Feeding among Low-Income Women in the US Hudak, Katelin M. Benjamin-Neelon, Sara E. Int J Environ Res Public Health Article We examined associations between the timing of The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) enrollment and responsive feeding and assessed food security as a possible effect modifier. We used data from the nationally representative WIC Infant and Toddler Feeding Practices Study-2. Our sample includes women-infant dyads interviewed through the first 13 months of age (n = 1672). We dichotomized WIC enrollment as occurring prenatally or after childbirth. The responsive feeding outcome was feeding on demand versus feeding on schedule. We used covariate-adjusted logistic regressions. Of women, 61.8% had a high school education or less and 62.9% lived at 75% or less of the federal poverty guideline. The majority (84.5%) of women enrolled in WIC before childbirth. In unadjusted estimates, 34% of women who enrolled prenatally practiced responsive feeding, compared to 25% of women who enrolled after childbirth. We found no evidence of food security as an effect modifier. In adjusted estimates, women who enrolled in WIC prenatally had 78% higher odds of practicing responsive feeding (OR: 1.78, 95% CI: 1.16, 2.73), compared to women who enrolled after childbirth. Prenatal enrollment in WIC was associated with higher odds of responsive feeding. Future studies should examine how the timing of WIC enrollment relates to responsive feeding in older children and over time. MDPI 2021-07-20 /pmc/articles/PMC8305462/ /pubmed/34300147 http://dx.doi.org/10.3390/ijerph18147695 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hudak, Katelin M.
Benjamin-Neelon, Sara E.
Timing of WIC Enrollment and Responsive Feeding among Low-Income Women in the US
title Timing of WIC Enrollment and Responsive Feeding among Low-Income Women in the US
title_full Timing of WIC Enrollment and Responsive Feeding among Low-Income Women in the US
title_fullStr Timing of WIC Enrollment and Responsive Feeding among Low-Income Women in the US
title_full_unstemmed Timing of WIC Enrollment and Responsive Feeding among Low-Income Women in the US
title_short Timing of WIC Enrollment and Responsive Feeding among Low-Income Women in the US
title_sort timing of wic enrollment and responsive feeding among low-income women in the us
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8305462/
https://www.ncbi.nlm.nih.gov/pubmed/34300147
http://dx.doi.org/10.3390/ijerph18147695
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