Online Program

Infant sleep position and breastfeeding in Mississippi: Evidence from 2011 Mississippi Pregnancy Risk Assessment Monitoring System (PRAMS)

Sunday, November 1, 2015

Mina Qobadi, PhD, Epidemiology, Jackson State University, Jackson, MS
Lei Zhang, PhD, MSc, MBA, Office of Health Data & Research, Mississippi State Department of Health, Jackson, MS
Mohammad Shahbazi, PhD, MPH, MCHES, Jackson State University, Jackson, MS
Background:Breastfeeding and infant sleep position are crucial components of maternal and child health and identifying their determinants or risk factors is a public health priority.

Objective: This study aimed to estimate prevalence of sleep position and breastfeeding and explore their potential determinants in Mississippi. 

Methods: The 2011 Mississippi PRAMS data (n=1,186) were analyzed. The dependent variables were breastfeeding and sleep position, and independent variables were demographic characteristics, number of previous live births, intended pregnancy and healthcare discussions. Descriptive statistics and Chi-square tests were done using SAS 9.3 Proc Survey procedure (SAS Institute, Cary, NC, USA).

Results: Of 1,186 mothers, 51% were White, 46.8% Black, 55.2% unmarried, most (35.5%) were 20-24 years old, 52.1% had less than $20,000 annual household income, and 47.9% had less than college education. Among all participants, 51.1% had breastfeeding experience. Among those mother who ever breastfed their child, 71.1% had breastfed less than one week. Moreover, 62.5% laid their child on his/her back. There were significant relationships between breastfeeding and discussion about feeding position (p=0.008), getting help for breastfeeding (p=0.001), previous number of births (p=0.005), pregnancy intention (p=0.003), age (p<0.001), race (p<0.001), education (p<0.001), income (p=0.001) and marital status (p<0.001). In addition, our findings showed that annual income (p<0.001), and pregnancy intention (p=0.01) were significantly associated with infant sleep position. 

Conclusion: Both breastfeeding and sleep position were significantly associated with pregnancy intention. In addition, breastfeeding had significant relationships with number of previous live births and healthcare discussions indicating a strong need for increased efforts in prenatal care.

Learning Areas:

Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
Assess prevalence of infant sleep position and breastfeeding in Mississippi. Identify determinants of infant sleep positions and breastfeeding.

Keyword(s): Breastfeeding, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am DrPh student working as a Research Assistant at the Mississippi State Department of Health. I have a solid background in public health research methodology and have worked with underserved populations nationally and internationally for more than 7 years. My experiences include project design, data collection and analysis, preparing abstracts and writing manuscripts.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.