Understanding infant feeding choice from the Great Depression to the baby boom in the U.S.

dc.contributor.advisorForman, Michele R.
dc.contributor.committeeMemberHernandez, Ladia
dc.creatorPilles, Kiona Natasha
dc.date.accessioned2018-03-20T20:51:27Z
dc.date.available2018-03-20T20:51:27Z
dc.date.created2015-12
dc.date.issued2015-12-10
dc.date.submittedDecember 2015
dc.date.updated2018-03-20T20:51:27Z
dc.description.abstractObjectives: The objectives of this study were to describe the rates of and factors associated with exclusive breastfeeding (XBR), exclusive breast feeding + breast and bottle-feeding (Ever BR), and of exclusive bottle-feeding (XBOT) from 1925-1964 among mothers of the nurse daughters in the Nurses’ Health Cohort Studies. Methods: The Nurses' Maternal Cohort Study (N= 39,743) is a retrospective cohort of the mothers of the nurse daughters who completed a questionnaire on reproductive characteristics and infant feeding. Multiple logistic regression analysis was used to estimate the adjusted odds ratios for Ever BR and XBR compared to XBOT by birth year and other covariates. Results: Ever BR rates steadily declined from 80% in the Great Depression to 37% in 1964; similarly XBR rates declined from 41% to 10%, respectively. Factors positively associated with Ever BR included: any maternal college education compared to <12 years of education and delivering a low or high compared to normal birth weight nurse daughter. Factors negatively associated with Ever BR were: smoking during pregnancy, C-section delivery, prematurity, birth orders 2+, and nurse daughters born 1940-1964. Factors differed by birth cohort, e.g. maternal education was positively associated with XBR only from 1950-64. Among the XBOT, the majority used canned evaporated milk until 1959 and then switched to commercial infant formula. Conclusions: This study documents declining rates of XBR and factors influencing infant feeding choice from 1925-1964, with results varying by birth cohort that differ from current determinants.
dc.description.departmentNutritional Sciences
dc.format.mimetypeapplication/pdf
dc.identifierdoi:10.15781/T2GM82554
dc.identifier.urihttp://hdl.handle.net/2152/63888
dc.language.isoen
dc.subjectBreast-feeding
dc.subjectInfant feeding
dc.subjectInfant feeding choice
dc.subjectInfant feeding method
dc.subjectBottle-feeding
dc.subjectBreastfeeding statistics
dc.subjectBottle-feeding statistics
dc.subjectBreastfeeding history
dc.subjectBottle-feeding history
dc.subjectGreat Depression
dc.subjectU.S. baby boom
dc.titleUnderstanding infant feeding choice from the Great Depression to the baby boom in the U.S.
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentNutritional Sciences
thesis.degree.disciplineNutritional Sciences
thesis.degree.grantorThe University of Texas at Austin
thesis.degree.levelMasters
thesis.degree.nameMaster of Arts

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