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Prepregnancy Diabetes and Breastfeeding Cessation Among Black Women in the United States.


ABSTRACT: Background: The incidence of diabetes is rising, and with it, the number of pregnancies affected by diabetes. U.S. black women have a disproportionately high prevalence of diabetes and lower rates of breastfeeding. Objective: The objective of this study was to quantify the relationship between diabetes before pregnancy and breastfeeding duration among black women in the United States. Materials and Methods: We analyzed women from the Black Women's Health Study (N?=?59,000) to assess the relationship between prepregnancy diabetes and time to breastfeeding cessation occurring up to 24 months postdelivery using Kaplan-Meier survival curves, log rank tests, and Cox proportional hazards models. The study population included primiparous women with births between 1995 and 2009 (N?=?3,404). Obesity, hypertension before pregnancy, and family history of diabetes were examined for effect modification. Results: Survival curves demonstrated a markedly reduced duration of breastfeeding in women who had been diagnosed with prepregnancy diabetes (p?

SUBMITTER: Chetwynd EM 

PROVIDER: S-EPMC6532327 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Prepregnancy Diabetes and Breastfeeding Cessation Among Black Women in the United States.

Chetwynd Ellen M EM   Stuebe Alison M AM   Rosenberg Lynn L   Troester Melissa A MA   Palmer Julie R JR  

Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine 20190306 4


<b><i>Background:</i></b> The incidence of diabetes is rising, and with it, the number of pregnancies affected by diabetes. U.S. black women have a disproportionately high prevalence of diabetes and lower rates of breastfeeding. <b><i>Objective:</i></b> The objective of this study was to quantify the relationship between diabetes before pregnancy and breastfeeding duration among black women in the United States. <b><i>Materials and Methods:</i></b> We analyzed women from the Black Women's Health  ...[more]

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