Prenatal health behaviors as predictors of breast-feeding, injury, and vaccination
N. L. Swigonski, C. S. Skinner and F. D. Wolinsky
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, USA.
OBJECTIVE: To identify maternal prenatal preventive health behaviors
associated with breast-feeding, early childhood injuries, and vaccination.
DESIGN: Secondary analysis of the 1988 National Maternal and Infant Health
Survey. SETTING: Questionnaires were mailed to the mother's home. PATIENTS:
The response rate to this nationally representative sample was 71%. These
analyses include the 10,868 mothers whose infants had ever been at home.
INTERVENTIONS: None. MAIN OUTCOME MEASURE(S): Multivariable logistic
regression was used to predict the following: (1) having "ever" breast-fed;
(2) having breast-fed for at least 6 weeks; (3) "an accident or bad fall"
during any of the first 6 months of the child's life ("early" injury) or
(4) in the month prior to the interview ("recent" injury); (5) having
received "any" vaccinations or (6) having received three diphtheria,
pertussis, tetanus immunizations. RESULTS: Children of mothers who reduced
alcohol consumption during the pregnancy, had higher incomes, and were
white had the best preventive health outcomes. Adequacy of prenatal care
was predictive of vaccination, but not of breast-feeding or injury.
CONCLUSIONS: These data suggest that prenatal sociodemographic
characteristics and maternal health behaviors have significant and
continued effects on the preventive health outcomes of infants and
children.
