Skip to main content

Table 8 Community level Supplemental Nutrition Program for Women, Infants, and Children (WIC) breastfeeding interventions among women of color in the U.S.

From: Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review

Study/Setting

Study Design/ methods

Study Population

Exposure/Intervention

Outcomes/Results

Grade

Marshall et al. [80]

PRAMS data

Design: Retrospective

Data:2004,2006,2008

Mississippi PRAMS

N = 1739 W; 52.2%

N = 1975 AA; 82% enrolled in WIC Mississippi

WIC vs. eligible non-WIC participants

WIC participation not associated with BF initiation among A

Low

Gross et al. [81]

WIC

Design: Retrospective

Data: WIC

N = 33,582; 50.5% AA; 23.8% H; 22.1% W; Maryland

BF support by PC, IBLC vs. standard of care (SC)

BF initiation rate higher for PC vs. IBLC and SC groups.

Very Low

Washio et al. [83]

WIC clinic

Design: RCT

Data: Baseline, 1,3,6 mo

n = 18 intervention; n = 18 control, 100% Puerto Rican; Philadelphia

WIC BF support services plus incremental financial incentives per month BF

Higher BF at 1, 3, and 6 mo vs. controls

Low

Harari et al. [84]

WIC clinics

Design: pilot RCT

Data: baseline intake; 2 wks p.p. phone survey

n = 32 intervention; n = 26 control; 75% H;17% AA; 6% W; New Haven CT

Personalized text messages + BF PC services during pregnancy and p.p.

EBF at 2 weeks higher in intervention (NS). Intervention mothers were contacted sooner and more likely to meet BF goals

Moderate

Martinez-Brockman et al. [85]

WIC clinics

Design: RCT

Data: baseline, 2 wks, 3 mo p.p. phone surveys

N = 94 intervention

n = 80 control

74.3 H%; CT

PC services + two-way text messages from pregnancy to 3 mo p.p.

EBF rates at 2 wks p.p. higher (NS). Intervention moms contacted sooner. NS between-group differences in EBF at 3 mo

Low

Lovera et al. [86]

WIC clinic

Design: Quasi experimental

Data: WIC records

n = 53 intervention; 100% H; n = 49 control 100% H; Brownsville TX

PC + peer dad counseling services

NS between-group difference in BF duration

Very low

Reeder et al. [87]

WIC clinics

Design: RCT

Data: 1st trimester, 7,30,60 days p.p.

n = 645 PC high freq.

n = 646 PC low freq.

n = 657 control; 100% H; 4 clinics; Oregon

Low freq. PC group: 4 calls; High freq. PC group: 8 phone calls

Intervention increased EBF and any BF duration among Spanish speaking WIC participants. NS among English speaking.

Low

Edmunds et al. [88]

WIC clinics

Design: Quasi-experimental.

Data: 1st trimester, 7,30,60 days p.p.

n = 362 intervention; n = 408 control; 11.1% W, 30.7% AA, 51.2% H, 12 clinics; NY State

Individual counseling tailoring

Intervention increased EBF among H and AA at 30 & 60 days p.p.

Low

Scheinmann et al. [89]

WIC clinics

Design: Quasi-experimental.

Data: baseline, 3, 6 mo p.p.

N = 439; 100% H

25-min English/Spanish educational BF video

NS differences in any BF between video and comparison groups at baseline, 3 & 6 mo

Very low

  1. Abbreviations: AA African American; H Hispanic; W White; NS not significant; p.p. postpartum; PC peer counselor; RCT Randomized Controlled Trial