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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