Prenatal Health Behaviors as Predictors of Breast-feeding, Injury, and Vaccination

Nancy L. Swigonski, Celette Sugg Skinner, Fredric D. Wolinsky

Research output: Contribution to journalArticle

24 Scopus citations


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 Measures: 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.

Original languageEnglish (US)
Pages (from-to)380-385
Number of pages6
JournalArchives of Pediatrics & Adolescent Medicine
Issue number4
StatePublished - Apr 1995

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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