PRAMS Data on Breastfeeding

Mother breastfeeding infantUsing state birth certificate files to identify women who have given birth, the Pregnancy Risk Assessment Monitoring System (PRAMS) collects annual data from a sample of between 1,300 and 3,400 women in each state concerning specific behaviors during pregnancy and up to the time of the survey that may affect their health or the health of their child. PRAMS collects these data through mail surveys and follow-up telephone surveys and uses stratified sampling methods to obtain estimates of the prevalence of behaviors among women in various demographic groups. The surveys are administered 2–6 months after women give birth. Questions about breastfeeding include the following:

  • Did you ever breastfeed or pump breast milk to feed your new baby, even for a short period of time?
  • Are you currently breastfeeding or feeding pumped milk to your new baby?
  • How many weeks or months did you breastfeed or pump milk to feed your baby?

The prevalence estimates in the following two figures and three tables are based on survey participants’ responses to these three questions. Table 1 shows annual state-specific estimates of the prevalence of breastfeeding initiation for 2000 through 2008, and Table 2 shows annual state-specific estimates of the prevalence of breastfeeding at 4 weeks postpartum for 2000 through 2008. Figure 1 depicts the state-specific 2008 prevalence estimates of breastfeeding initiation, and Figure 2 depicts the state-specific 2008 prevalence estimates of any breastfeeding at 4 weeks postpartum. Table 3 shows combined 2008 prevalence estimates for these two breastfeeding measures by maternal age, race/ethnicity, participation in Medicaid, and participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).

Among women in the 29 states for which data were available, the overall 2008 prevalence of breastfeeding initiation was 77.1%, and state-specific prevalence estimates ranged from 49.5% (Mississippi) to 93.8% (Oregon) (Table 1). Significant increasing trends in the prevalence of breastfeeding initiation were shown in 24 of the 28 states for which 3 or more consecutive years of data were available. Breastfeeding initiation rates were generally lower in the southeastern states and higher in the western states (Figure 1). The prevalence of breastfeeding initiation was lowest by age among women less than 20 years old, lowest by race/ethnicity among black women, and significantly lower among women who received Medicaid and those who participated in WIC than among those who did not (Table 3).

 

Figure 1 Prevalence of Breastfeeding Initiation, PRAMS States, 2008

Question: Did you ever breastfeed or pump breast milk to feed your new baby after delivery?

Figure 1: Prevalance of breastfeeding initiation, PRAMS states, 2008.
Alaska, 91.8
Arkansas, 66.5
Colorado, 90.4
Delaware, 74.0
Georgia, 72.5
Hawaii, 92.3
Illinois, 77.8
Maine, 78.3
Maryland, 81.2
Massachusetts, 81.6
Michigan, 73.4
Minnesota, 84.9
Mississippi, 49.5
Nebraska, 80.7
New Jersey, 80.2
New York, 75.6
North Carolina, 73.2
Ohio, 70.2
Oklahoma, 79.0
Oregon, 83.8
Pennsylvania, 72.4
Rhode Island, 75.0
Tennessee, 66.4
Utah, 91.2
Vermont, 85.1
Washington, 92.3
West Virginia, 58.4
Wisconsin, 78.6
Wyoming, 85.4
 Top of Page

 

Figure 2 Prevalence of Any Breastfeeding at 4 Weeks Postpartum PRAMS States, 2008

Question: How many weeks or months did you breastfeed or pump breast milk to feed your baby?

Figure 2: Prevlence of any breastfeeding at 4 weeks postpartum, PRAMS states, 2008.

Alaska, 80.5
Arkansas, 47.8
Colorado, 79.6
Delaware, 58.7
Georgia, 60.1
Hawaii, 81.9
Illinois, 65.8
Maine, 64.7
Maryland, 67.8
Massachusetts, 70.9

Michigan, 57.5
Minnesota, 74.3
Mississippi, 35.6
Nebraska, 67.2
New Jersey, 68.2
North Carolina, 60.6
Ohio, 57.1
Oklahoma, 58.9
Oregon, 84.2
Pennsylvania, 59.8
Rhode Island, 61.4
Tennessee, 51.3
Utah, 81.3
Vermont, 74.0
Washington, 79.4
West Virginia, 45.2
Wisconsin, 68.3
Wyoming, 73.2
 Top of Page

 

 

Table 1 Prevalence of Breastfeeding Initiation, PRAMS Participating States, 2000–2008

State 2000
(%)
2001
(%)
2002
(%)
2003
(%)
2004
(%)
2005
(%)
2006
(%)
2007
(%)
2008
(%)

Alabama

55.3 54.2 57.5 57.9 ? ? ? ? ?

Alaska

88.9 90.6 90.5 90.3 91.0 90.6 92.7 91.0 91.8

Arkansas

60.2 61.6 61.8 65.3 63.5 64.5 64.7 66.0 66.6

Colorado

85.5 84.3 85.5 85.3 87.2 90.2 90.0 89.6 90.4

Delaware

? ? ? ? ? ? ? 74.4 74.0

Florida

77.2 75.9 77.5 73.3 76.1 76.8 ? ? ?

Georgia

? ? ? ? 70.2 67.3 69.8 66.3 72.5

Hawaii

89.3 89.8 89.3 89.3 91.1 90.1 92.0 92.5 92.3

Illinois

69.0 68.6 73.8 72.0 75.0 76.2 76.7 74.8 77.8

Louisiana

46.1 50.4 50.3 51.2 55.5 ? ? ? ?

Maine

75.6 77.4 71.9 77.6 78.5 78.5 80.3 78.2 78.3

Maryland

? 76.5 72.4 77.5 76.2 75.5 81.1 79.0 81.2

Massachusetts

? ? ? ? ? ? ? 81.5 81.6

Michigan

? 68.8 70.0 68.5 71.0 72.1 68.8 72.6 73.4

Minnesota

? ? 79.1 81.2 78.6 84.0 80.7 84.6 84.9

Mississippi

? ? ? 52.8 52.1 ? 52.7 ? 49.5

Missouri

? ? ? ? ? ? ? 71.6 ?

Montana

? ? 85.8 ? ? ? ? ? ?

Nebraska

71.9 75.2 76.4 76.7 78.1 78.0 81.3 81.3 80.7

New Jersey

? ? 74.0 75.9 74.8 77.0 79.3 79.0 80.2

New Mexico

80.0 80.2 82.1 82.5 84.4 83.7 ? ? ?

New York**

69.3 68.7 72.0 71.7 72.4 72.9 76.1 74.0 75.6

New York City

? ? ? ? 84.9 82.9 84.1 86.2 ?

North Carolina

63.1 67.8 70.3 70.1 72.0 70.1 ? 76.0 73.2

Ohio

63.1 62.4 65.9 63.0 ? 68.9 69.9 71.1 70.2

Oklahoma

68.1 70.7 68.0 68.9 74.5 73.3 75.7 74.2 79.0

Oregon

? ? ? 92.3 90.4 92.1 93.7 93.3 93.8

Pennsylvania

? ? ? ? ? ? ? 66.7 72.4

Rhode Island

? ? 67.0 72.2 70.9 71.4 74.5 74.8 75.0

South Carolina

52.6 57.4 58.6 63.1 62.0 61.2 70.2

67.9†

?

Tennessee

? ? ? ? ? ? ? ? 66.4

Utah

87.7 88.3 91.0 88.6 91.1 90.6 90.6 92.1 91.2

Vermont

? 78.5 79.3 80.7 82.1 82.9 83.7 84.8 85.2

Washington

88.4 90.4 90.3 90.1 90.5 93.3 90.9 92.6 92.3

West Virginia

53.5 55.8 55.5 56.7 62.4 60.6 55.6 57.2 58.4

Wisconsin

? ? ? ? ? ? ? 77.2 78.6

Wyoming

? ? ? ? ? ? ? 83.3 85.4

Overall

69.5 70.6 72.7 72.4 75.2 76.3 77.8 77.1 77.1§

- Data unavailable or excluded from analysis because response rate was <70% (2000–2006) or <65% (2007–2008).
P value for linear trend is statistically significant at the 0.05 level. Linear trend was calculated for states with at least three consecutive years of data.
§ Because the total number of states included in overall prevalence estimates varied from year to year, a trend analysis was not performed.
** Excludes New York City.

 Top of Page

Table 2 Prevalence of Any Breastfeeding at 4 Weeks Postpartum, PRAMS Participating States, 2000–2008

State 2000
(%)
2001
(%)
2002
(%)
2003
(%)
2004
(%)
2005
(%)
2006
(%)
2007
(%)
2008
(%)

Alabama

39.9 38.1 41.5 42.2 ? ? ? ? ?

Alaska

79.0 79.6 80.3 77.1 78.2 81.1 82.1 79.8 80.5

Arkansas

44.3 44.5 47.2 47.0 46.2 48.3 48.5 49.9 47.8

Colorado

75.0 72.8 75.1 73.9 77.0 77.8 80.6 78.2 79.7

Delaware

? ? ? ? ? ? ? 62.1 58.7

Florida

62.0 59.8 63.5 59.8 63.2 63.1 ? ? ?

Georgia

? ? ? ? 58.4 55.0 56.5 52.8 60.1

Hawaii

77.6 76.9 77.5 77.4 78.9 77.8 81.1 80.4 81.9

Illinois

56.1 56.7 60.2 58.4 62.4 61.8 64.4 62.4 65.8

Louisiana

36.0 39.6 37.8 37.0 41.7 ? ? ? ?

Maine

62.6 65.1 61.0 65.1 65.4 66.2 68.6 63.7 64.7

Maryland

? 63.6 62.5 65.4 67.1 65.3 69.5 67.5 67.8

Massachusetts

? ? ? ? ? ? ? 70.3 70.9

Michigan

? 51.5 56.3 55.1 56.3 56.0 55.1 57.2 57.5

Minnesota

? ? 65.6 70.7 69.0 72.6 71.1 73.3 74.3

Mississippi

? ? ? 37.8 35.5 ? 37.7 ? 35.6

Missouri

? ? ? ? ? ? ? 58.0 ?

Montana

? ? 74.7 ? ? ? ? ? ?

Nebraska

59.4 61.7 59.7 61.9 64.9 64.6 69.8 66.7 67.2

New Jersey

? ? 61.9 63.5 62.6 64.2 67.5 68.8 68.2

New Mexico

66.3 66.1 68.4 67.2 69.8 70.0 ? ? ?

New York**

57.1 55.3 59.5 57.4 58.1 60.7 62.3 61.5 63.1

New York City

? ? ? ? 73.1 71.3 74.3 74.9 ?

North Carolina

50.4 54.4 56.0 56.0 60.0 60.1 ? 61.9 60.6

Ohio

51.0 48.8 52.9 50.3 ? 53.3 55.5 57.2 57.1

Oklahoma

54.3 53.4 52.7 53.6 55.0 54.8 56.6 55.2 58.9

Oregon

? ? ? 82.1 81.8 83.0 84.6 84.4 84.2

Pennsylvania

? ? ? ? ? ? ? 50.8 59.8

Rhode Island

? ? 55.2 59.2 58.2 58.6 59.5 62.3 61.4

South Carolina

38.8 42.4 46.6 49.6 49.4 48.1 56.9 54.4 ?

Tennessee

? ? ? ? ? ? ? ? 51.3

Utah

78.9 79.1 80.4 80.1 81.3 81.0 79.3 83.0 81.3

Vermont

? 68.0 67.8 69.8 72.7 71.5 74.0 73.8 74.0

Washington

77.6 76.6 78.0 76.8 80.1 83.3 81.2 81.8 79.

West Virginia

38.6 41.0 43.4 42.0 48.0 43.4 41.4 42.1 45.2

Wisconsin

? ? ? ? ? ? ? 66.2 68.3

Wyoming

? ? ? ? ? ? ? 69.1 73.2

Overall

56.7 56.8 59.6 59.1 62.6 63.3 65.5 64.3 64.3§

- Data unavailable or excluded from analysis because response rate was <70% (2000–2006) or <65% (2007–2008).
P value for linear trend is statistically significant at the 0.05 level. Linear trend was calculated for states with at least three consecutive years of data.
§ Because the total number of states included in overall prevalence estimates varied from year to year, a trend analysis was not performed.
** Excludes New York City.

 Top of Page

Table 3 Prevalence of Breastfeeding Initiation and Duration to 4 Weeks Postpartum Among 2008 PRAMS Participants, by Selected Maternal Characteristics, for All PRAMS States*† Combined

Maternal Characteristics Breastfeeding Initiation
% (95% CI§)
Breastfeeding at 4 Weeks Postpartum
% (95% CI§)/th>
Age (years)    
<20 62.4 (59.7–65.0) 39.2 (36.7–41.9)
20-24 71.5 (70.0–73.1) 54.5 (52.8–56.1)
25-34 81.4 (80.5–80.2) 71.1 (70.1–72.1)
35+ 80.6 (78.9–82.2) 72.2 (70.3–73.9)
Race/Ethnicity    
White 77.3 (76.5–78.2) 64.8 (63.8–65.7)
Black 61.8 (59.6–63.9) 46.6 (44.4–48.8)
Hispanic 86.8 (85.3–88.2) 74.2 (72.3–76.0)
American Indian 73.4 (67.2–78.7) 56.7 (50.2–63.1)
Alaskan Native 88.7 (85.6–92.1) 77.4 (73.6–80.9)
Hawaiian 91.2 (88.5–94.4) 80.4 (75.7–84.3)
Chinese 91.6 (85.0–95.4) 87.2 (80.5–91.8)
Japanese 98.5 (96.4–99.4) 91.7 (79.3–96.9)
Other Asian 90.1 (87.5–92.3) 82.2 (78.9–85.0)
Filipino 90.4 (84.8–94.1) 76.1 (69.3–81.9)
Mixed Race 84.3 (76.9–89.7) 69.8 (61.4–77.0)
Other 79.4 (69.2–86.9) 67.7 (57.4–76.6)
Medicaid recipient    
Yes 69.2 (68.0–70.3) 53.1 (51.9–54.3)
No 83.8 (83.0–84.6) 73.7 (72.8–74.6)
WIC recipient    
Yes 68.6 (67.4–69.7) 51.6 (50.4–52.9)
No 83.8 (83.0–84.6) 74.2 (73.2–75.1)

* See Table 1 for a list of the 29 participating states in 2008.
Sample size for each demographic group exceeded 200 participants.
§ CI = confidence interval.

Note: Race and ethnicity data from Hawaii are included in the table and in Hawaii if more than one race/ethnicity is indicated, a singly coded race is generated into the electronic data.

 Top of Page
Syndicated Content Details:
Source URL: http://www.cdc.gov/prams/DATA-Breastfeeding.htm
Source Agency: Centers for Disease Control and Prevention (CDC)
Captured Date: 2016-05-23 22:41:23.0

 

 

 

 

Terms of Use | Privacy Policy
©2017 ARCHES Technology. All Rights Reserved.