TABLE 3.
Adjusted Odds of Past-Year Infections Among 6-Year-Old US Children According to Breastfeeding Practices, IFPS II (2005–2007) and Y6FU (2012); N = 1281
| Variable | Cold or Upper Respiratory Tract Infection | Ear Infection | Throat Infection | Sinus Infection | Pneumonia or Lung Infection | Urinary Tract Infection | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| aORa | 95% CI | aOR | 95% CI | aOR | 95% CI | aOR | 95% CI | aOR | 95% CI | aOR | 95% CI | |
| Ever breastfed (n = 1281) | ||||||||||||
| No | Ref | Ref | Ref | Ref | Ref | Ref | ||||||
| Yes | 0.93 | 0.65–1.32 | 0.94 | 0.65–1.36 | 0.74 | 0.51–1.07 | 0.70 | 0.47–1.06 | 0.89 | 0.40–1.99 | 0.78 | 0.34–1.78 |
| Duration of any breastfeeding (n = 1106) | ||||||||||||
| >0 to <3 mo | Ref | Ref | Ref | Ref | Ref | Ref | ||||||
| 3 to <6 mo | 0.68 | 0.45–1.04 | 1.04 | 0.66–1.64 | 1.00 | 0.62–1.61 | 0.71 | 0.41–1.23 | 0.81 | 0.31–2.15 | 0.55 | 0.17–1.81 |
| 6 to <9 mo | 1.02 | 0.65–1.61 | 0.84 | 0.51–1.37 | 0.87 | 0.52–1.44 | 0.61 | 0.33–1.10 | 0.37 | 0.10–1.39 | 0.73 | 0.23–2.37 |
| ≥9 mo | 0.98 | 0.70–1.36 | 0.69b | 0.48–0.98b | 0.68b | 0.47–0.98b | 0.47b | 0.30–0.72b | 0.77 | 0.37–1.60 | 0.54 | 0.23–1.25 |
| Duration of exclusive breastfeeding (n = 1106) | ||||||||||||
| >0 to <4 mo | Ref | Ref | Ref | Ref | Ref | Ref | ||||||
| 4 to <6 mo | 0.88 | 0.62–1.25 | 0.69 | 0.46–1.03 | 0.77 | 0.51–1.16 | 0.71 | 0.43–1.18 | 0.67 | 0.30–1.52 | 1.29 | 0.57–2.92 |
| ≥6 mo | 1.32 | 0.64–2.73 | 0.37b | 0.14–0.98b | 0.23b | 0.07–0.76b | 0.13b | 0.02–0.97b | 0.34 | 0.04–2.61 | 0.46 | 0.06–3.65 |
| Formula supplementation (n = 1106) | ||||||||||||
| Breastfed <6 mo with formula before 6 mo | Ref | Ref | Ref | Ref | Ref | Ref | ||||||
| Breastfed ≥6 mo with formula before 6 mo | 1.08 | 0.77–1.50 | 0.81 | 0.56–1.16 | 0.86 | 0.59–1.24 | 0.65 | 0.42–1.01 | 0.92 | 0.44–1.90 | 0.83 | 0.35–1.94 |
| Breastfed ≥6 mo without formula before 6 mo | 1.07 | 0.78–1.48 | 0.66b | 0.46–0.94b | 0.63b | 0.44–0.92b | 0.50b | 0.32–0.78b | 0.61 | 0.29–1.29 | 0.57 | 0.25–1.32 |
| Breast milk intensity (% milk feedings being breast milk) during the first 6 mo (n = 1106) | ||||||||||||
| Low (>0 to < 33.3%) | Ref | Ref | Ref | Ref | Ref | Ref | ||||||
| Medium (33.3% to 66.6%) | 0.84 | 0.54–1.32 | 0.98 | 0.60–1.61 | 1.06 | 0.64–1.74 | 0.73 | 0.41–1.31 | 0.83 | 0.30–2.29 | 0.92 | 0.31–2.76 |
| High (>66.6%) | 1.03 | 0.75–1.41 | 0.77 | 0.54–1.08 | 0.73 | 0.51–1.03 | 0.53b | 0.35–0.79b | 0.62 | 0.31–1.26 | 0.51 | 0.23–1.14 |
aOR obtained after controlling for maternal age; race/ethnicity; education; household income; marital status; parity; Special Supplemental Nutrition Program for Women, Infants, and Children participation; prepregnancy BMI; infant gender and birth weight; infant cared for by someone other than parent at 3 months old; infant attending after-school child care at 6 years of age; and the type of school child attended. Reference group comprised children who had no maternal report of past-year infection.
If 95% CI does not include 1, the findings are considered statistically significant.