Evidence map›Paper›PMID 36949019›Full record

ArticleMaternal & child nutrition2023

Impact of the COVID-19 pandemic on infant feeding practices in the United States: Food insecurity, supply shortages and deleterious formula-feeding practices.

Jessica A Marino, Kimberly Meraz, Manuvir Dhaliwal, Denise D Payán, Tashelle Wright, Jennifer Hahn-Holbrook

Open access · goldAbstract read
In one paragraph

Article in Maternal & child nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 25 citations in OpenAlex.

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  6. Practice changes and infant health risks during the 2022 infant formula shortage: Results of a US healthcare provider survey.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Jessica A MarinoDepartment of Psychology, University of California, Merced, California, USA.ORCID 0000-0003-0454-5502
Kimberly MerazDepartment of Psychology, University of California, Merced, California, USA.
Manuvir DhaliwalDepartment of Psychology, University of California, Merced, California, USA.
Denise D PayánDepartment of Health, Society, and Behavior, University of California, Irvine, California, USA.ORCID 0000-0003-3236-862X
Tashelle WrightDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Jennifer Hahn-HolbrookDepartment of Psychology, University of California, Merced, California, USA.ORCID 0000-0002-8899-8869
University of California, Merced · USUniversity of California, Irvine · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The coronavirus disease 2019 (COVID-19) pandemic increased food insecurity among US households, however, little is known about how infants, who rely primarily on human milk and/or infant formula, were impacted. We conducted an online survey with US caregivers of infants under 2 years of age (N = 319) to assess how the COVID-19 pandemic impacted breastfeeding, formula-feeding and household ability to obtain infant-feeding supplies and lactation support (68% mothers; 66% White; 8% living in poverty). We found that 31% of families who used infant formula indicated that they experienced various challenges in obtaining infant formula, citing the following top three reasons: the formula was sold out (20%), they had to travel to multiple stores (21%) or formula was too expensive (8%). In response, 33% of families who used formula reported resorting to deleterious formula-feeding practices such as diluting formula with extra water (11%) or cereal (10%), preparing smaller bottles (8%) or saving leftover mixed bottles for later (11%). Of the families who fed infants human milk, 53% reported feeding changes directly as a result of the pandemic, for example, 46% increased their provisioning of human milk due to perceived benefits for the infant's immune system (37%), ability to work remotely/stay home (31%), concerns about money (9%) or formula shortages (8%). Fifteen percent of families who fed human milk reported that they did not receive the lactation support they needed and 4.8% stopped breastfeeding. To protect infant food and nutrition security, our results underscore the need for policies to support breastfeeding and ensure equitable and reliable access to infant formula.

Indexed as

COVID-19PandemicsBreast FeedingFeeding BehaviorFemaleHumansInfantInfant FoodInfant FormulaUnited StatesbreastfeedingCOVID-19 pandemicformula feedinginfant and young child feedingpaediatric nutrition

Identifiers

PMID36949019
PMCPMC10262890
OpenAlexW4360600192

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.