Assessment & Research

Rates of breastfeeding and exposure to socio-economic adversity amongst children with intellectual disability.

Gore et al. (2015) · Research in developmental disabilities 2015
★ The Verdict

Poverty and stress, not ID itself, explain why these babies are nursed less.

✓ Read this if BCBAs working with infants or toddlers with ID in home or clinic settings.
✗ Skip if Practitioners serving only school-age or typically developing clients.

01Research in Context

01

What this study did

Gore et al. (2015) looked at breastfeeding rates for babies with intellectual disability. They asked whether these babies were nursed less often than other babies. The team then checked if money problems, stress, or other social risks explained any gap.

02

What they found

At first, babies with ID were breastfed less. After the researchers added family income, mom’s stress, and similar risks, the gap vanished. Disability itself did not predict nursing; hardship did.

03

How this fits with other research

Emerson (2003) saw the same pattern with older kids. Once poverty and life stress were counted, moms of kids with ID showed only tiny rises in mental-health flags. The hardship, not the diagnosis, drove the numbers.

Dumont et al. (2014) repeated the idea in Australia. Siblings of disabled kids looked worse off until the team held family income steady; then differences melted away. Again, social adversity masked the true story.

Karpur et al. (2021) stretched the link forward in time. Using US data, they found households of children with ASD plus ID faced double the odds of running out of food. One thread—economic strain—ties low nursing, low food, and low wellbeing together.

04

Why it matters

When a baby with ID comes onto your caseload, ask about food stamps, WIC, and rent stress before you write a feeding plan. Fixing material hardship may let moms nurse longer and meet other health goals. Screen for money and food gaps, then link families to concrete aid; the disability label alone is not the barrier.

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Add two quick questions on food and bill stress to your intake form and offer WIC or SNAP referrals on the spot.

02At a glance

Intervention
not applicable
Design
other
Population
intellectual disability
Finding
negative

03Original abstract

Children with intellectual disability are at increased risk of experiencing poor health relative to their typically developing peers. Previous research indicates that exposure to socio-economic disadvantage contributes towards this disparity but that additional factors (including parenting practices) may be involved in mediating/moderating pathways. This study examined duration of breastfeeding amongst children with and without intellectual disability by a secondary analysis of data from the UK Millennium Cohort Study. Children with intellectual disability were significantly less likely to have been ever breastfed; breastfed exclusively or at all at 3 months or breastfed at all at 6 months relative to children without intellectual disability. None of these differences remained significant when other psycho-social risk factors for reduced breastfeeding were controlled for. The study adds to both the sparse literature on breastfeeding practices amongst families of children with intellectual disability and research demonstrating relationships between socio-economic disadvantage and wellbeing for children with intellectual disability.

Research in developmental disabilities, 2015 · doi:10.1016/j.ridd.2014.12.028