A Geospatial Analysis of the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Initiation in North Carolina

Journal of Human Lactation : Official Journal of International Lactation Consultant Association
Abigail L LibertyTamar Ringel-Kulka

Abstract

Significant disparities in breastfeeding support and practice exist in North Carolina. The Baby-Friendly Hospital Initiative is a worldwide intervention that encourages birth facilities to adopt specific practices in support of breastfeeding. This study aimed to evaluate the impact of the Baby-Friendly Hospital Initiative on breastfeeding initiation in North Carolina, with special attention to rural areas. To better understand disparities in breastfeeding initiation across North Carolina, we conducted a secondary analysis of birth certificate data from 2011 to 2014. Univariate and multivariate logistic regression models were used to estimate the association between breastfeeding initiation and (a) birth at a Baby-Friendly hospital and (b) maternal residence in a county with a Baby-Friendly hospital. Model residuals were aggregated by county and analyzed for spatial autocorrelation. Birth at a Baby-Friendly hospital was associated with increased odds of breastfeeding initiation, adjusted odds ratio = 1.7, 95% confidence interval [1.65, 1.89]. Model residuals showed significant clustering by county, with some rural areas' rates systematically overestimated. Whereas presence of a Baby-Friendly hospital in a mother's community of r...Continue Reading

References

Mar 10, 2001·JAMA : the Journal of the American Medical Association·M S KramerUNKNOWN PROBIT Study Group (Promotion of Breastfeeding Intervention Trial)
Sep 6, 2005·Pediatrics·Anne MerewoodHoward Bauchner
Apr 16, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Allison C MunnSarah N Taylor
Jul 29, 2016·The Journal of Perinatal & Neonatal Nursing·Jean Salera-Vieira, Cynthia T Zembo
Aug 10, 2016·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Tony H Grubesic, Kelly M Durbin
Aug 19, 2016·Maternal and Child Health Journal·Kathryn WoukCatherine Sullivan
Aug 19, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Melissa V TerryAngela Love-Zaranka
Sep 21, 2016·Maternal & Child Nutrition·Melissa C BartickAlison M Stuebe
Sep 30, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Ana E Núñez
Jun 13, 2017·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Tony H Grubesic, Kelly M Durbin

❮ Previous
Next ❯

Citations

May 7, 2019·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Kathryn WoukAlison M Stuebe

❮ Previous
Next ❯

Software Mentioned

ArcGIS
OneMap
Prism

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Public Health
Maria Luiza G BraunClaudia Maria Machado Danelon
JAMA : the Journal of the American Medical Association
Melissa C BartickLauren E Hanley
Journal of Human Lactation : Official Journal of International Lactation Consultant Association
Tabashir Z NobariShannon E Whaley
© 2022 Meta ULC. All rights reserved