| Titre : | A Geospatial Analysis of the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Initiation in North Carolina (2019) |
| Auteurs : | Abigail L. Liberty, Auteur ; Kathryn Wouk, Auteur ; Ellen M Chetwynd, Auteur |
| Type de document : | Article : texte imprimé |
| Dans : | Journal of Human Lactation (Vol. 35, n°1, Février 2019) |
| Article en page(s) : | pp. 114-126 |
| Langues: | Anglais |
| Catégories : | Accouchement naturel ; Analyse ; Caroline du Nord ; Connaissance et enseignement sur l'allaitement ; Equipement de santé ; Etats-Unis ; Géographie humaine ; Hôpital ; IHAB Initiative Hôpital Ami des Bébés ; Maternité ; Méthodologie de recherche ; Milieu rural ; Milieu urbain ; Politique de santé ; Politique de santé internationale ; Pratique de l'allaitement ; Promotion de l'allaitement ; Soutien allaitement |
| Résumé : |
"Background:
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. Research aim: 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. Methods: 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. Results: 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 residence was not associated with increased initiation, birth at a Baby-Friendly hospital was associated with smaller disparities in initiation between rural and urban births. Conclusion: Birth at a Baby-Friendly hospital is associated with improved breastfeeding initiation and reduced disparities in initiation between rural and urban counties in North Carolina."[Résumé de l'auteur] |
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