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Auteur Julie L. Ware
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Associations Between Breastfeeding Initiation and Infant Mortality in an Urban Population / Julie L. Ware in Breastfeeding Medicine, Vol. 14, n°7 (Septembre 2019)
Titre : Associations Between Breastfeeding Initiation and Infant Mortality in an Urban Population : Clinical Practice Type de document : texte imprimé Auteurs : Julie L. Ware, Auteur ; Aimin Chen, Auteur ; Ardythe L. Morrow, Auteur Année de publication : 2019 Article en page(s) : pp.465–474 Langues : Anglais (eng) Catégories : Etats-Unis
Résumé : "Background: Breastfeeding promotion and support are not universally accepted in the United States as a strategy to reduce infant mortality. We investigated associations between breastfeeding and infant mortality in an urban population with high infant mortality and low breastfeeding rates.
Methods: A retrospective epidemiologic study linked birth–infant death data for 148,679 live births in Shelby County, Tennessee from January 2004 to December 2014. Births <500 g, deaths ≤7 days, deaths because of congenital anomalies or malignant neoplasms, and records with missing breastfeeding status were excluded. Main outcomes were infant death before the first birthday, neonatal death <28 days, and postneonatal death ≥28 days by ever or never breastfed. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for breastfeeding initiation were adjusted for maternal factors and infant factors.
Results: Initiation of breastfeeding was associated with a significant reduction in total infant mortality (OR = 0.81, 95% CI = 0.68–0.97, p = 0.023). Neonatal mortality was also significantly reduced with any breastfeeding (OR = 0.49, 95% CI = 0.34–0.72, p = 0.001). Postneonatal mortality was not significantly associated with breastfeeding initiation in the overall population (OR = 0.95, 95% CI = 0.78–1.17, p = 0.65), but was significant in the nonblack population (OR = 0.63, 95% CI = 0.41–0.98, p = 0.039). An association was observed between breastfeeding initiation and infant mortality from infectious disease (OR = 0.49, 95% CI = 0.32–0.77, p = 0.002).
Conclusions: In an urban area with high infant mortality and low breastfeeding rates, initiation of breastfeeding was significantly associated with reductions in overall infant mortality, neonatal mortality, and infection-related deaths. Breastfeeding promotion, protection, and support should be an integral strategy of infant mortality reduction initiatives."[Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 14, n°7 (Septembre 2019) . - pp.465–474[article]Lessons Learned in a Breastfeeding Media Campaign / Julie L. Ware in Breastfeeding Medicine, Vol. 11, n°7 (Septembre 2016)
Titre : Lessons Learned in a Breastfeeding Media Campaign Type de document : texte imprimé Auteurs : Julie L. Ware, Auteur ; Fawaz Mzayek, Auteur ; Marian Levy, Auteur Année de publication : 2016 Article en page(s) : pp.380-385 Langues : Anglais (eng) Catégories : Campagne d'information
Information et Communication
Résumé : Breastfeeding is well accepted as the optimal nutrition for babies. The American Academy of Pediatrics states that infant feeding should no longer be thought of as a lifestyle choice, but rather as a public health issue. In Shelby County, Tennessee, rates of breastfeeding continue to be disparately low. To address this public health problem, a focus group study was conducted with the Shelby County population least likely to breastfeed. Following participants' suggestion to use a billboard campaign with pictures of local mothers and families, one highway billboard and ten bus stop signs were placed around the city in areas of the lowest breastfeeding rates. Self-administered surveys were completed by convenience sampling in target population areas with women least likely to breastfeed, both before placing the signs and 6 months later. No significant differences were noted in knowledge, attitudes, or practices after the media campaign, but trends toward increased intention to breastfeed were noted among expectant mothers. With collapsed data (pre and post), a majority of participants believed that breastfeeding is the best way to feed a baby and they were significantly more likely to plan to breastfeed if they knew about health benefits to the baby and to themselves. If they had heard about breastfeeding on the TV or radio, they were more likely to believe breastfeeding is important for long-term health. These findings suggest that a media campaign could have a complementary role in promoting breastfeeding among women with low initiation rates. [Résumé de l'auteur] Permalink :
in Breastfeeding Medicine > Vol. 11, n°7 (Septembre 2016) . - pp.380-385[article]