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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]Breastfeeding Support: A Geographic Perspective on Access and Equity / Tony H. Grubesic in Journal of Human Lactation, Vol. 33, n°4 (Novembre 2017)
Titre : Breastfeeding Support: A Geographic Perspective on Access and Equity Type de document : texte imprimé Auteurs : Tony H. Grubesic, Auteur ; Kelly M. Durbin, Auteur Année de publication : 2017 Article en page(s) : pp.770-780 Langues : Anglais (eng) Catégories : Etats-Unis
Frein à l'allaitement
Résumé : "This study aimed to identify the geographic barriers to breastfeeding support, delineate gaps in access, assess inequities in the distribution of local support, and highlight the underlying differences in access and equity for different demographic and socioeconomic groups."
"Spatial analytical approaches facilitate a more nuanced view of access and equity to breastfeeding support options, helping to both decompose important structural differences in the state of Ohio and identify locations that could benefit from additional breastfeeding support resources."
in Journal of Human Lactation > Vol. 33, n°4 (Novembre 2017) . - pp.770-780[article]Geographic Access to International Board-Certified Lactation Consultants in Pennsylvania / Kristin N. Ray in Journal of Human Lactation, Vol. 35, n°1 (Février 2019)
Titre : Geographic Access to International Board-Certified Lactation Consultants in Pennsylvania Type de document : texte imprimé Auteurs : Kristin N. Ray, Auteur Année de publication : 2019 Article en page(s) : pp.90-99 Langues : Anglais (eng) Catégories : Consultant.e en lactation
Consultation pour l'allaitement
Démarrage de l'allaitement
Epidémiologie« Etude de la distribution et des déterminants des états ou des évènements liés à la santé
dans des populations spécifiques, et l’utilisation de cette connaissance pour le contrôle de
la santé »
Last JM, A Dictionary of Epidemiology, 2001
Frein à l'allaitement
Nourrisson et enfant de 0 à 2 ans
Pratique de l'allaitement
Professionnel de santé
Résumé : "Background:
Availability of professional lactation support has been associated with increased breastfeeding rates; however, data about access to international board-certified lactation consultants are limited.
The aims were (a) to assess geographic access to international board-certified lactation consultants in Pennsylvania, (b) to compare access in rural/urban counties, and (c) to compare access by county-level breastfeeding initiation rates.
Using geographic information systems methodology and a cross-sectional observational design, we calculated the proportion of young children living within 15, 30, and 60 miles of international board-certified lactation consultants in Pennsylvania. We calculated these proportions for all children in Pennsylvania, for children in urban and rural counties, and for children in counties with low, medium, and high breastfeeding initiation rates. Comparisons were done to answer the research aims.
Over 90% of young children live within 30 miles of an international board-certified lactation consultant. Compared to children in urban counties, fewer children in rural counties live within 15 and 30 miles of these providers. In counties with high breastfeeding initiation rates, a larger percentage of children live within 15 miles of an international board-certified lactation consultant than in counties with low breastfeeding initiation rates.
While most Pennsylvania children live in proximity of an international board-certified lactation consultant, this was true for a lower percentage of children in rural counties and in counties with lower breastfeeding rates.
Keywords breastfeeding barriers, health services research, international board-certified lactation consultant, International Board of Lactation Consultant Examiners, International Lactation Consultant Association
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in Journal of Human Lactation > Vol. 35, n°1 (Février 2019) . - pp.90-99[article]A Geospatial Analysis of the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Initiation in North Carolina / Abigail L. Liberty in Journal of Human Lactation, Vol. 35, n°1 (Février 2019)
Titre : A Geospatial Analysis of the Impact of the Baby-Friendly Hospital Initiative on Breastfeeding Initiation in North Carolina Type de document : texte imprimé Auteurs : Abigail L. Liberty, Auteur ; Kathryn Wouk, Auteur ; Ellen M Chetwynd, Auteur Année de publication : 2019 Article en page(s) : pp. 114-126 Langues : Anglais (eng) Catégories : Accouchement naturel
Caroline du Nord
Connaissance et enseignement sur l'allaitement
Equipement de santé
IHAB Initiative Hôpital Ami des Bébés
Politique de santé
Politique de santé internationale
Pratique de l'allaitement
Promotion de l'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.
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 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.
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]
in Journal of Human Lactation > Vol. 35, n°1 (Février 2019) . - pp. 114-126[article]Poor Maternal Schooling Is the Main Constraint to Good Child Care Practices in Accra / M Armar-Klemesu in Journal of Nutrition, Vol.130 (Mai 2000)
Titre : Poor Maternal Schooling Is the Main Constraint to Good Child Care Practices in Accra Type de document : texte imprimé Auteurs : M Armar-Klemesu, Auteur ; MT Ruel, Auteur ; DG Maxwell, Auteur Article en page(s) : pp.1597-1607 Langues : Anglais (eng) Catégories : Afrique
Nutrition du nourrisson
Index. décimale : SO.3.1 Education Mères Résumé : Life in urban areas presents special challenges for maternal child care practices. Data from a representative quantitative survey of households with children < 3 y of age in Accra, Ghana were used to test a number of hypothesized constraints to child care including various maternal (anthropometry, education, employment, marital status, age and ethnic group) and household-level factors (income, availability of food, quality of housing and asset ownership, availability of services, household size and crowding). Three care indices were created as follows: 1) a child feeding index; 2) a preventive health seeking index; and 3) a hygiene index. The first two indices were based on data from maternal recall; the hygiene index was based on spot-check observations of proxies of hygiene behaviors. Multivariate analyses (ordinary least-squares regression for the child feeding index and ordered probit for the two other indices) showed that maternal schooling was the most consistent constraint to all three categories of child care practices. None of the household-level characteristics were associated with child feeding practices, but household socioeconomic factors were associated with better preventive health seeking and hygiene behaviors. Thus, poor maternal schooling was a main constraint for child feeding, health seeking and hygiene practices in Accra, but the lack of household resources was a constraint only for health seeking and hygiene. The programmatic implications of these findings for interventions in nutrition education and behaviors in Accra are discussed. Permalink :
in Journal of Nutrition > Vol.130 (Mai 2000) . - pp.1597-1607[article]