Breastfeeding Duration, Costs, and Benefits of a Support Program for Low-Income Breastfeeding Women

Birth ◽  
2002 ◽  
Vol 29 (2) ◽  
pp. 95-100 ◽  
Author(s):  
Linda C. Pugh ◽  
Renee A. Milligan ◽  
Kevin D. Frick ◽  
Diane Spatz ◽  
Yvonne Bronner
Keyword(s):  
Low Income ◽  
Support Program ◽  
Breastfeeding Duration ◽  
Costs And Benefits

scholarly journals Serum Persistent Organic Pollutants and Duration of Lactation among Mexican-American Women

2010 ◽  
Vol 2010 ◽  
pp. 1-11 ◽  
Author(s):  
Rosana H. Weldon ◽  
Monique Webster ◽  
Kim G. Harley ◽  
Asa Bradman ◽  
Laura Fenster ◽  
...  
Keyword(s):  
Organic Pollutants ◽  
Persistent Organic Pollutants ◽  
Low Income ◽  
Mexican American ◽  
Endocrine Disrupting Chemicals ◽  
Breastfeeding Duration ◽  
Mexican American Women ◽  
Endocrine Disrupting ◽  
Lactation Duration ◽  
Estrogenic Endocrine Disrupting Chemicals

Background. Research suggests that estrogenic endocrine-disrupting chemicals interfere with lactation.Objectives. (1) to determine if estrogenic persistent organic pollutants (POPs) are associated with shortened lactation duration; (2) to determine whether previous breastfeeding history biases associations.Methods and Results. We measured selected organochlorines and polychlorinated biphenyls (p,p′-DDE,p,p′-DDT,o,p′-DDT,β-hexachlorocyclohexane, hexachlorobenzene, and PCBs 44, 49, 52, 118, 138, 153, and 180) in serum from 366 low-income, Mexican-American pregnant women living in an agricultural region of California and assessed breastfeeding duration by questionnaires. We found no association between DDE, DDT, or estrogenic POPs with shortened lactation duration, but rather associations for two potentially estrogenic POPs with lengthened lactation duration arose (HR [95% CI]: 0.6 [0.4, 0.8] forp,p′-DDE & 0.8 [0.6, 1.0] for PCB 52). Associations between antiestrogenic POPs (PCBs 138 and 180) and shortened lactation duration were attributed to a lactation history bias.Conclusion. Estrogenic POPs were not associated with shortened lactation duration, but may be associated with longer lactation duration.

Effectiveness of Workplace Lactation Interventions on Breastfeeding Outcomes in the United States: An Updated Systematic Review

2018 ◽  
Vol 35 (1) ◽  
pp. 100-113 ◽  
Author(s):  
Julia H. Kim ◽  
Jong C. Shin ◽  
Sharon M. Donovan
Keyword(s):  
United States ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Maternity Leave ◽  
The United States ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
White Ethnicity ◽  
Observational Study Design ◽  
The Impact

Background Returning to work is one of the main barriers to breastfeeding duration among working mothers in the United States. However, the impact of workplace lactation programs is unclear. Research Aim The aim of this study was to evaluate the effectiveness of workplace lactation programs in the United States on breastfeeding practices. Methods A systematic search was conducted of seven databases through September 2017. Articles ( N = 10) meeting the inclusion criteria of describing a workplace lactation intervention and evaluation in the United States and measuring initiation, exclusivity, or duration using an experimental or observational study design were critically evaluated. Two reviewers conducted quality assessments and reviewed the full-text articles during the analysis. Results Common services provided were breast pumps, social support, lactation rooms, and breastfeeding classes. Breastfeeding initiation was very high, ranging from 87% to 98%. Several factors were significantly associated with duration of exclusive breastfeeding: (a) receiving a breast pump for one year (8.3 versus 4.7 months), (b) return-to-work consultations (40% versus 17% at 6 months), and (c) telephone support (42% versus 15% at 6 months). Each additional service (except prenatal education) dose-dependently increased exclusively breastfeeding at 6 months. Sociodemographic information including older maternal age, working part-time, longer maternity leave, and white ethnicity were associated with longer breastfeeding duration. Conclusion Workplace lactation interventions increased breastfeeding initiation, duration, and exclusive breastfeeding, with greater changes observed with more available services. More evidence is needed on the impact of workplace support in low-income populations, and the cost-effectiveness of these programs in reducing health care costs.

scholarly journals DOES BREASTFEEDING DURATION INFLUENCE FAMILY FOOD INSECURITY?

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e6-e6
Author(s):  
Peter Wong ◽  
Rosemary Moodie ◽  
David Dai ◽  
Jonathon Maguire ◽  
Catherine Birken ◽  
...  
Keyword(s):  
Public Policy ◽  
Food Insecurity ◽  
Low Income ◽  
Family Income ◽  
Cross Sectional Study ◽  
Research Network ◽  
Breastfeeding Duration ◽  
Cross Sectional ◽  
Adequate Food ◽  
Low Income Families

Abstract BACKGROUND Across all demographics, families without consistent access to adequate food place children at health risk. Consequences may persist beyond early life into adulthood. Public policy positions breastfeeding, the ideal nutrition for infants, as an important solution to reducing family food insecurity (FFI). However, few studies have investigated the association between breastfeeding duration and FFI. OBJECTIVES To evaluate the association between total breastfeeding duration and FFI in Canadian urban children. DESIGN/METHODS A cross-sectional study was conducted of children aged 0–2 years, from a practice-based child research network. Total breastfeeding duration was collected from parent-reported questionnaires. FFI was measured using 2-item food insecurity and validated 1-item NutriSTEP screens. Multivariable regression analysis was performed adjusting for pre-specified covariates. RESULTS Among 3838 children, the mean total breastfeeding duration was 10.6 months (SD=6.7). Families with food insecurity (14.7%) had increased odds of younger mothers, more males and older and more children. In adjusted model, breastfeeding duration was not associated with FFI (OR 0.99; 95% CI 0.98, 1.01). Low-income families were 9 times more likely to be family food insecure than high-income families (p=0.00). CONCLUSION Contrary to public policy, our study found no association between breastfeeding and family food insecurity (FFI). However, other factors may predominate, in particular family income and structure. Given the detrimental impact of FFI, further research is needed to understand the role of infant feeding practices within the larger political, policy and cultural framework.

Home Visiting Effects on Breastfeeding and Bedsharing in a Low-Income Sample

2020 ◽  
pp. 109019812096419
Author(s):  
Joshua P. Mersky ◽  
Colleen E. Janczewski ◽  
ChienTi Plummer Lee ◽  
Ross M. Gilbert ◽  
Cali McAtee ◽  
...  
Keyword(s):  
Low Income ◽  
Home Visiting ◽  
Health Department ◽  
The United States ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Public Health Department ◽  
Safe Sleep ◽  
Quasi Experimental ◽  
The Impact

Background Research suggests that home visiting interventions can promote breastfeeding initiation, though their effects on breastfeeding continuation are unclear. No known studies have assessed the impact of home visiting on bedsharing. Aims To test the effects of home visiting on breastfeeding and bedsharing in a low-income, urban sample in the United States. Methods During a field trial conducted in Milwaukee, Wisconsin, from April 2014 to March 2017, referrals to a public health department were randomized to a Healthy Families America (HFA) program or a prenatal care and coordination (PNCC) program. Of the 204 women who accepted services, 139 consented to the study and were allocated to the two treatment groups, which were compared with each other and a third quasi-experimental group of 100 women who did not accept services. Data were collected at four time points up to 12 months postpartum. Results Breastfeeding initiation was higher among 72 HFA participants (88.4%; odds ratio [OR] = 2.7) and 67 PNCC participants (88.5%; OR = 2.2) than 100 comparison participants (76.5%). Similar results emerged for breastfeeding duration, though group differences were not statistically significant. Unexpectedly, bedsharing prevalence was higher among HFA participants (56.5%) than PNCC participants (31.1%; OR = 2.9) and comparison group participants (38.8%; OR = 2.0). Discussion Home visiting was linked to increased breastfeeding, while effects on bedsharing varied by program. Progress toward precision home visiting will be advanced by identifying program components that promote breastfeeding and safe sleep. Conclusion Further research is needed to examine whether home visiting reduces disparities in breastfeeding and safe sleep practices.

Breastfeeding Peer Support Program Increases Breastfeeding Duration Rates Among Middle- to High-Income Women

2018 ◽  
Vol 13 (2) ◽  
pp. 112-115 ◽  
Author(s):  
Alena Clark ◽  
Susan S. Baker ◽  
Kathryn McGirr ◽  
Mary Harris
Keyword(s):  
Peer Support ◽  
High Income ◽  
Support Program ◽  
Breastfeeding Duration ◽  
Peer Support Program

scholarly journals Green Affordable Housing: Implications of Costs and Benefits for Municipal Incentives

2019 ◽  
Author(s):  
Armin Jeddi Yeganeh ◽  
Andrew Patton McCoy ◽  
Steve Hankey
Keyword(s):  
Affordable Housing ◽  
Low Income ◽  
Local Governments ◽  
Renewable Energy Sources ◽  
Spillover Effects ◽  
Listing Service ◽  
Costs And Benefits ◽  
Construction Costs ◽  
Market Rate ◽  
Housing Units

In the year 2017, about 89 percent of the total energy consumed in the US was produced using non-renewable energy sources, and about 43 percent of tenant households were cost-burdened. Local governments are in a unique position to facilitate green affordable housing that could reduce cost burdens, environmental degradation, and environmental injustice. Nonetheless, limited studies have made progress on costs and benefits of green affordable housing to guide decision-making, particularly in small communities. This study investigates density bonus options for green affordable housing by analyzing construction costs, sale prices, and spillover effects for green certifications and affordable housing units. The authors employ construction costs and sale data from 422 Low-Income Housing Tax Credit (LIHTC) projects and 11,418 Multiple Listing Service (MLS) transactions in Virginia. Using hedonic regression analyses controlling for mediating factors, we find that the new construction of market-rate green certified houses is associated with small upfront costs but large and statistically significant price premiums. The construction of market-rate green certified houses has large and statistically significant spillover effects on existing non-certified houses. Existing non-certified affordable housing units show small and statistically insignificant negative price impacts on transactions of surrounding properties. The magnitude of social benefits associated with green building justifies the local provision of voluntary programs for green affordable housing where housing is expensive relative to its basic costs of production to promote sustainable development.

scholarly journals Post-Subsidy Solar PV Business Models to Tackle Fuel Poverty in Multi-Occupancy Social Housing

Energies ◽  
2020 ◽  
Vol 13 (18) ◽  
pp. 4852
Author(s):  
Joe Pitt ◽  
Colin Nolden
Keyword(s):  
Low Income ◽  
Social Housing ◽  
Business Models ◽  
Policy Design ◽  
Production Costs ◽  
Third Party ◽  
Solar Pv ◽  
Costs And Benefits ◽  
Regressive Tax ◽  
Progressive Policy

UK Feed-in Tariffs created a vibrant business ecosystem for the deployment of decentralised renewable energy technologies while constituting a regressive tax and increasing inequality. Business model innovation spurred by their withdrawal is providing valuable lessons for progressive policy design. Using the case study of solar PV deployment on multi-occupancy social housing, this paper reveals policy, business and organisational challenges that need to be overcome to address fuel poverty and reduce inequality. Suitable ‘export’ and ‘local’ business models were identified through a workshop and subsequently evaluated through qualitative thematic interview analysis. The ‘local’ model compares favourably in terms of production costs and benefits for fuel poor tenants but unfavourably in terms of transaction costs. Both models are considered equally susceptible to changes in policy. Their success hinges upon third party intermediaries, peer-to-peer learning and a supportive policy environment. This paper concludes with a policy recommendation to ensure that energy justice lies at the heart of the UK’s transition to net-zero carbon through the fair distribution of costs and benefits by including specific provisions to protect low-income groups.

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