The Impact of COVID-19 on Breastfeeding Rates in a Low-Income Population

2021 ◽  
Author(s):  
Maria Koleilat ◽  
Shannon E. Whaley ◽  
Cindy Clapp
Keyword(s):  
Low Income ◽  
Low Income Population ◽  
Breastfeeding Rates ◽  
The Impact

The Impact of a Prenatal Education Video on Rates of Breastfeeding Initiation and Exclusivity during the Newborn Hospital Stay in a Low-income Population

2015 ◽  
Vol 32 (1) ◽  
pp. 152-159 ◽  
Author(s):  
Ann L. Kellams ◽  
Kelly K. Gurka ◽  
Paige P. Hornsby ◽  
Emily Drake ◽  
Mark Riffon ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Low Income ◽  
Low Cost ◽  
Educational Interventions ◽  
Breastfeeding Initiation ◽  
Prenatal Education ◽  
Low Income Population ◽  
Breastfeeding Rates ◽  
Low Income Women ◽  
The Impact

Background: Guidelines recommend prenatal education to improve breastfeeding rates; however, effective educational interventions targeted at low-income, minority populations are needed as they remain less likely to breastfeed. Objective: To determine whether a low-cost prenatal education video improves hospital rates of breastfeeding initiation and exclusivity in a low-income population. Methods: A total of 522 low-income women were randomized during a prenatal care visit occurring in the third trimester to view an educational video on either breastfeeding or prenatal nutrition and exercise. Using multivariable analyses, breastfeeding initiation rates and exclusivity during the hospital stay were compared. Results: Exposure to the intervention did not affect breastfeeding initiation rates or duration during the hospital stay. The lack of an effect on breastfeeding initiation persisted even after controlling for partner, parent, or other living at home and infant complications (adjusted odds ratio [OR] = 1.05, 95% CI, 0.70-1.56). In addition, breastfeeding exclusivity rates during the hospital stay did not differ between the groups ( P = .87). Conclusion: This study suggests that an educational breastfeeding video alone is ineffective in improving the hospital breastfeeding practices of low-income women. Increasing breastfeeding rates in this at-risk population likely requires a multipronged effort begun early in pregnancy or preconception.

Abstract 242: Evaluating the Impact and Barriers to a Collaborative Physician-pharmacist Care Model to Control Hypertension in a Low-income Population

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Kerrilynn C Hennessey ◽  
Carolyn Hickman ◽  
Brianne Krawczyk ◽  
Michelle Opare ◽  
Leslie Churchwell ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Side Effects ◽  
Blood Pressure Control ◽  
Low Income ◽  
Health Workers ◽  
Pressure Control ◽  
Low Income Population ◽  
Early Results ◽  
Patient Reported ◽  
The Impact

Objectives: Physician-pharmacist collaborative practice models have emerged as an effective model for managing hypertension (HTN). We implemented this model in a low-income, hospital-based cardiology clinic and sought to identify programmatic features necessary to control HTN in this vulnerable population. Methods: Patients with persistently elevated blood pressure (>130/80) were referred by their primary cardiologist. Patients were excluded if they were pregnant, had acute kidney injury, or acute cardiovascular complaints including anginal chest pain, decompensated heart failure, or unstable arrhythmia. The initial pharmacist appointment occurred within 2 weeks of referral, with the goal of bi-weekly visits for 6 weeks or until blood pressure was controlled. Patients were prescribed home blood pressure cuffs and given specific instructions for home-based monitoring. Telehealth visits were made available to interested patients. During each encounter, pharmacists assessed response and side effects to medication, adherence, lifestyle behaviors, stressors, and social barriers to blood pressure control. Clinical management and barriers to HTN control were reviewed at standing weekly staff meetings that included cardiologists and pharmacists. Early results: Among 35 people referred, 22 patients attended at least one pharmacist visit. A total of 139 reminder or follow-up calls were made for these 22 patients. Among the first 35 referrals (mean age 58; 57% male; 65% African American or Latinx), 26% have documented substance use disorders, 34% have a mental health comorbidity, 20% were not taking their medications as prescribed on intake, and 17% had side effects from 2 or more prior antihypertensive medications. Medications adjustments were made in 21/43 patient visits (49% of visits). In 8/43 visits more than 1 medication change was made. The most common patient reported barriers to care include transportation (20%) and language barriers (11%). Discussion and Future Direction: Managing HTN in a low-income population requires attention to the social and contextual factors impacting blood pressure control. We plan to: 1) support the uptake of telehealth to address issues of transportation and access; 2) pilot blue-tooth connected blood pressure cuffs to facilitate home monitoring and management; and 3) partner with community health workers to assess best practices for capturing and addressing social determinants of health in the clinical setting.

scholarly journals Impact of a Formal Lactation Curriculum for Residents on Breastfeeding Rates Among Low-Income Women

2020 ◽  
Vol 29 (2) ◽  
pp. 83-89
Author(s):  
Emma Qureshey ◽  
Adetola F. Louis-Jacques ◽  
Yasir Abunamous ◽  
Sandra Curet ◽  
Joanne Quinones
Keyword(s):  
Retrospective Study ◽  
Confidence Interval ◽  
Low Income ◽  
Medical Records ◽  
Odds Ratio ◽  
Curriculum Implementation ◽  
Demographic Information ◽  
Before And After ◽  
Breastfeeding Rates ◽  
The Impact

Obstetrics-gynecology residents have inadequate training in lactation management and are typically unable to address basic breastfeeding needs. A retrospective study was performed to evaluate the impact of a formal lactation curriculum for obstetrics-gynecology residents on breastfeeding. Demographic information, medical history, and breastfeeding rates were derived from medical records and hospital lactation logs. Breastfeeding outcomes of women with term, singleton infants were analyzed before and after curriculum implementation. The study included 717 women, 337 prior to intervention and 380 after intervention. Women who delivered after curriculum implementation were more likely to breastfeed exclusively at 6 weeks postpartum (odds ratio [OR]: 2.01; 95% confidence interval [CI]: 1.28–3.15). A targeted breastfeeding curriculum was associated with increased exclusive breastfeeding rates at 6 weeks postpartum in a diverse, low-income population.

scholarly journals The impact of short interpregnancy intervals on pregnancy outcomes in a low-income population.

1998 ◽  
Vol 88 (8) ◽  
pp. 1182-1185 ◽  
Author(s):  
L V Klerman ◽  
S P Cliver ◽  
R L Goldenberg
Keyword(s):  
Low Income ◽  
Pregnancy Outcomes ◽  
Low Income Population ◽  
Interpregnancy Intervals ◽  
The Impact

scholarly journals SI: Survivability under Overheating: The Impact of Regional and Global Climate Change on the Vulnerable and Low-Income Population

Climate ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. 122
Author(s):  
Afroditi Synnefa ◽  
Shamila Haddad ◽  
Priyadarsini Rajagopalan ◽  
Mattheos Santamouris
Keyword(s):  
Climate Change ◽  
Global Climate Change ◽  
Low Income ◽  
Underserved Populations ◽  
Global Climate ◽  
Mitigation Strategies ◽  
Local Climate ◽  
Low Income Population ◽  
Local Climate Change ◽  
The Impact

The present special issue discusses three significant challenges of the built environment, namely regional and global climate change, vulnerability, and survivability under the changing climate. Synergies between local climate change, energy consumption of buildings and energy poverty, and health risks highlight the necessity to develop mitigation strategies to counterbalance overheating impacts. The studies presented here assess the underlying issues related to urban overheating. Further, the impacts of temperature extremes on the low-income population and increased morbidity and mortality have been discussed. The increasing intensity, duration, and frequency of heatwaves due to human-caused climate change is shown to affect underserved populations. Thus, housing policies on resident exposure to intra-urban heat have been assessed. Finally, opportunities to mitigate urban overheating have been proposed and discussed.

A Model for Breastfeeding Support: Think Arkansas WIC

2013 ◽  
Vol 4 (1) ◽  
pp. 17-20
Author(s):  
Teresa Gates
Keyword(s):  
Low Income ◽  
The United States ◽  
Nutrition Intervention ◽  
Medical Community ◽  
Breastfeeding Support ◽  
Wic Program ◽  
Food Package ◽  
Breastfeeding Rates ◽  
Dedicated Team ◽  
The Impact

Since program inception in the 1970s, the Special Supplemental Nutrition Program for Women, Infants, and Children, commonly known as WIC, has become one of the most successful nutrition intervention programs in the United States. WIC was introduced in response to medical community concerns about the impact of malnutrition among low-income pregnant women and children. Today it is not uncommon for low breastfeeding rates to be blamed on the provision of infant formula by the WIC program. Nothing could be further from the truth. Breastfeeding rates were at our nation’s lowest point before the introduction of the WIC program. Due to program requirements and recent food package changes, WIC is one of the leading promoters and supporters of breastfeeding in the nation. Nowhere is this more evident than in Arkansas WIC, where a dedicated team of breastfeeding professionals are establishing a model for breastfeeding support.

The impact of fuel poverty upon self-reported health status among the low-income population in Europe

2019 ◽  
Vol 34 (9) ◽  
pp. 1377-1403 ◽  
Author(s):  
Jordi Bosch ◽  
Laia Palència ◽  
Davide Malmusi ◽  
Marc Marí-Dell'Olmo ◽  
Carme Borrell
Keyword(s):  
Health Status ◽  
Low Income ◽  
Low Income Population ◽  
Reported Health ◽  
Self Reported Health Status ◽  
The Impact

Adoption of the Six Traits Analytic Writing Model with a Low-Income Student Population

2017 ◽  
Vol 26 (4) ◽  
pp. 336-352
Author(s):  
Rachel M. B. Collopy ◽  
Jackie Marshall Arnold
Keyword(s):  
Low Income ◽  
State Standards ◽  
Upper Elementary ◽  
Writing Achievement ◽  
Core State ◽  
Low Income Population ◽  
School Year ◽  
Six Traits ◽  
Current Context ◽  
The Impact

Common Core State Standards (CCSS) have renewed attention on writing instruction. This study investigates the impact of teachers’ use of the Six Traits Analytic Writing model on random stratified samples of upper elementary students from a low-income population. All students, on average, made significant gains in each of the six traits during the school year. However, students in the Six Traits group made significantly greater gains in the trait of voice. The Six Traits Model showed some promise in improving the writing achievement of a low-income population, a critical concern in the current context of CCSS implementation.

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