Geodemographies of Breastfeeding Support

2020 ◽  
pp. 089033442094141 ◽  
Author(s):  
Tony H. Grubesic ◽  
Kelly M. Durbin
Keyword(s):  
Support Groups ◽  
Spatial Data ◽  
Local Level ◽  
Spatial Data Analysis ◽  
Breastfeeding Support ◽  
Peer Counselors ◽  
Support Organizations ◽  
Support Resources ◽  
Spatial Analytics ◽  
La Leche League

Background Mother-to-mother breastfeeding support organizations provide important information and guidance for helping mothers initiate and maintain breastfeeding, postpartum. However, the availability of this support is limited by a constellation of barriers, including race, culture, socioeconomic status, and geography. Research aims To identify the geodemographic composition of communities where breastfeeding support was available from the mother-to-mother support organizations Breastfeeding USA and La Leche League, identify underlying issues of equity, and highlight locations where more support resources may be needed. Methods The locations of mother-to-mother support meetings were collected by ZIP code ( N = 180) and were combined with a geodemographic database and exploratory spatial data analysis to explore the compositional characteristics of communities served ( N = 1,173). Results Significant gaps in the geographic distribution of breastfeeding support existed. While many metropolitan areas benefited from numerous mother-to-mother support groups and peer counselors, the geographic footprint of this support favored communities that were white, affluent, and suburban. Conclusion Spatial analytics combined with geodemographic analysis provide a unique perspective into the diverse landscape of mother-to-mother breastfeeding support groups at a local level. Our results highlighted inequities in the distribution of support provided and prescriptive guidance regarding where more resources may be needed.

scholarly journals Effectiveness of peer counseling and membership in breastfeeding support groups in promoting optimal breastfeeding behaviors in the Philippines

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ofelia P. Saniel ◽  
Veincent Christian F. Pepito ◽  
Arianna Maever L. Amit
Keyword(s):  
Support Groups ◽  
The Philippines ◽  
Early Initiation ◽  
Peer Counseling ◽  
Breastfeeding Support ◽  
Child Feeding ◽  
Peer Counselors ◽  
Early Initiation Of Breastfeeding ◽  
Peer Counselor ◽  
Initiation Of Breastfeeding

Abstract Background The prevalence of early initiation of breastfeeding and exclusive breastfeeding (EBF) at 6 months remain low in the Philippines. To help meet the 90% early initiation of breastfeeding target and to improve infant and young child feeding practices in the Philippines, the Millennium Development Goals - Fund 2030 Joint Programme (JP) on Ensuring Food Security and Nutrition for Children 0–24 months old was implemented. We aimed to determine the effectiveness of visits by peer counselors during pregnancy and after delivery, and membership in breastfeeding support groups in promoting these optimal breastfeeding practices. Methods We used data from the Endline Survey of the JP to study the effects of prenatal and postnatal peer counselor visits, and membership in breastfeeding support groups, and their possible interactions with initiation of breastfeeding within 1 hour of birth among children aged 0 to 24 months and EBF at 6 months among children aged 6 to 24 months, while adjusting for confounding. We used logistic regression methods for survey data to assess these associations. Results Of the 2343 mother-infant pairs, only 1500 (63.1%) practiced early initiation of breastfeeding. Of the 1865 children aged 6 months or older, only 621 (34.7%) were exclusively breastfed at 6 months. After adjusting for confounding variables, there was no strong evidence that peer counselor visits were associated with early initiation or EBF at 6 months. However, members of breastfeeding support groups had 1.49 times higher odds of early initiation of breastfeeding (95% CI [Confidence Interval] 1.12, 1.98) and 1.65 times higher odds of EBF (95% CI 1.20, 2.24) compared to those who were not members of breastfeeding support groups. There was no interaction between the different exposure variables and early initiation and EBF at 6 months. Conclusions Our findings suggest breastfeeding support groups may be institutionalized to promote both early initiation of breastfeeding and EBF in the Philippines, while the role of peer counselors in promoting optimal breastfeeding behaviors should be further reviewed. Our suggestion to integrate non-healthcare professionals to promote early initiation of breastfeeding and EBF could be tested in future intervention studies.

scholarly journals Space-Time Analysis of Migrations, Employment, and Housing as A Basis for Municipal Sustainable Urban Planning

2020 ◽  
Vol 12 (6) ◽  
pp. 2473
Author(s):  
Patricia Abelairas-Etxebarria ◽  
Inma Astorkiza
Keyword(s):  
Land Use ◽  
Housing Market ◽  
Spatial Data ◽  
Local Level ◽  
Housing Prices ◽  
Space Time ◽  
Sustainable Land Use ◽  
Spatial Data Analysis ◽  
Spatial Homogeneity ◽  
Land Use Policies

A close relationship exists between population, the housing market and the level of employment at the local level. On the one hand, the housing market is influenced by local planning decisions and, on the other hand, that market is a significant factor in population and economic dynamization. Although there are studies on these variables, it is not common to include their spatial perspective by introducing Geographic Information System (GIS) tools in the analysis. The aim of this study is to analyse space-time associations among the variables migrations, housing prices, and employment prior to and during the economic crisis, in order to adapt sustainable land use policies to be used by land use planning authorities. Bivariate Exploratory Spatial Data Analysis (bivariate ESDA) has been used for this purpose. As our main results demonstrate, spatial positive autocorrelation was found between the variables employment in a village before the crisis and housing prices in neighbouring municipalities during it, indicating that people move to live in areas close to their workplace, but not necessarily to the same municipality. The analysis also shows spatial homogeneity of the variable housing prices, accompanied by temporal stability. The results indicate the need to implement sustainable control land use policies, not at the municipality level but at the county level.

scholarly journals Spatial analysis of cerebral palsy in children and adolescents and its association with health vulnerability

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Marcus Valerius Peixoto ◽  
Andrezza Marques Duque ◽  
Allan Dantas Santos ◽  
Shirley Verônica Almeida Melo Lima ◽  
Társilla Pereira Gonçalves ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Data Analysis ◽  
Spatial Analysis ◽  
Children And Adolescents ◽  
Low Socioeconomic Status ◽  
Spatial Data ◽  
Local Level ◽  
Secondary Data ◽  
Spatial Data Analysis ◽  
Low Socioeconomic

Cerebral Palsy (CP) is commonly associated with low socioeconomic status. Use of spatial statistics and a Geographic Information Systems (GIS) are scarce and may contribute to the understanding of CP in a social context. To that end a spatial analysis of CP in children and adolescents was performed to analyze the association of CP with levels of vulnerability in a city (Aracaju, Sergipe) in north-eastern Brazil. In addition, an ecological study was conducted with data obtained from a populationbased survey and secondary data. Exploratory spatial data analysis and linear regression were used. A total of 288 CP cases were identified, with a prevalence of 1.65/1,000 and differences among city neighbourhoods ranging from 0-4/1,000. The mean age of cases studied was 9 years 1 month, with a standard deviation of 5 years 2 months. Most study subjects with cerebral palsy (163) were male (56.4%). The distribution of CP in the study population was not homogeneous throughout the territory. Some areas had clusters, with more cases associated with areas of high vulnerability. Spatial data analysis using GIS was useful to gain an epidemiological understanding of CP distribution that can guide decisionmaking with respect to production, distribution, and regulation of health goods as well as services at the local level.

A Spatial Analysis of Breastfeeding and Breastfeeding Support in the United States: The Leaders and Laggards Landscape

2019 ◽  
Vol 35 (4) ◽  
pp. 790-800 ◽  
Author(s):  
Tony H. Grubesic ◽  
Kelly M. Durbin
Keyword(s):  
United States ◽  
Geographic Variation ◽  
Spatial Data ◽  
Spatial Association ◽  
The United States ◽  
Spatial Data Analysis ◽  
Breastfeeding Initiation ◽  
Breastfeeding Support ◽  
Geographic Variations ◽  
Breastfeeding Practices

Background: To better track progress in achieving the Healthy People 2020 goals, the Centers for Disease Control and Prevention (CDC) publishes an annual Breastfeeding Report Card (BRC) that represents a compilation of data on breastfeeding practices in all states. With data drawn from the CDC National Immunization Survey, the BRC provides an especially valuable source of information about geographic trends in breastfeeding and related support activities. Research aim: This study aimed to identify important geographic trends in both breastfeeding practices and support structures in the United States, highlighting their spatial disparities. Methods: Exploratory spatial data analysis, including local indicators of spatial association, is combined with spatial regression models to highlight geographic variations in breastfeeding practices and support. Results: Geographic variation in both breastfeeding practices and allied support exists within the United States. Geographic hot spots of breastfeeding are found in the western and northeastern sections of the United States, and cool spots are located primarily in the Southeast. Regression results suggested that unemployment and demographic diversity are negatively associated with breastfeeding rates, whereas higher education and the presence of International Board Certified Lactation Consultants® (IBCLCs®) are positively connected to persistent breastfeeding practices. Further, although the availability of professional support (IBCLC) strengthened nationwide between 2011 and 2016, the availability of mother-to-mother support (La Leche League) softened. Conclusion: Although breastfeeding initiation rates continue to increase in the United States, rates of exclusive breastfeeding at 3 and 6 months remain low, displaying significant geographic variation. The ability to pinpoint lagging regions can help to efficiently allocate additional breastfeeding support resources and interventions.

scholarly journals Effectiveness of peer counseling and membership in breastfeeding support groups in promoting optimal breastfeeding behaviors in the Philippines

2020 ◽  
Author(s):  
Ofelia P Saniel ◽  
Veincent Christian F Pepito ◽  
Arianna Maever L Amit
Keyword(s):  
Young Child ◽  
Support Groups ◽  
The Philippines ◽  
Breastfeeding Support ◽  
Child Feeding ◽  
Peer Counselors ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child ◽  
Peer Counselor

Abstract Background: The prevalence of early initiation of breastfeeding (EIBF)and exclusive breastfeeding (EBF) remain low in the Philippines. To help meet the 90% EIBF target and to improve infant and young child feeding practices in the Philippines, the Millennium Development Goals - Fund 2030 Joint Programme (JP) on Ensuring Food Security and Nutrition for Children 0-24 months old was implemented. We aimed to determine the effectiveness of visits by a peer counselor during pregnancy and after delivery, and membership in breastfeeding support groups in promoting these optimal breastfeeding practices. We also aimed to examine the interaction between these two activities to assess their joint effects on both EIBF and EBF.Methods: We used data from the Endline Survey of the Joint Program , which collected socioeconomic data from the households of the mother-infant dyads, demographic characteristics of the mothers, and their particular infant and young child feeding practices. We used logistic regression methods for survey data to study these associations.Results: Out of the 2,343 mother-infant dyads, only 1,500 (63.1%) practiced EIBF and only 624 (27.9%) practiced EBF. After controlling for confounders, those who were visited by a peer counselor during the prenatal period had 1.32 times greater odds of practicing EIBF (95%CI: 0.96, 1.80) and 0.91 times lower odds (aOR: 0.91; 95% CI: 0.68, 1.22) of practicing EBF compared to those who were not visited. The association between visits by a peer counselor and EIBF was weak and statistically insignificant. The odds of EBF was also 26% higher among those who were visited by peer counselors after delivery (aOR: 1.26; 95% CI: 0.90, 1.75), but this association was also weak and statistically not significant. Members of breastfeeding support groups had 1.49 times higher odds of EIBF (95% CI: 1.12, 1.98) and 1.59 times higher odds of EBF (95% CI: 1.21, 2.10) compared to those who were not members of breastfeeding support groups; both associations were statistically significant. However, there was no interaction between the different exposure variables on their effects on EIBF and EBF. Conclusions: Breastfeeding support groups may be institutionalized to promote both EIBF and EBF in the Philippines. The role of peer counselors in promoting optimal breastfeeding behaviors should be further reviewed in light of the findings of this study.

scholarly journals Research on Spatiotemporal Differentiation and Influence Mechanism of Urban Resilience in China Based on MGWR Model

2021 ◽  
Vol 18 (3) ◽  
pp. 1056
Author(s):  
Yu Chen ◽  
Mengke Zhu ◽  
Qian Zhou ◽  
Yurong Qiao
Keyword(s):  
Spatial Heterogeneity ◽  
Spatial Correlation ◽  
Spatial Data ◽  
Central Area ◽  
Urban System ◽  
Entropy Method ◽  
Driving Factors ◽  
Spatial Data Analysis ◽  
Eastern Region ◽  
Urban Resilience

Urban resilience in the context of COVID-19 epidemic refers to the ability of an urban system to resist, absorb, adapt and recover from danger in time to hedge its impact when confronted with external shocks such as epidemic, which is also a capability that must be strengthened for urban development in the context of normal epidemic. Based on the multi-dimensional perspective, entropy method and exploratory spatial data analysis (ESDA) are used to analyze the spatiotemporal evolution characteristics of urban resilience of 281 cities of China from 2011 to 2018, and MGWR model is used to discuss the driving factors affecting the development of urban resilience. It is found that: (1) The urban resilience and sub-resilience show a continuous decline in time, with no obvious sign of convergence, while the spatial agglomeration effect shows an increasing trend year by year. (2) The spatial heterogeneity of urban resilience is significant, with obvious distribution characteristics of “high in east and low in west”. Urban resilience in the east, the central and the west are quite different in terms of development structure and spatial correlation. The eastern region is dominated by the “three-core driving mode”, and the urban resilience shows a significant positive spatial correlation; the central area is a “rectangular structure”, which is also spatially positively correlated; The western region is a “pyramid structure” with significant negative spatial correlation. (3) The spatial heterogeneity of the driving factors is significant, and they have different impact scales on the urban resilience development. The market capacity is the largest impact intensity, while the infrastructure investment is the least impact intensity. On this basis, this paper explores the ways to improve urban resilience in China from different aspects, such as market, technology, finance and government.

scholarly journals Spatial Agglomeration of China’s Forest Products Manufacturing Industry: Measurement, Characteristics and Determinants

Forests ◽  
2021 ◽  
Vol 12 (8) ◽  
pp. 1006
Author(s):  
Zhenhuan Chen ◽  
Hongge Zhu ◽  
Wencheng Zhao ◽  
Menghan Zhao ◽  
Yutong Zhang
Keyword(s):  
Spatial Distribution ◽  
Spatial Data ◽  
Large Scale ◽  
Manufacturing Industry ◽  
Economies Of Scale ◽  
Forest Products ◽  
Spatial Data Analysis ◽  
Forest Protection ◽  
Spatial Agglomeration ◽  
Continuous Space

China’s forest products manufacturing industry is experiencing the dual pressure of forest protection policies and wood scarcity and, therefore, it is of great significance to reveal the spatial agglomeration characteristics and evolution drivers of this industry to enhance its sustainable development. Based on the perspective of large-scale agglomeration in a continuous space, in this study, we used the spatial Gini coefficient and standard deviation ellipse method to investigate the spatial agglomeration degree and location distribution characteristics of China’s forest products manufacturing industry, and we used exploratory spatial data analysis to investigate its spatial agglomeration pattern. The results show that: (1) From 1988 to 2018, the degree of spatial agglomeration of China’s forest products manufacturing industry was relatively low, and the industry was characterized by a very pronounced imbalance in its spatial distribution. (2) The industry has a very clear core–periphery structure, the spatial distribution exhibits a “northeast-southwest” pattern, and the barycenter of the industrial distribution has tended to move south. (3) The industry mainly has a high–high and low–low spatial agglomeration pattern. The provinces with high–high agglomeration are few and concentrated in the southeast coastal area. (4) The spatial agglomeration and evolution characteristics of China’s forest products manufacturing industry may be simultaneously affected by forest protection policies, sources of raw materials, international trade and the degree of marketization. In the future, China’s forest products manufacturing industry should further increase the level of spatial agglomeration to fully realize the economies of scale.

scholarly journals Prenatal Provider Breastfeeding Toolkit: Results of a Pilot to Increase Women’s Prenatal Breastfeeding Support, Intentions, and Outcomes

2021 ◽  
pp. 089033442110087
Author(s):  
Casey Rosen-Carole ◽  
Jill Halterman ◽  
Constance D. Baldwin ◽  
Hayley Martin ◽  
Nicolas P. N. Goldstein ◽  
...  
Keyword(s):  
New York ◽  
Breastfeeding Initiation ◽  
Provider Education ◽  
Breastfeeding Support ◽  
Post Intervention ◽  
Peer Counselors ◽  
Breastfeeding Intention ◽  
Healthy People 2020 ◽  
Peer Counselor ◽  
Publicly Insured

Background Breastfeeding rates for United States women with lower incomes fall below the government’s Healthy People 2020 Goals. Breastfeeding recommendations combined with support from providers and peer counselors help women decide to begin and sustain breastfeeding, but peer counselor uptake is low. Research Aim To evaluate changes in referrals to Women, Infants, and Children’s Supplemental Nutrition Program peer counselors, reported prenatal provider education and support, and breastfeeding outcomes (intention, initiation, 1-month duration of any and exclusive breastfeeding) after a prenatal breastfeeding promotion intervention. Method In this pre-post intervention study (2015–2016; upstate New York), providers implemented a Toolkit to discuss infant feeding recommendations and initiate peer counselor referral. We surveyed women pre- and post-implementation (after delivery; 1 month postpartum) about prenatal breastfeeding intentions, provider support, and breastfeeding outcomes. Analyses controlled for secular trends. Results Pre-intervention ( n = 71) and post-intervention ( n = 70) participants were 49% Black, 61% publicly insured, and 16% uninsured. More post-intervention participants had > 1 Toolkit use (76%), peer counselor program referrals (60.0% post vs. 36.6% pre, p < .01), reported any breastfeeding intention (89% vs. 72%, p = .013), and intended to breastfeed for > 1 year (31% vs. 14%, p = .014). Post-intervention breastfeeding initiation and exclusivity were higher, but not significantly different. Post-intervention participants reported better prenatal breastfeeding support. Conclusions Implementing a prenatal Breastfeeding Toolkit, including facilitating peer counselor referral, was associated with increases in provider counseling, participants’ breastfeeding intentions, and uptake of peer counselors. Replicating this approach may reinforce efforts to support breastfeeding in similar practices serving women with lower incomes.

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