母乳喂养同伴咨询对大明尼苏达州 WIC 参与者县级母乳喂养率的影响。

IF 2.8 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Julia D. Interrante PhD, MPH , Alyssa H. Fritz MPH, RD, CLC , Marcia B. McCoy MPH, IBCLC , Katy Backes Kozhimannil PhD, MPA
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引用次数: 0

摘要

目标:美国的母乳喂养结果一直未达到公共卫生目标,农村和低收入人群以及妇女、婴儿和儿童特别补充营养计划(WIC)参与者的母乳喂养率较低。美国农业部资助明尼苏达州的部分当地 WIC 机构实施旨在提高母乳喂养率的母乳喂养同伴辅导计划(BFPCs)。我们研究了母乳喂养同伴辅导计划对大明尼苏达地区(明尼阿波利斯-圣保罗大都会区以外)WIC 参与者母乳喂养率的影响:我们使用明尼苏达州 WIC 信息系统中 2012 年至 2019 年的数据,利用差异模型估算了同伴咨询对母乳喂养持续时间的影响。此外,我们还考察了农村县的结果,并通过分层来评估溢出效应的可能性,即没有母乳喂养中心的县是否与有母乳喂养中心的县接壤:在大明尼苏达地区的 WIC 参与者中,有 BFPCs 的地区 3 个月的母乳喂养率提高了 3.1 到 3.4 个百分点,6 个月的母乳喂养率提高了 3.2 到 3.7 个百分点。在农村县,结果显示母乳喂养持续率在统计意义上显著增加了 4.1 到 5.2 个百分点。边境县和非边境县的母乳喂养率都受到了 BFPCs 的积极影响,这表明该项目具有广泛的溢出效应:结论:边境地区母乳喂养项目对母乳喂养持续时间有明显的积极影响。研究结果表明,通过增加对 WIC BFPCs 的资助,有机会提高农村地区的母乳喂养率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Breastfeeding Peer Counseling on County-Level Breastfeeding Rates Among WIC Participants in Greater Minnesota

Objective

U.S. breastfeeding outcomes consistently fall short of public health targets, with lower rates among rural and low-income people, as well as participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The U.S. Department of Agriculture funded a subset of local WIC agencies in Minnesota to implement Breastfeeding Peer Counseling Programs (BFPCs) aimed at improving breastfeeding rates. We examined the impact of BFPCs on breastfeeding rates among WIC participants in Greater Minnesota (outside the Minneapolis–St. Paul metropolitan area).

Methods

We used data from the Minnesota WIC Information System for the years 2012 through 2019 to estimate the impact of peer counseling on breastfeeding duration using difference-in-differences models. Additionally, we examined results among rural counties and assessed the possibility of spillover effects by stratifying whether a county without BFPCs bordered one with BFPCs.

Results

Availability of BFPCs resulted in a 3.1 to 3.4 percentage-point increase in breastfeeding rates at 3 months and a 3.2 to 3.7 percentage-point increase in breastfeeding rates at 6 months among WIC participants in Greater Minnesota. Among rural counties, results showed a statistically significant 4.1 to 5.2 percentage-point increase in breastfeeding duration rates. Both border and nonborder counties experienced positive impacts of BFPCs on breastfeeding rates, suggesting wide-ranging program spillover effects.

Conclusions

BFPCs had a significant positive impact on breastfeeding duration. Findings indicate an opportunity for improving rural breastfeeding rates through increased funding for WIC BFPCs.

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来源期刊
CiteScore
4.50
自引率
6.20%
发文量
97
审稿时长
32 days
期刊介绍: Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.
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