Multivariate Analysis of State Variation in Breastfeeding Rates in the United States

Dados Bibliográficos

ID11020596
AutoresMichael D Kogan (0000-0002-2068-1347, Michael D. Kogan and Gopal K. Singh are with the Health Resources and Services Administration's Maternal and Child Health Bureau, Rockville, MD. Deborah L. Dee and Laurence M. Grummer-Strawn are with the Centers for Disease Control and Prevention, Atlanta, GA. Candice Belanoff is with Harvard University's School of Public Health, Boston, MA.), Gopal K Singh (0000-0002-7820-0323, Michael D. Kogan and Gopal K. Singh are with the Health Resources and Services Administration's Maternal and Child Health Bureau, Rockville, MD. Deborah L. Dee and Laurence M. Grummer-Strawn are with the Centers for Disease Control and Prevention, Atlanta, GA. Candice Belanoff is with Harvard University's School of Public Health, Boston, MA.), Deborah L Dee (Michael D. Kogan and Gopal K. Singh are with the Health Resources and Services Administration's Maternal and Child Health Bureau, Rockville, MD. Deborah L. Dee and Laurence M. Grummer-Strawn are with the Centers for Disease Control and Prevention, Atlanta, GA. Candice Belanoff is with Harvard University's School of Public Health, Boston, MA.), Candice Belanoff (0000-0002-2491-7548, Michael D. Kogan and Gopal K. Singh are with the Health Resources and Services Administration's Maternal and Child Health Bureau, Rockville, MD. Deborah L. Dee and Laurence M. Grummer-Strawn are with the Centers for Disease Control and Prevention, Atlanta, GA. Candice Belanoff is with Harvard University's School of Public Health, Boston, MA.), Laurence M Grummer‐strawn (0000-0003-1429-5260, Health Resources and Services Administration), Laurence M Grummer-Strawn (Michael D. Kogan and Gopal K. Singh are with the Health Resources and Services Administration's Maternal and Child Health Bureau, Rockville, MD. Deborah L. Dee and Laurence M. Grummer-Strawn are with the Centers for Disease Control and Prevention, Atlanta, GA. Candice Belanoff is with Harvard University's School of Public Health, Boston, MA.)
Ano2008
Volume98
Fascículo10
Páginas1872-1880
Data de publicação2008-10-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2007.127118
PMID18703441
PMCIDPMC2636475
OpenAlexW2002352996
IdiomaEN
Citações recebidas15
Referências citadas20

Objectives. We sought to determine the impact of sociodemographic and behavioral factors and state legislation on breastfeeding initiation (child ever fed breastmilk) and duration. Methods. We used data from a nationally representative study of children aged 6 to 71 months (N = 33 121); we calculated unadjusted and adjusted state estimates for breastfeeding initiation and duration. We used logistic regression models to examine factors associated with never breastfeeding or breastfeeding less than 6 months. We conducted a multilevel analysis of state legislation's role. Results. There were wide state variations in breastfeeding initiation and duration. The western and northwestern states had the highest rates. Covariate adjustment accounted for 25% to 30% of the disparity. Multivariate analysis showed that the adjusted odds of not being breastfed were 2.5- to 5.15-times greater in southern states compared with Oregon (reference). Children in states without breastfeeding legislation had higher odds of not being breastfed. Conclusions. Sociodemographic and maternal factors do not account for most breastfeeding rate variation. The association with breastfeeding legislation should be explored and may reflect cultural norms

Breastfeeding · Environmental health · Multivariate analysis · Multivariate statistics · Sociology · State (computer science) · Statistics · Variation (astronomy) · Breastfeeding Practices and Influences · Demography · Maternal Mental Health During Pregnancy and Postpartum · Mathematics · Medicine · Obesity, Physical Activity, Diet · Pediatrics