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Promoting Breastfeeding in Child Care Through State Regulation

Bibliographic Data

ID15340459
AuthorsSara E Benjamin Neelon (Duke Medical Center, corresponding author), Dustin T Duncan (0000-0001-8586-8711, New York University), T Burgoine (0000-0001-6936-3801, University of Cambridge), Meghan Mayhew (0000-0002-9469-2188, Duke Medical Center), Alyssa Platt (0000-0001-6396-0170, Duke Institute for Health Innovation)
Year2014
Volume19
Issue4
Pages745-754
Publication date2014-07-07
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Health Journal (JOURNAL)
Journal identifiersISSN: 1092-7875 • E-ISSN: 1573-6628
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10995-014-1560-6
PMID25001500
PMCIDPMC4353864
OpenAlexW1976429219
LanguageEN
Citations received4
References cited14

Policies supporting breastfeeding vary by state, but little is known about the geographical aspects of this variation. This study describes state breastfeeding licensing and administrative regulations targeting child care settings, compares regulations with national standards, and examines the spatial patterning and clustering of these regulations throughout the United States (US). We compared regulations for child care centers (centers) and family child care homes (homes) with national standards for: (1) general breastfeeding support; (2) designated place for breastfeeding; (3) no solids before infants are four months of age; and (4) no formula for breastfed infants without parent permission. We scored state regulations as 0 = standard not addressed, 1 = standard partially addressed, and 2 = standard fully addressed. We considered each regulation individually, and also summed scores to provide an overall rating of regulations by state. We mapped regulations using geographic information systems technology, and explored overall and local spatial autocorrelation using global and local variants of Moran's I. Five states had regulations for centers and two for homes that addressed all four standards. Mean regulation scores were 0.35, 0.20, 0.98, 0.74 for centers, and 0.17, 0.15, 0.79, 0.58 for homes. Local Moran's I revealed that New York and Pennsylvania had substantially stronger regulations than their adjacent states, while Florida had weaker regulations than its neighbors. Overall, few states had regulations that met breastfeeding standards. We identified some patterns of spatial correlation, suggesting avenues for future research to better understand distributions of regulations across the US

Breastfeeding · Environmental health · Public health · State (computer science · Breastfeeding Practices and Influences · Demography · Food Security and Health in Diverse Populations · Medicine · Nursing · Pediatric health and respiratory diseases · Pediatrics

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Unique citing works4
Citations per year0,44
Citation span2017 - 2025 (9)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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