Evidence map›Paper›PMID 24625787›Full record

ArticlePublic health nutrition2015

Evaluating the impact of the Baby-Friendly Hospital Initiative on breast-feeding rates: a multi-state analysis.

Summer Sherburne Hawkins, Ariel Dora Stern, Christopher F Baum, Matthew W Gillman

Abstract readEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. Encouraging and Reinforcing Safe Breastfeeding Practices during the COVID-19 Pandemic.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Summer Sherburne Hawkins1Boston College,Graduate School of Social Work,McGuinn Hall,140 Commonwealth Avenue,Chestnut Hill,MA 02467,USA.
Ariel Dora Stern2Harvard Kennedy School of Government,Cambridge,MA,USA.
Christopher F Baum3Boston College,Chestnut Hill,MA,USA.
Matthew W Gillman5Harvard Medical School and Harvard Pilgrim Health Care Institute,Boston,MA,USA.

Funding

NBER Training Program in Aging and Health EconomicsT32AG000186 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI CUTLER, DAVID M, FINKELSTEIN, AMY N. · 1989 to 2024
$9.6M
Early determinants of childhood obesity: Etiology disparities policy analysisR00HD068506 · NICHD · BOSTON COLLEGE · PI HAWKINS, SUMMER SHERBURNE · 2012 to 2014
$701k
NIA NIH HHS T32 AG000186NIA NIH HHS T32-AG000186NICHD NIH HHS R00 HD068506NICHD NIH HHS R00HD068506
6 · The paper itself

Abstract

objectiveTo evaluate the impact of the Baby-Friendly Hospital Initiative (BFHI) on breast-feeding initiation and duration overall and according to maternal education.

designQuasi-experimental study using data from five states (Alaska, Maine, Nebraska, Ohio, Washington) that participated in the Pregnancy Risk Assessment Monitoring System from 1999 to 2009. Using differences-in-differences models that included year and hospital fixed effects, we compared rates of breast-feeding initiation and duration (any and exclusive breast-feeding for ≥4 weeks) before and after BFHI accreditation between mothers who gave birth in hospitals that were accredited or became accredited and mothers from matched non-BFHI facilities. We stratified analyses into lower and higher education groups.

settingThirteen BFHI hospitals and nineteen matched non-BFHI facilities across five states in the USA. SUBJECTS: Mothers (n 11 723) who gave birth in BFHI hospitals and mothers (n 13 604) from nineteen matched non-BFHI facilities.

resultsAlthough we did not find overall differences in breast-feeding initiation between birth facilities that received BFHI accreditation compared with non-Baby-Friendly facilities (adjusted coefficient = 0·024; 95 % CI -0·00, 0·51), breast-feeding initiation increased by 3·8 percentage points among mothers with lower education who delivered in Baby-Friendly facilities (P = 0·05), but not among mothers with higher education (adjusted coefficient = 0·002; 95 % CI -0·04, 0·05). BFHI accreditation also increased exclusive breast-feeding for ≥4 weeks by 4·5 percentage points (P = 0·02) among mothers with lower education who delivered in BFHI facilities.

conclusionsBy increasing breast-feeding initiation and duration among mothers with lower education, the BFHI may reduce socio-economic disparities in breast-feeding.

Indexed as

Breast FeedingEvidence-Based MedicineNutrition PolicyPatient ComplianceAdultCenters for Disease Control and Prevention, U.S.Educational StatusFemaleHospitals, MaternityHumansInfant, NewbornLongitudinal StudiesMaleMatched-Pair AnalysisMothersPublic Health SurveillanceBreast-feedingMaternity hospitalsProgramme evaluation

Identifiers

PMID24625787
PMCPMC4163534

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.