Evidence map›Paper›PMID 27861824›Full record

ArticleHealth services research2017

Lactation Support Services and Breastfeeding Initiation: Evidence from the Affordable Care Act.

Kandice A Kapinos, Lindsey Bullinger, Tami Gurley-Calvez

Abstract read
In one paragraph

Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Pumps: A Possible Tool to Promote More Equitable Lactation Outcomes.The Yale journal of biology and medicine · 2024
    Review
  6. Disparities in Infant Nutrition: WIC Participation and Rates of Breastfeeding in Florida.International journal of environmental research and public health · 2023
    Article
  7. Article
  8. Article
  9. Management of Cannabis Use in Breastfeeding Women: The Untapped Potential of International Board Certified Lactation Consultants.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2020
    Article
  10. Article
  11. Article
  12. Geographic Access to International Board-Certified Lactation Consultants in Pennsylvania.Journal of human lactation : official journal of International Lactation Consultant Association · 2019
    Observational
  13. Article
  14. Effect of the Affordable Care Act on Breastfeeding Outcomes.American journal of public health · 2018
    Observational
  15. "I Just Want to Do Everything Right:" Primiparous Women's Accounts of Early Breastfeeding via an App-Based Diary.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Article
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

3 authors.

Kandice A KapinosRAND Corporation, 1200 South Hayes, Arlington, VA, 22202.
Lindsey BullingerSchool of Public and Environmental Affairs, Indiana University, Bloomington, IN.
Tami Gurley-CalvezDepartment of Health Policy and Management, University of Kansa Medical Center, Kansas City, KS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDespite substantial evidence of the benefits of breastfeeding for both mothers and children, rates of sustained breastfeeding in the United States are quite low. This study examined whether mandated coverage of lactation support services under the Affordable Care Act (ACA) affects breastfeeding behavior. DATA SOURCE: We studied the census of U.S. births included in the National Vital Statistics System from 2009 to 2014. STUDY

designWe used regression-adjusted difference-in-differences (DD) to examine changes in breastfeeding rates for privately insured mothers relative to those covered by Medicaid. We adjusted for several health and sociodemographic measures. We also examined the extent to which the effect varied across vulnerable populations-by race/ethnicity, maternal education, WIC status, and mode of delivery. PRINCIPAL

findingsResults suggest that the ACA mandate increased the probability of breastfeeding initiation by 2.5 percentage points, which translates into about 47,000 more infants for whom breastfeeding was initiated in 2014. We find larger effects for black, less educated, and unmarried mothers.

conclusionsThe Affordable Care Act-mandated coverage of lactation services increased breastfeeding initiation among privately insured mothers relative to mothers covered by Medicaid. The magnitude of the effect size varied with some evidence of certain groups being more likely to increase breastfeeding rates.

Indexed as

Breast FeedingHumansInsurance, HealthMedicaidPatient Protection and Affordable Care ActSocioeconomic FactorsUnited StatesAffordable Care ActBreastfeeding

Identifiers

PMID27861824
PMCPMC5682156

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.