Evidence map›Paper›PMID 29969344›Full record

Observational studyJournal of human lactation : official journal of International Lactation Consultant Association2019

Geographic Access to International Board-Certified Lactation Consultants in Pennsylvania.

Kristin N Ray, Jill R Demirci, Lori Uscher-Pines, Debra L Bogen

Abstract readObservational Study
In one paragraph

Observational study in Journal of human lactation : official journal of International Lactation Consultant Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Trial
  2. Expectations and Perspectives About Infant Feeding of Their First Child Among Rural Women.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2025
    Article
  3. Article
  4. Article
  5. 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

4 authors.

Kristin N Ray1 Department of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0003-3817-1449
Jill R Demirci2 Department of Health Promotion and Development, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA.
Lori Uscher-Pines3 RAND Corporation, Arlington, VA, USA.
Debra L Bogen1 Department of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.

Funding

Patient-Centered Outcomes Research (PCOR) Scholars ProgramK12HS022989 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KAPOOR, WISHWA N · 2014 to 2018
$3.9M
Preventing Perceived Insufficient Milk: Development of a Text Message-Based InterK99NR015106 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEMIRCI, JILL RADTKE · 2014 to 2015
$175k
AHRQ HHS K12 HS022989NINR NIH HHS K99 NR015106
6 · The paper itself

Abstract

background: Availability of professional lactation support has been associated with increased breastfeeding rates; however, data about access to international board-certified lactation consultants are limited. RESEARCH

aims: The aims were (a) to assess geographic access to international board-certified lactation consultants in Pennsylvania, (b) to compare access in rural/urban counties, and (c) to compare access by county-level breastfeeding initiation rates.

methods: Using geographic information systems methodology and a cross-sectional observational design, we calculated the proportion of young children living within 15, 30, and 60 miles of international board-certified lactation consultants in Pennsylvania. We calculated these proportions for all children in Pennsylvania, for children in urban and rural counties, and for children in counties with low, medium, and high breastfeeding initiation rates. Comparisons were done to answer the research aims.

results: Over 90% of young children live within 30 miles of an international board-certified lactation consultant. Compared to children in urban counties, fewer children in rural counties live within 15 and 30 miles of these providers. In counties with high breastfeeding initiation rates, a larger percentage of children live within 15 miles of an international board-certified lactation consultant than in counties with low breastfeeding initiation rates.

conclusion: While most Pennsylvania children live in proximity of an international board-certified lactation consultant, this was true for a lower percentage of children in rural counties and in counties with lower breastfeeding rates.

Indexed as

CertificationConsultantsHealth Services AccessibilityLactationMaternal Health ServicesPostnatal CareAdolescentAdultAgedBreast FeedingChildChild, PreschoolCross-Sectional StudiesDemographyFemaleHumansbreastfeeding barriershealth services researchinternational board-certified lactation consultantInternational Board of Lactation Consultant ExaminersInternational Lactation Consultant Association

Identifiers

PMID29969344
PMCPMC6739119

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.