Evidence map›Paper›PMID 30394255›Full record

ArticlePublic health nutrition2019

'Why do we need a policy?' Administrators' perceptions on breast-feeding-friendly childcare.

Stephanie L Marhefka, Vinita Sharma, Ellen J Schafer, DeAnne Turner, Oluyemisi Falope, Adetola Louis-Jacques, Mary M Wachira, Taylor Livingston, Regina Maria Roig-Romero

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In one paragraph

Article in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

9 authors.

Stephanie L MarhefkaDepartment of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL33612, USA.ORCID http://orcid.org/0000-0001-7708-1521
Vinita SharmaDepartment of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL33612, USA.
Ellen J SchaferDepartment of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL33612, USA.ORCID http://orcid.org/0000-0002-9808-4841
DeAnne TurnerDepartment of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL33612, USA.
Oluyemisi FalopeDepartment of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL33612, USA.
Adetola Louis-JacquesMorsani College of Medicine, Obstetrics and Gynecology, University of South Florida, Tampa, FL, USA.
Mary M WachiraTampa Bay Breastfeeding Taskforce, Florida Department of Health in Citrus County, Lecanto, FL, USA.
Taylor LivingstonDepartment of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL33612, USA.
Regina Maria Roig-RomeroDepartment of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL33612, USA.ORCID http://orcid.org/0000-0001-5829-7060

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMothers' return to work and childcare providers' support for feeding expressed human milk are associated with breast-feeding duration rates in the USA, where most infants are regularly under non-parental care. The objective of the present study was to explore Florida-based childcare centre administrators' awareness and perceptions of the Florida Breastfeeding Friendly Childcare Initiative.

designSemi-structured interviews were based on the Consolidated Framework for Implementation Research and analysed using applied thematic analysis.

settingChildcare centre administrators in Tampa Bay, FL, USA, interviewed in 2015.ParticipantsTwenty-eight childcare centre administrators: female (100 %) and Non-Hispanic White (61 %) with mean age of 50 years and 13 years of experience.

resultsMost administrators perceived potential implementation of the Florida Breastfeeding Friendly Childcare Initiative as simple and beneficial. Tension for change and a related construct (perceived consumer need for the initiative) were low, seemingly due to formula-feeding being normative. Perceived financial costs and relative priority varied. Some centres had facilitating structural characteristics, but none had formal breast-feeding policies.

conclusionsA cultural shift, facilitated by state and national breast-feeding-friendly childcare policies and regulations, may be important for increasing tension for change and thereby increasing access to breast-feeding-friendly childcare. Similar to efforts surrounding the rapid growth of the Baby Friendly Hospital Initiative, national comprehensive evidence-based policies, regulations, metrics and technical assistance are needed to strengthen state-level breast-feeding-friendly childcare initiatives.

Indexed as

Breast FeedingCaregiversInfant CareAdultAgedAttitudeBottle FeedingFemaleHumansInfantInterviews as TopicMiddle AgedMilk, HumanNurseries, InfantNutrition PolicyBreast-feedingChildcareDay careHuman milkInfant feedingPolicy

Identifiers

PMID30394255
PMCPMC10260473

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.