Evidence map›Paper›PMID 39881099›Full record

ArticleMaternal and child health journal2025

Racial and Ethnic Disparities in Hospital Breastfeeding Care in the US.

Jane Lazar Tucker, Kimberly Arcoleo, Diane DiTomasso, Brietta M Oaks, Howard Cabral, Thaís São-João

Abstract read
In one paragraph

Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. 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

6 authors.

Jane Lazar TuckerCollege of Nursing, University of Rhode Island, 350 Eddy St, Providence, RI, 02903, USA. jlazartucker@uri.edu.ORCID http://orcid.org/0000-0001-7342-1461
Kimberly ArcoleoCollege of Nursing, University of Rhode Island, 350 Eddy St, Providence, RI, 02903, USA.
Diane DiTomassoCollege of Nursing, University of Rhode Island, 350 Eddy St, Providence, RI, 02903, USA.
Brietta M OaksCollege of Health Sciences, University of Rhode Island, 55 Lower College Rd, Kingston, RI, 02881, USA.
Howard CabralDepartment of Biostatistics, Boston University School of Public Health, 801 Massachusetts Ave, 3rd floor, Boston, MA, 02118, USA.
Thaís São-JoãoCollege of Nursing, University of Rhode Island, 350 Eddy St, Providence, RI, 02903, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study examines the associations between race and ethnicity and receipt of Baby Friendly Hospital Initiative (BFHI) key clinical practices that support breastfeeding in US hospitals.

methodsNational data from 2016 to 2019 CDC PRAMS were analyzed. Our sample included 60,395 mothers who initiated breastfeeding with healthy, term newborns. We conducted adjusted regression analyses to compare the odds of receiving individual key clinical practices that support breastfeeding, as well as the percent of key clinical practices received.

resultsWhile some key clinical practices were received at high rates, less than 25% of mothers received 100% of recommended key clinical practices. Compared to White non-Hispanic mothers, mothers from various racial and ethnic groups were at lower odds of receiving 100% of key clinical practices: Black non-Hispanic [adjusted odds ratio (AOR) 0.59, 95% confidence interval (CI) (0.47-0.65)], English-Speaking Hispanic [AOR 0.79, 95% CI (0.71-0.88)], Spanish-speaking Hispanic [AOR 0.63, 95% CI (0.53-0.73)], and Asian/Pacific Islander non-Hispanic [AOR 0.54, 95% CI (0.47-0.63)]. CONCLUSIONS FOR PRACTICE: Despite a steady increase in the number of BFHI hospitals in the US, there are racial and ethnic disparities in the receipt of BFHI key clinical practices. More US hospitals must adopt BFHI key clinical practices and consistently implement those practices for every racial and ethnic group.

Indexed as

Breast FeedingEthnicityHealthcare DisparitiesHospitalsRacial GroupsAdultFemaleHispanic or LatinoHumansInfant, NewbornMothersUnited StatesWhiteBaby-friendlyBreast FeedingEthnicityPRAMSRacial groups

Identifiers

PMID39881099
PMCPMC11821785

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Registered trials

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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.