Community Rates of Breastfeeding Initiation: A Geospatial Analysis of Kentucky

Anthony Grubesic, Kelly M. Durbin

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Breastfeeding initiation rates vary considerably across racial and ethnic groups, maternal age, and education level, yet there are limited data concerning the influence of geography on community rates of breastfeeding initiation. Objective: This study aimed to describe how community rates of breastfeeding initiation vary in geographic space, highlighting "hot spots" and "cool spots" of initiation and exploring the potential connections between race, socioeconomic status, and urbanization levels on these patterns. Methods: Birth certificate data from the Kentucky Department of Health for 2004-2010 were combined with county-level geographic base files, Census 2010 demographic and socioeconomic data, and Rural-Urban Continuum Codes to conduct a spatial statistical analysis of community rates of breastfeeding initiation. Results: Between 2004 and 2010, the average rate of breastfeeding initiation for Kentucky increased from 43.84% to 49.22%. Simultaneously, the number of counties identified as breastfeeding initiation hot spots also increased, displaying a systematic geographic pattern in doing so. Cool spots of breastfeeding initiation persisted in rural, Appalachian Kentucky. Spatial regression results suggested that unemployment, income, race, education, location, and the availability of International Board Certified Lactation Consultants are connected to breastfeeding initiation. Conclusion: Not only do spatial analytics facilitate the identification of breastfeeding initiation hot spots and cool spots, but they can be used to better understand the landscape of breastfeeding initiation and help target breastfeeding education and/or support efforts.

Original languageEnglish (US)
Pages (from-to)601-610
Number of pages10
JournalJournal of Human Lactation
Volume32
Issue number4
DOIs
StatePublished - Nov 1 2016

Fingerprint

Breast Feeding
Education
Birth Certificates
Geography
Urbanization
Spatial Analysis
Unemployment
Maternal Age
Censuses
Consultants
Ethnic Groups
Lactation
Social Class
Demography

Keywords

  • breastfeeding
  • breastfeeding initiation
  • geography
  • Kentucky
  • spatial analysis

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Community Rates of Breastfeeding Initiation : A Geospatial Analysis of Kentucky. / Grubesic, Anthony; Durbin, Kelly M.

In: Journal of Human Lactation, Vol. 32, No. 4, 01.11.2016, p. 601-610.

Research output: Contribution to journalArticle

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