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Breastfeeding Trends in Louisiana: Are We Improving?

Breastfeeding Trends in Louisiana: Are We Improving?. Ashley Chin , PhD, MPH, MA Dionka Pierce, MPH Tri Tran, MD, MPH Louisiana Office of Public Health. Background. Breastfeeding is universally recognized as the best method of infant feeding.

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Breastfeeding Trends in Louisiana: Are We Improving?

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  1. Breastfeeding Trends in Louisiana: Are We Improving? Ashley Chin, PhD, MPH, MA Dionka Pierce, MPH Tri Tran, MD, MPH Louisiana Office of Public Health

  2. Background • Breastfeeding is universally recognized as the best method of infant feeding. • There are benefits to the child, mother and to society. • Breastfeeding rates in the US are among the lowest in industrialized societies. • Breastfeeding rates in Louisiana are among the lowest in the US.

  3. Breastfeeding Initiation 2003 National Immunization Survey; 2003 LA PRAMS

  4. Breastfeeding at 6 Months 2003 National Immunization Survey; 2003 LA PRAMS

  5. Study Questions • Is the percentage of Louisiana mothers initiating breastfeeding increasing over time? • Is the percentage of Louisiana mothers continuing to breastfeed for 6 months increasing over time?

  6. Methods • Louisiana Pregnancy Risk Assessment Monitoring System (LA PRAMS) • 1998-2003 • Limited to black and white women (n=11,318) • One-sided Kendall’s Tau b • Actuarial Life Table • SAS 9.1 and SUDAAN version 9.1 • Alpha set at 0.05 for statistical significance

  7. Breastfeeding Initiation in Louisiana 1998-2003 p value for trend: All = ns; White = ns; Black = 0.05

  8. Breastfeeding at 6 Months in Louisiana 1998-2003 p value for trend: All = ns; White = ns; Black = ns

  9. Public Health Implications • Louisiana will fail to meet the Health People 2010 goals for breastfeeding initiation and duration. • Increased healthcare cost of formula fed infants. • Increased risk of maternal cancers. • Increased risk of maternal and infant obesity.

  10. Recommendations Evaluate Coordinate Strengthen

  11. Limitations • Recall bias • Response bias • Low response rates

  12. Acknowledgements Dionka Pierce, MPH, LA PRAMS Coordinator Tri Tran, MD, MPH, MCH Epidemiologist Aledia Williams, Breastfeeding Coordinator, Louisiana WIC Meshawn Tarver, Breastfeeding Program Coordinator, Tulane-Xavier National Center of Excellence in Women’s Health

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