North Dakota State University, Fargo, ND, USA.
Health Promot Pract. 2020 Jul;21(4):642-653. doi: 10.1177/1524839918807442. Epub 2018 Oct 15.
In response to suboptimal breastfeeding rates, North Dakota added a provision to SB 2344 (public indecency legislation) creating an Infant Friendly business designation for employers providing specified lactation accommodations to employees. However, there has been no evaluation of this designation to determine effectiveness. The purpose of this article is to examine the impact of the Infant Friendly business designation in North Dakota on breastfeeding continuation rates within the context of the social ecological model (SEM). Between November 2016 and March 2017, an 85-item online questionnaire, designed using the SEM, was distributed to working women across the state using various sampling methods. T tests, analysis of variance, and regression were used to analyze results. Designated (intervention) and nondesignated (control) businesses were targeted. There was no statistically significant difference in breastfeeding duration between designated and nondesignated businesses. There was a 2-month difference in duration between continually designated businesses and those with lapsing designations. Twenty-eight percent of the women working for Infant Friendly businesses were aware that their businesses were designated, indicating a lack of awareness regarding the designation. The designation is a starting point for worksite breastfeeding support. A policy promotion plan based on the SEM targeting individual awareness and employee education may improve the designation's effectiveness.
针对母乳喂养率不理想的情况，北达科他州在 SB 2344 号法案（公共猥亵立法）中增加了一项规定，为向员工提供特定哺乳便利设施的雇主授予“婴儿友好型企业”称号。然而，目前还没有对该称号进行评估以确定其效果。本文的目的是在社会生态模型（SEM）的背景下，考察北达科他州“婴儿友好型企业”称号对母乳喂养持续率的影响。2016 年 11 月至 2017 年 3 月，使用 SEM 设计了一份 85 项的在线问卷，通过各种抽样方法在全州范围内向在职女性分发。使用 t 检验、方差分析和回归分析来分析结果。目标是指定（干预）和非指定（对照）企业。指定（干预）和非指定企业在母乳喂养持续时间上没有统计学上的显著差异。持续指定企业和指定失效企业之间的持续时间差异为 2 个月。在婴儿友好型企业工作的 28%的女性知道自己的企业被指定为婴儿友好型企业，这表明她们对该称号的认知度较低。该称号是工作场所母乳喂养支持的起点。基于 SEM 的针对个人意识和员工教育的政策推广计划可能会提高该称号的效果。
