Grubesic Tony H, Durbin Kelly M
12330 Geoinformatics and Policy Analytics Lab, School of Information, University of Texas at Austin, Austin, TX, USA.
323454 Childbirth International, Singapore.
J Hum Lact. 2021 May;37(2):301-313. doi: 10.1177/0890334420941416. Epub 2020 Jul 31.
Mother-to-mother breastfeeding support organizations provide important information and guidance for helping mothers initiate and maintain breastfeeding, postpartum. However, the availability of this support is limited by a constellation of barriers, including race, culture, socioeconomic status, and geography.
To identify the geodemographic composition of communities where breastfeeding support was available from the mother-to-mother support organizations Breastfeeding USA and La Leche League, identify underlying issues of equity, and highlight locations where more support resources may be needed.
The locations of mother-to-mother support meetings were collected by ZIP code ( = 180) and were combined with a geodemographic database and exploratory spatial data analysis to explore the compositional characteristics of communities served ( = 1,173).
Significant gaps in the geographic distribution of breastfeeding support existed. While many metropolitan areas benefited from numerous mother-to-mother support groups and peer counselors, the geographic footprint of this support favored communities that were white, affluent, and suburban.
Spatial analytics combined with geodemographic analysis provide a unique perspective into the diverse landscape of mother-to-mother breastfeeding support groups at a local level. Our results highlighted inequities in the distribution of support provided and prescriptive guidance regarding where more resources may be needed.
母婴母乳喂养支持组织为帮助母亲在产后开始并维持母乳喂养提供重要信息和指导。然而，这种支持的可及性受到一系列障碍的限制，包括种族、文化、社会经济地位和地理位置。
确定可从母婴支持组织“美国母乳喂养”和“国际母乳会”获得母乳喂养支持的社区的地理人口构成，确定潜在的公平问题，并突出可能需要更多支持资源的地点。
通过邮政编码收集母婴支持会议的地点（=180个），并与地理人口数据库和探索性空间数据分析相结合，以探索所服务社区的构成特征（=1173个）。
母乳喂养支持的地理分布存在显著差距。虽然许多大都市地区受益于众多的母婴支持小组和同伴咨询师，但这种支持的地理覆盖范围偏向白人、富裕和郊区社区。
空间分析与地理人口分析相结合，为地方层面母婴母乳喂养支持小组的多样化格局提供了独特视角。我们的结果突出了所提供支持分布中的不公平现象，以及关于可能需要更多资源的地点的规范性指导。
