Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Department of Nursing, College of Applied Sciences, Almaarefa University, Dariyah, Riyadh, Saudi Arabia.
Matern Child Nutr. 2022 Jul;18(3):e13388. doi: 10.1111/mcn.13388. Epub 2022 Jun 10.
The Baby-Friendly Hospital Initiative is a global health promotion intervention that outlines the Ten Steps hospitals should implement to support newborns' breastfeeding. This US-based study aimed to determine which hospital characteristics and community factors are associated with hospitals' attainment of Baby-Friendly designation. We used a cross-sectional design and used 2018 data from the Baby-Friendly, USA Inc. designation program merged with the American Hospital Association annual survey data set. Multilevel logistic regression analysis was used to assess hospital characteristics of interest among the sample consisting of 312 Baby-Friendly hospitals and 1449 non-Baby-Friendly. Our results show that Baby-Friendly hospitals are more likely to be government nonfederal hospitals, in the Midwest or South regions, serve communities with higher birth totals, and reside in competitive markets. Based on the results of this study, hospitals should seek further and examine their community's characteristics and structures to identify opportunities and encourage the attainment of improved breastfeeding initiatives such as Baby-Friendly designation.
婴儿友好医院倡议是一项全球性的健康促进干预措施，概述了医院应实施的 10 个步骤，以支持新生儿母乳喂养。这项基于美国的研究旨在确定哪些医院特征和社区因素与医院获得婴儿友好称号有关。我们使用了横断面设计，并使用了 2018 年婴儿友好，美国公司指定计划与美国医院协会年度调查数据集合并的数据。多水平逻辑回归分析用于评估样本中感兴趣的医院特征，样本包括 312 家婴儿友好医院和 1449 家非婴儿友好医院。我们的结果表明，婴儿友好医院更有可能是政府非联邦医院，位于中西部或南部地区，为出生总数较高的社区服务，并位于竞争激烈的市场中。基于这项研究的结果，医院应该进一步寻求并检查其所在社区的特征和结构，以确定机会，并鼓励实现改善母乳喂养的举措，如婴儿友好称号。
