Childbirth education classes: sociodemographic disparities in attendance and the association of attendance with breastfeeding initiation.

OBJECTIVES: To examine sociodemographic disparities in attendance at childbirth classes, and to evaluate the association of attendance with breastfeeding initiation. METHODS: Parents of a nationally representative, cross-sectional sample of 2068 children ages 4-35 months were surveyed by telephone....

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Published in:Maternal & Child Health Journal Vol. 7; no. 2; pp. 87 - 94
Main Authors: Lu MC, Prentice J, Yu SM, Inkelas M, Lange LO, Halfon N
Format: research tables/charts Journal Article
Published: Springer Nature Jun2003
Online Access:View this record in EBSCOhost
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      dt: Jun2003
      vid: 7
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      pub: Springer Nature
      place: New York, New York
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        atl: Childbirth education classes: sociodemographic disparities in attendance and the association of attendance with breastfeeding initiation.
      aug:
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          Lu MC
          Prentice J
          Yu SM
          Inkelas M
          Lange LO
          Halfon N
        affil: Department of Obstetrics and Gynecology, University of California Los Angeles School of Public Health, Box 951777, Los Angeles, CA 90095-1772; mclu@ucla.edu
      sug:
        subj:
          Breast Feeding Psychosocial Factors
          Child Health
          Childbirth Education Utilization
          Health Resource Utilization
          Socioeconomic Factors
          Adult
          Bivariate Statistics
          Chi Square Test
          Child, Preschool
          Confidence Intervals
          Cross Sectional Studies
          Data Analysis Software
          Descriptive Statistics
          Female
          Funding Source
          Health Promotion
          Infant
          Insurance, Health, Reimbursement
          Multiple Logistic Regression
          Multivariate Analysis
          Odds Ratio
          P-Value
          Pregnancy
          Race Factors
          Stratified Random Sample
          Structured Interview
          Surveys
          Telephone
          Human
          Adult: 19-44 years
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Female
      ab: OBJECTIVES: To examine sociodemographic disparities in attendance at childbirth classes, and to evaluate the association of attendance with breastfeeding initiation. METHODS: Parents of a nationally representative, cross-sectional sample of 2068 children ages 4-35 months were surveyed by telephone. The responses of 1540 mothers were included in the analysis. They were asked whether they had attended a childbirth class before giving birth. Disparities in attendance at childbirth classes and the association between attendance and breastfeeding initiation were examined using bivariate and multivariate logistic regression analyses. RESULTS: Two thirds (66%) of the children's mothers had ever attended a childbirth class. White mothers were twice as likely (OR 2.15, CI 1.39, 3.31) as African American mothers to have ever attended. Attendance also varied by education, household income, and marital status. Attendance at childbirth classes was associated with a 75% increase in the odds that a child will be breastfed (OR 1.75, CI 1.18, 2.60). CONCLUSIONS: Significant sociodemographic disparities exist in attendance at childbirth classes. Further research is needed to determine whether improving utilization of childbirth education classes reduces sociodemographic disparities in breastfeeding initiation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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