{"title":"It’s Time to Mobilize in Support of Inclusive LGBTQ+ Community Needs Assessments","authors":"A. M. Snyder, Shaunte L. Rouse","doi":"10.18061/ojph.v3i2.9009","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9009","url":null,"abstract":"No abstract available.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42005110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ohio Journal of Public Health Vol. 3, Issue 2 (October 2020): Full Issue","authors":"Ohio Public Health Association Opha","doi":"10.18061/ojph.v3i2.9007","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9007","url":null,"abstract":"No abstract available.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44217049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. M. Snyder, Heidi L. Weisel, Sheryl L. Chatfield
Background: Face mask shortages in health care and use recommendations and requirements in a variety of com-munity and professional contexts associated with the coronavirus disease 2019 (COVID-19) pandemic in the United States created initial and ongoing demand for face masks. In March 2020, the US Centers for Disease Control and Prevention (CDC) provided guidelines for use of cotton masks for individuals in health care settings and in public. Community volun-teers provide a potential workforce to rapidly and flexibly address critical needs in emergent circumstances. Methods: People Protecting Each-other Sustainably (PPEs) was developed to recruit and manage over 100 Northeast Ohio volunteers. People Protecting Each-other Sustainably used the social media platform Facebook to facilitate material donations, volunteer recruitment and training, and to function as an ongoing central communications hub. Leaders used an assembly line process with zero contact pick up and drop off at multiple stages of production to allow safe assembly and distribution of face masks. Results: A total of 7 695 handmade face masks were created to distribute to local frontline responders in 10 weeks. Use of upsourced and donated materials allowed this project to reduce potential landfill waste and made a zero cost project possible. Volunteers had positive responses to the project and reported benefits from their participation. Conclusion: This model has been successfully recreated by a smaller group in Geauga County, Ohio, with similarly successful results. Clearly this model of community mobilization has the potential to be replicated in other state of emer-gency crises and emergency response situations to produce lifesaving or necessary equipment when industry standard equipment is not readily available.
{"title":"Mobilizing Communities to Sustainably Produce Face Masks: Public Health Practice in the Time of COVID-19","authors":"A. M. Snyder, Heidi L. Weisel, Sheryl L. Chatfield","doi":"10.18061/ojph.v3i2.9013","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9013","url":null,"abstract":"Background: Face mask shortages in health care and use recommendations and requirements in a variety of com-munity and professional contexts associated with the coronavirus disease 2019 (COVID-19) pandemic in the United States created initial and ongoing demand for face masks. In March 2020, the US Centers for Disease Control and Prevention (CDC) provided guidelines for use of cotton masks for individuals in health care settings and in public. Community volun-teers provide a potential workforce to rapidly and flexibly address critical needs in emergent circumstances. \u0000Methods: People Protecting Each-other Sustainably (PPEs) was developed to recruit and manage over 100 Northeast Ohio volunteers. People Protecting Each-other Sustainably used the social media platform Facebook to facilitate material donations, volunteer recruitment and training, and to function as an ongoing central communications hub. Leaders used an assembly line process with zero contact pick up and drop off at multiple stages of production to allow safe assembly and distribution of face masks. \u0000Results: A total of 7 695 handmade face masks were created to distribute to local frontline responders in 10 weeks. Use of upsourced and donated materials allowed this project to reduce potential landfill waste and made a zero cost project possible. Volunteers had positive responses to the project and reported benefits from their participation. \u0000Conclusion: This model has been successfully recreated by a smaller group in Geauga County, Ohio, with similarly successful results. Clearly this model of community mobilization has the potential to be replicated in other state of emer-gency crises and emergency response situations to produce lifesaving or necessary equipment when industry standard equipment is not readily available.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43270934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Ohio disproportionately has one of the highest infant mortality rates in the United States. Failure to receive effective prenatal care can result in adverse pregnancy outcomes, specifically infant morbidity and mortality. Therefore, the purpose of this study is to gain a better understanding of pregnant women’s communicative experiences when receiving prenatal care in Ohio. Methods: We interviewed pregnant women (N=30) between the ages of 19 to 39 years who were in the second or third trimester of pregnancy residing in Ohio using semi-structured interviews. The data were analyzed using a two-stage inductive thematic analytic technique. Results: Findings demonstrated that pregnant women’s communicative experiences when receiving prenatal care in Ohio could be categorized into 4 overarching salient themes: (1) dialogue with the prenatal care provider, (2) time required for the prenatal care visit, (3) the prenatal care provider’s interpersonal and personality characteristics, and (4) continuity of care. Conclusion: Results identified pregnant women’s communicative experiences when receiving prenatal care in Ohio. Findings may assist prenatal care providers in enhancing prenatal care outcomes in Ohio by promoting continuous dialogue, spending time with patients, displaying positive interpersonal and personality characteristics, and providing continuous prenatal care.
{"title":"How My Provider Communicates: A Qualitative Exploration of Pregnant Women’s Communicative Experiences When Receiving Prenatal Care in Ohio","authors":"Na’Tasha M. Evans, Kamesha Spates, J. Sheu","doi":"10.18061/ojph.v3i2.9010","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9010","url":null,"abstract":"Background: Ohio disproportionately has one of the highest infant mortality rates in the United States. Failure to receive effective prenatal care can result in adverse pregnancy outcomes, specifically infant morbidity and mortality. Therefore, the purpose of this study is to gain a better understanding of pregnant women’s communicative experiences when receiving prenatal care in Ohio.\u0000Methods: We interviewed pregnant women (N=30) between the ages of 19 to 39 years who were in the second or third trimester of pregnancy residing in Ohio using semi-structured interviews. The data were analyzed using a two-stage inductive thematic analytic technique.\u0000Results: Findings demonstrated that pregnant women’s communicative experiences when receiving prenatal care in Ohio could be categorized into 4 overarching salient themes: (1) dialogue with the prenatal care provider, (2) time required for the prenatal care visit, (3) the prenatal care provider’s interpersonal and personality characteristics, and (4) continuity of care.\u0000Conclusion: Results identified pregnant women’s communicative experiences when receiving prenatal care in Ohio. Findings may assist prenatal care providers in enhancing prenatal care outcomes in Ohio by promoting continuous dialogue, spending time with patients, displaying positive interpersonal and personality characteristics, and providing continuous prenatal care.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43428534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The 2016 Council on Education for Public Health (CEPH) accreditation guidelines for Master of Public Health (MPH) programs describe skills, including qualitative and quantitative research skills while removing the requirement to structure programs around 5 designated core areas. These revised guidelines provide an opportunity to integrate qualitative and mixed methods instruction in multiple courses. The purpose of this paper is to describe process and outcomes of a project aimed at integrating qualitative and mixed methods content into core courses within the Kent State University MPH program. Methods: Content development work was conducted from May through October 2019. The work consisted of content analysis of current core course content, research texts, practicum presentations, and feedback from alumni working in public health practice. Five key qualitative processes that support CEPH competencies and reflect current public health practice in Ohio were articulated to form a framework for new course content. Results: New content was developed for each of the 6 current core MPH courses to address CEPH competencies, incorporate the identified 5 key processes, and to emphasize cross-methodological comparison and the complementary nature of qualitative and quantitative approaches to research questions or practice issues. Initial student responses to content were positive; further evaluation efforts are planned. Conclusion: New content provides MPH students with skills practice associated with qualitative and mixed methods approaches to research and applied public health. To address complex public health challenges, current and future public health professionals will benefit from being able to flexibly move across methodological boundaries.
{"title":"Strategies to Enhance Qualitative and Mixed Methods Research Instruction to Prepare MPH Students for Public Health Practice","authors":"Sheryl L. Chatfield","doi":"10.18061/ojph.v3i2.9014","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9014","url":null,"abstract":"Background: The 2016 Council on Education for Public Health (CEPH) accreditation guidelines for Master of Public Health (MPH) programs describe skills, including qualitative and quantitative research skills while removing the requirement to structure programs around 5 designated core areas. These revised guidelines provide an opportunity to integrate qualitative and mixed methods instruction in multiple courses. The purpose of this paper is to describe process and outcomes of a project aimed at integrating qualitative and mixed methods content into core courses within the Kent State University MPH program. \u0000Methods: Content development work was conducted from May through October 2019. The work consisted of content analysis of current core course content, research texts, practicum presentations, and feedback from alumni working in public health practice. Five key qualitative processes that support CEPH competencies and reflect current public health practice in Ohio were articulated to form a framework for new course content. \u0000Results: New content was developed for each of the 6 current core MPH courses to address CEPH competencies, incorporate the identified 5 key processes, and to emphasize cross-methodological comparison and the complementary nature of qualitative and quantitative approaches to research questions or practice issues. Initial student responses to content were positive; further evaluation efforts are planned. \u0000Conclusion: New content provides MPH students with skills practice associated with qualitative and mixed methods approaches to research and applied public health. To address complex public health challenges, current and future public health professionals will benefit from being able to flexibly move across methodological boundaries.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41633670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Public Health in 2020","authors":"Amy K Ferketich","doi":"10.18061/ojph.v3i1.9026","DOIUrl":"https://doi.org/10.18061/ojph.v3i1.9026","url":null,"abstract":"No abstract available.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47880026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Knippen, N. Walkup, C. Burmeister, J. Dake, Ken Bishop
Background: Given the potential for type 2 diabetes and the protective benefits of breastfeeding after gestational diabetes mellitus (GDM), there is a need to promote and support breastfeeding; however, delayed lactogenesis and postpartum experiences may challenge breastfeeding success. We aimed to describe factors that influence breastfeeding duration and satisfaction after GDM.Methods: A cross-sectional survey, informed by an elicitation phase and subject matter expert review, was conducted to evaluate factors associated with breastfeeding satisfaction and duration after GDM. The study included women (n = 50) from Northwest Ohio who delivered a living child from a singleton pregnancy at greater than or equal to 34 weeks gestation, who intended to breastfeed after GDM. Spearman correlation and Mann-Whitney U test were calculated to evaluate factors associated with breastfeeding duration and satisfaction.Results: Women described a lack of breastfeeding support, and there appeared to be a lack of awareness on the benefits of breastfeeding after GDM. Attitudes were associated with breastfeeding duration and satisfaction. Negative experiences in the child’s first week of life were associated with shorter duration and lower level of satisfaction. Delayed lactogenesis, barriers after delivery, and negative normative influences were significantly associated with a lower level of breastfeeding satisfaction.Conclusion: More work is needed to deliver breastfeeding education and support after GDM. Interventions tailored for GDM are recommended to promote positive breastfeeding beliefs and realistic breastfeeding expectations. Ongoing support to address early experiences and barriers after GDM is recommended. Further work should examine these factors in a larger, more diverse sample.
{"title":"Factors Associated with Breastfeeding Duration and Satisfaction after Gestational Diabetes among Women Living in Northwest Ohio","authors":"K. Knippen, N. Walkup, C. Burmeister, J. Dake, Ken Bishop","doi":"10.18061/ojph.v3i1.9016","DOIUrl":"https://doi.org/10.18061/ojph.v3i1.9016","url":null,"abstract":"Background: Given the potential for type 2 diabetes and the protective benefits of breastfeeding after gestational diabetes mellitus (GDM), there is a need to promote and support breastfeeding; however, delayed lactogenesis and postpartum experiences may challenge breastfeeding success. We aimed to describe factors that influence breastfeeding duration and satisfaction after GDM.Methods: A cross-sectional survey, informed by an elicitation phase and subject matter expert review, was conducted to evaluate factors associated with breastfeeding satisfaction and duration after GDM. The study included women (n = 50) from Northwest Ohio who delivered a living child from a singleton pregnancy at greater than or equal to 34 weeks gestation, who intended to breastfeed after GDM. Spearman correlation and Mann-Whitney U test were calculated to evaluate factors associated with breastfeeding duration and satisfaction.Results: Women described a lack of breastfeeding support, and there appeared to be a lack of awareness on the benefits of breastfeeding after GDM. Attitudes were associated with breastfeeding duration and satisfaction. Negative experiences in the child’s first week of life were associated with shorter duration and lower level of satisfaction. Delayed lactogenesis, barriers after delivery, and negative normative influences were significantly associated with a lower level of breastfeeding satisfaction.Conclusion: More work is needed to deliver breastfeeding education and support after GDM. Interventions tailored for GDM are recommended to promote positive breastfeeding beliefs and realistic breastfeeding expectations. Ongoing support to address early experiences and barriers after GDM is recommended. Further work should examine these factors in a larger, more diverse sample.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45371632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Micah L. Berman, Patricia J. Zettler, Efthimios Parasidis
No abstract available.
没有可用的摘要。
{"title":"Law and Ethics During a Public Health Crisis","authors":"Micah L. Berman, Patricia J. Zettler, Efthimios Parasidis","doi":"10.18061/ojph.v3i1.9021","DOIUrl":"https://doi.org/10.18061/ojph.v3i1.9021","url":null,"abstract":"No abstract available.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43038176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. R. Kroustos, Gretchen Horning, Jennifer Gurevich, A. Gurevich, K. F. Sobota
Introduction: Dementia is a debilitating disease affecting over 50 million people. Major challenges facing patients with dementia lie in the impact of the behavioral and psychological symptoms of dementia (BPSD). The American Geriatrics Society and Dementia Action Alliance recommend against the use of antipsychotics as first-line treatment. Antipsychotics often fail to treat BPSD whereas nonmedication practices such as horticulture therapy may lessen BPSD. Guideline evidence has provided a unique opportunity for public health officials to assist in filling this vital role in the approach to BPSD management.Methods: Several studies and meta-analyses were reviewed to determine the effectiveness of horticulture therapy in managing BPSD, and evidence supports horticulture therapy as an effective method of addressing BPSD.Results: The benefits of horticulture therapy extend beyond addressing only BPSD; through multisensory stimulation, patients have increased physical activity, reduced stress, and improved sleep. Horticulture therapy has been shown to decrease the sense of loss and reestablish the patient in a familiar nurturing role, providing the patient with a sense of purpose.Conclusion: Stakeholders within the public health sector are strategically positioned to implement evidence-based interventions that address the unmet needs for the care of dementia within the community.
{"title":"Remembering Your Roots: The Role of Horticulture Therapy in People Living with Dementia","authors":"K. R. Kroustos, Gretchen Horning, Jennifer Gurevich, A. Gurevich, K. F. Sobota","doi":"10.18061/ojph.v3i1.9020","DOIUrl":"https://doi.org/10.18061/ojph.v3i1.9020","url":null,"abstract":"Introduction: Dementia is a debilitating disease affecting over 50 million people. Major challenges facing patients with dementia lie in the impact of the behavioral and psychological symptoms of dementia (BPSD). The American Geriatrics Society and Dementia Action Alliance recommend against the use of antipsychotics as first-line treatment. Antipsychotics often fail to treat BPSD whereas nonmedication practices such as horticulture therapy may lessen BPSD. Guideline evidence has provided a unique opportunity for public health officials to assist in filling this vital role in the approach to BPSD management.Methods: Several studies and meta-analyses were reviewed to determine the effectiveness of horticulture therapy in managing BPSD, and evidence supports horticulture therapy as an effective method of addressing BPSD.Results: The benefits of horticulture therapy extend beyond addressing only BPSD; through multisensory stimulation, patients have increased physical activity, reduced stress, and improved sleep. Horticulture therapy has been shown to decrease the sense of loss and reestablish the patient in a familiar nurturing role, providing the patient with a sense of purpose.Conclusion: Stakeholders within the public health sector are strategically positioned to implement evidence-based interventions that address the unmet needs for the care of dementia within the community.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42997437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Furman, Andrea Arendt, Ryan Everett, Breanne Haviland, Michael Monsour, R. Oza‐Frank
Background: Ohio First Steps for Healthy Babies (First Steps) is a free, voluntary statewide designation program coadministered by the Ohio Department of Health and the Ohio Hospital Association that promotes breastfeeding-supportive maternity practices aligned with the Baby-Friendly Hospital Initiative (BFHI).Materials and Methods: We examined Ohio birthing hospitals’ participation in First Steps, and changes in breastfeed-ing rates at hospital discharge, over the first 12 quarters of the program (July 15, 2015, to July 14, 2018) for all 110 licensed Ohio birthing hospitals. The 81 (73.6%) that achieved at least 1 step over the study period (designated as First Steps hospitals) were compared to the 29 non-First Steps hospitals, and the 17 that began participation at First Steps startup (July 15, 2015) were identified for additional analysis. Changes in breastfeeding rates were examined using a mixed effects multivariate regression model.Results: Breastfeeding increased significantly over the program period from 73.8% to 76.7% (mean 0.19% per quarter, p = .0002), but without a significant difference in breastfeeding rates between First Steps and non-First Steps hospitals. However, in a pre- and post-program analysis for the 17 hospitals that began participation at First Steps startup (excluding an additional 6 hospitals with BFHI designation), number of quarters in the program, number of steps completed, and number of births in 2015 were significantly associated with breastfeeding rates. Hospitals that completed at least 2 steps every 5 quarters in the First Steps program increased breastfeeding when compared to those not participating in the program.Conclusion: These encouraging results provide a formal evaluation of a best practices BFHI-modelled statewide program.
{"title":"Ohio First Steps for Healthy Babies: A Program Supporting Breastfeeding Practices in Ohio Birthing Hospitals","authors":"L. Furman, Andrea Arendt, Ryan Everett, Breanne Haviland, Michael Monsour, R. Oza‐Frank","doi":"10.18061/ojph.v3i1.9017","DOIUrl":"https://doi.org/10.18061/ojph.v3i1.9017","url":null,"abstract":"Background: Ohio First Steps for Healthy Babies (First Steps) is a free, voluntary statewide designation program coadministered by the Ohio Department of Health and the Ohio Hospital Association that promotes breastfeeding-supportive maternity practices aligned with the Baby-Friendly Hospital Initiative (BFHI).Materials and Methods: We examined Ohio birthing hospitals’ participation in First Steps, and changes in breastfeed-ing rates at hospital discharge, over the first 12 quarters of the program (July 15, 2015, to July 14, 2018) for all 110 licensed Ohio birthing hospitals. The 81 (73.6%) that achieved at least 1 step over the study period (designated as First Steps hospitals) were compared to the 29 non-First Steps hospitals, and the 17 that began participation at First Steps startup (July 15, 2015) were identified for additional analysis. Changes in breastfeeding rates were examined using a mixed effects multivariate regression model.Results: Breastfeeding increased significantly over the program period from 73.8% to 76.7% (mean 0.19% per quarter, p = .0002), but without a significant difference in breastfeeding rates between First Steps and non-First Steps hospitals. However, in a pre- and post-program analysis for the 17 hospitals that began participation at First Steps startup (excluding an additional 6 hospitals with BFHI designation), number of quarters in the program, number of steps completed, and number of births in 2015 were significantly associated with breastfeeding rates. Hospitals that completed at least 2 steps every 5 quarters in the First Steps program increased breastfeeding when compared to those not participating in the program.Conclusion: These encouraging results provide a formal evaluation of a best practices BFHI-modelled statewide program.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48501554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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