학술논문

What makes a city 'breastfeeding‐friendly'? A scoping review of indicators of a breastfeeding‐friendly city.
Document Type
Article
Source
Maternal & Child Nutrition. Apr2024, Vol. 20 Issue 2, p1-13. 13p.
Subject
*EDUCATION of mothers
*BREASTFEEDING
*COMMUNITY support
*HEALTH services accessibility
*MEDICAL information storage & retrieval systems
*WORK environment
*HEALTH policy
*CINAHL database
*POPULATION geography
*SYSTEMATIC reviews
*PUBLIC spaces
*MEDLINE
*PSYCHOLOGY of mothers
*METROPOLITAN areas
*LITERATURE reviews
*BREASTFEEDING promotion
*ONLINE information services
Language
ISSN
1740-8695
Abstract
A breastfeeding‐friendly city is one where there is an enabling environment to support breastfeeding throughout the first 2 years or more of a child's life. Indicators of a breastfeeding‐friendly city have yet to be identified. What are the indicators or criteria used to define breastfeeding friendliness in a geographic area such as a city and the settings within, which we have classified as community, healthcare and workplace? Three major databases and grey literature were searched. Records were screened to identify publications describing criteria such as indicators or descriptions of a breastfeeding‐friendly setting, defined as 'criteria‐sets'. These criteria‐sets were then categorized and summarized by settings. The search up to 2 September 2021 found 119 criteria‐sets from a range of settings: geographic locations (n = 33), community entities (n = 24), healthcare facilities (n = 28), workplaces (n = 28) and others (n = 6). Overall, 15 community, 22 healthcare and 9 workplace related criteria were extracted from the criteria‐sets. Criteria that were consistently present in all settings were policy, training & education, skilled breastfeeding support and physical infrastructure. Some criteria‐sets of geographic locations contained criteria only from a single setting (e.g., the presence of breastfeeding‐friendly cafes). Criteria‐sets were present for all settings as defined in this review, but few were actual indicators. Specifically, there were no existing indicators of a breastfeeding‐friendly city. Several common components of the criteria‐sets were identified, and these could be used in developing indicators of a breastfeeding‐friendly city. Future studies should determine which of these are important and how each can be measured. Key messages: There were many different criteria used to describe a breastfeeding‐friendly setting, including cities, but few were actual measurable indicators.Several common criteria were identified such as policy, training & education, skilled breastfeeding support, and physical infrastructure.These could be further developed into indicators of a breastfeeding‐friendly city. [ABSTRACT FROM AUTHOR]