TOTS Brief July 2011 |
Previous | 1 of 6 | Next |
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
This page
All
|
The Oklahoma Toddler Survey (TOTS) is a two-year follow-back survey to the Oklahoma Pregnancy Risk Assessment Monitor-ing System (PRAMS) survey. TOTS, developed in 1994, provides a glimpse into the health of Oklahoma’s tod-dler population. Key topics include health insurance, child care, safety, tobacco exposure, breastfeeding and nutrition, illness and activity limitations, injury, family structure, and maternal and paternal demographics. Mothers with live infants who respond to the PRAMS survey are sent a TOTS survey the month their children turn 2-years-old. TOTS is a mixed-mode sur-veillance system. Two mail surveys are sent in an effort to gain participation followed by telephone surveillance for non-respondents. The response rate for 2006-2009 data was 73.8% (n=5,221). Data were weighted to repre-sent the 2-year-old’s birth cohort for those years. For more information please contact TOTS at the Oklahoma State De-partment of Health (OSDH) at 405-271-6761 or TOTS@health.ok.gov. Breastfeeding is a health behavior with immediate and long-term health benefits for both the mother and her infant.1 Advantages include nutritional, immunologic, developmental, psychologi-cal, social, economic, and environmental benefits.2 Maternal health benefits include decreased post-partum bleeding, decreased risk of ovarian and breast cancers, and an earlier return to pre-pregnancy weight. Child health benefits include reduced risks for common childhood illnesses such as diarrhea, respiratory tract infec-tions, otitis media, and urinary tract infections. Most importantly, clinical studies indicate breastfeed-ing is an effective component in the prevention of childhood obesity. Breastfeeding duration has an inverse relationship to pediatric overweight.3 The Centers for Disease Control and Prevention (CDC) esti-mates that for every month a child is breastfed, his or her risk for childhood overweight decreases by 4%, reaching a plateau by nine months. Re-search shows a 30% de-crease in the odds for being overweight for a child breastfed for at least eight full months when com-pared to a child who was never breastfed.3 The American Academy of Pediatrics (AAP) recom-mends exclusive breast-feeding for at least six months.2 The breastfeeding goals set forth in Healthy People 2020 are to have at least 60.6% of infants breastfed for at least six months, and have 34.1% of infants breastfed until 12 months of age. TOTS data from 2006- 2009 indicate that among Oklahoma 2-year-olds only 29.7% (95% Confidence Breastfeeding Duration Among Native Americans July 2011 Volume 4, Issue 1 TOTS Brief The Oklahoma Toddler Survey In Oklahoma: · Almost 30% of infants were breastfed for at least six months. Thirteen percent were breastfed for at least 12 months and 3.9% breastfed for 18 months or more. · Among Native Ameri-can toddlers, 15.3% (CI 10.9, 21.0) were breastfed at least six months, the lowest percentage of all races for toddlers breastfed or given breast milk for at least six months. · For Native American mothers, non-smokers were twice as likely as smokers to breastfeed for six months or more (45% vs. 23%). · Maternal education was the most significant predictor of breast-feeding duration at six months among Native American mothers. An EEO Employer What is TOTS? Only 7.7% of Native American mothers breastfed their babies until 12 months of age, far less than the 34.1% goal for Healthy People 2020. Interval (CI) 27.8–31.7) were breastfed for at least six months; and 13.3% (95% CI 11.9-14.8) were breastfed at least 12 months. Overall, Native American toddlers were shown to have the lowest duration rate at six months (15.3%, 95% CI 10.9- 21.0) compared to white toddlers (31.2%, 95% CI 29.0-33.5). Among Native Americans, maternal education was the only significant predictor of breastfeeding duration at six months when controlling for select maternal demographics, behaviors, and characteris-tics. Native American mothers who had attained at least a high school education were 14 times more likely to breastfeed for six months or more when compared to Native American mothers with less than a high school education (data not shown). The OSDH Maternal and Child Health Service and the Oklahoma City Area Inter-Tribal Health Board Tribal Breastfeeding Duration, cont. Epidemiology Center are working together to improve breastfeeding initiation and duration rates in Oklahoma. Six evidence-based interventions to pro-mote breastfeeding are: Maternity care practices; support for breastfeeding in the workplace; peer support; educating mothers; professional support; and media and social marketing. The effectiveness of professional education and public acceptance has yet to be established.4 References: 1. Rhodes KL, et. Al., American Indian Breast-feeding Attitudes and Practices in Minnesota, Maternal and Child Health Journal , 2008 Vol. 12, Supp. 1, 46-54. 2. Policy Statement. Pediatrics, Vol. 115, No. 2 Feb 2005, pp. 496-506. 3. Harder T, Bergmann R, Kallischnigg G, Plage-mann A. Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epide-miol 2005; 162:397-403. 4. Shealy KR, et al. The CDC Guide to Breast-feeding Interventions. Atlanta: US DHHS, CDC, 2005. Acknowledgements Terry Cline, Ph.D. Commissioner of Health and Secretary of Health and Human Services Stephen W. Ronck, M.P.H. Deputy Commissioner, Community and Family Health Services, Oklahoma State Department of Health Suzanna Dooley, M.S., A.R.N.P. Chief, Maternal and Child Health Service, Oklahoma State Department of Health Special assistance for this piece was provided by: Nancy Bacon, MS, RD/LD; Susan Harman, MPH (Oklahoma City Area Inter-Tribal Health Board); Dana Coles, MPH, CPH; Binitha Kunnel, MS; Alicia M. Lincoln, MSW, MSPH; Paul Patrick, MPH; and Lisa McKnight. Funding for TOTS is provided by the Maternal and Child Health Bureau, Department of Health and Human Services, MCH Title V Block Grant. The TOTS Brief is issued by the Oklahoma State Department of Health, as authorized by Terry Cline, Ph.D., Commissioner of Health and Secretary of Health and Human Services. Docutech printed 1,200 copies in July 2011 at a cost of $348. Copies were deposited with the Publications Clearinghouse of the Oklahoma Department of Libraries. 29.7 15.3 28.8 31.2 13.3 7.7 8.8 14.0 3.9 2.6 3.8 3.6 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0 OKLAHOMA Native American Black White Percent Breastfeeding Duration Rates for Oklahoma's Toddlers by Maternal Race, TOTS 2006-2009 6 months or more 12 months or more 18 months or more
Object Description
Okla State Agency |
Health, Oklahoma State Department of |
Okla Agency Code | '340' |
Title | TOTS brief : the Oklahoma toddler survey. |
Authors |
Oklahoma. State Department of Health. Oklahoma. Maternal and Child Health Service. |
Publisher | Oklahoma State Department of Health |
Publication Date | 2006; 2008; 2010 |
Serial holdings | Electronic holdings begin with 2006 |
Subject | Toddlers--Health and hygiene--Oklahoma. |
OkDocs Class# | H1015.6 T717b |
Digital Format | PDF, Adobe Reader required |
ODL electronic copy | Downloaded from agency website: www.ok.gov/health |
Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
Language | English |
Month/year uploaded | May 2008 |
Date created | 2014-10-15 |
Date modified | 2014-10-15 |
OCLC number | 828678541 |
Description
Title | TOTS Brief July 2011 |
OkDocs Class# | H1015.6 T717b 07/2011 v4 no.1 |
Digital Format | PDF Adobe Reader Required |
ODL electronic copy | Downloaded from Agency Website:http://www.ok.gov/health/Child_and_Family_Health/Maternal_and_Child_Health_Service/Data_and_Evaluation/The_Oklahoma_Toddler_Survey_%28TOTS%29/TOTS_Archives/ |
Rights and Permissions | This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders. |
Language | English |
Full text | The Oklahoma Toddler Survey (TOTS) is a two-year follow-back survey to the Oklahoma Pregnancy Risk Assessment Monitor-ing System (PRAMS) survey. TOTS, developed in 1994, provides a glimpse into the health of Oklahoma’s tod-dler population. Key topics include health insurance, child care, safety, tobacco exposure, breastfeeding and nutrition, illness and activity limitations, injury, family structure, and maternal and paternal demographics. Mothers with live infants who respond to the PRAMS survey are sent a TOTS survey the month their children turn 2-years-old. TOTS is a mixed-mode sur-veillance system. Two mail surveys are sent in an effort to gain participation followed by telephone surveillance for non-respondents. The response rate for 2006-2009 data was 73.8% (n=5,221). Data were weighted to repre-sent the 2-year-old’s birth cohort for those years. For more information please contact TOTS at the Oklahoma State De-partment of Health (OSDH) at 405-271-6761 or TOTS@health.ok.gov. Breastfeeding is a health behavior with immediate and long-term health benefits for both the mother and her infant.1 Advantages include nutritional, immunologic, developmental, psychologi-cal, social, economic, and environmental benefits.2 Maternal health benefits include decreased post-partum bleeding, decreased risk of ovarian and breast cancers, and an earlier return to pre-pregnancy weight. Child health benefits include reduced risks for common childhood illnesses such as diarrhea, respiratory tract infec-tions, otitis media, and urinary tract infections. Most importantly, clinical studies indicate breastfeed-ing is an effective component in the prevention of childhood obesity. Breastfeeding duration has an inverse relationship to pediatric overweight.3 The Centers for Disease Control and Prevention (CDC) esti-mates that for every month a child is breastfed, his or her risk for childhood overweight decreases by 4%, reaching a plateau by nine months. Re-search shows a 30% de-crease in the odds for being overweight for a child breastfed for at least eight full months when com-pared to a child who was never breastfed.3 The American Academy of Pediatrics (AAP) recom-mends exclusive breast-feeding for at least six months.2 The breastfeeding goals set forth in Healthy People 2020 are to have at least 60.6% of infants breastfed for at least six months, and have 34.1% of infants breastfed until 12 months of age. TOTS data from 2006- 2009 indicate that among Oklahoma 2-year-olds only 29.7% (95% Confidence Breastfeeding Duration Among Native Americans July 2011 Volume 4, Issue 1 TOTS Brief The Oklahoma Toddler Survey In Oklahoma: · Almost 30% of infants were breastfed for at least six months. Thirteen percent were breastfed for at least 12 months and 3.9% breastfed for 18 months or more. · Among Native Ameri-can toddlers, 15.3% (CI 10.9, 21.0) were breastfed at least six months, the lowest percentage of all races for toddlers breastfed or given breast milk for at least six months. · For Native American mothers, non-smokers were twice as likely as smokers to breastfeed for six months or more (45% vs. 23%). · Maternal education was the most significant predictor of breast-feeding duration at six months among Native American mothers. An EEO Employer What is TOTS? Only 7.7% of Native American mothers breastfed their babies until 12 months of age, far less than the 34.1% goal for Healthy People 2020. Interval (CI) 27.8–31.7) were breastfed for at least six months; and 13.3% (95% CI 11.9-14.8) were breastfed at least 12 months. Overall, Native American toddlers were shown to have the lowest duration rate at six months (15.3%, 95% CI 10.9- 21.0) compared to white toddlers (31.2%, 95% CI 29.0-33.5). Among Native Americans, maternal education was the only significant predictor of breastfeeding duration at six months when controlling for select maternal demographics, behaviors, and characteris-tics. Native American mothers who had attained at least a high school education were 14 times more likely to breastfeed for six months or more when compared to Native American mothers with less than a high school education (data not shown). The OSDH Maternal and Child Health Service and the Oklahoma City Area Inter-Tribal Health Board Tribal Breastfeeding Duration, cont. Epidemiology Center are working together to improve breastfeeding initiation and duration rates in Oklahoma. Six evidence-based interventions to pro-mote breastfeeding are: Maternity care practices; support for breastfeeding in the workplace; peer support; educating mothers; professional support; and media and social marketing. The effectiveness of professional education and public acceptance has yet to be established.4 References: 1. Rhodes KL, et. Al., American Indian Breast-feeding Attitudes and Practices in Minnesota, Maternal and Child Health Journal , 2008 Vol. 12, Supp. 1, 46-54. 2. Policy Statement. Pediatrics, Vol. 115, No. 2 Feb 2005, pp. 496-506. 3. Harder T, Bergmann R, Kallischnigg G, Plage-mann A. Duration of breastfeeding and risk of overweight: a meta-analysis. Am J Epide-miol 2005; 162:397-403. 4. Shealy KR, et al. The CDC Guide to Breast-feeding Interventions. Atlanta: US DHHS, CDC, 2005. Acknowledgements Terry Cline, Ph.D. Commissioner of Health and Secretary of Health and Human Services Stephen W. Ronck, M.P.H. Deputy Commissioner, Community and Family Health Services, Oklahoma State Department of Health Suzanna Dooley, M.S., A.R.N.P. Chief, Maternal and Child Health Service, Oklahoma State Department of Health Special assistance for this piece was provided by: Nancy Bacon, MS, RD/LD; Susan Harman, MPH (Oklahoma City Area Inter-Tribal Health Board); Dana Coles, MPH, CPH; Binitha Kunnel, MS; Alicia M. Lincoln, MSW, MSPH; Paul Patrick, MPH; and Lisa McKnight. Funding for TOTS is provided by the Maternal and Child Health Bureau, Department of Health and Human Services, MCH Title V Block Grant. The TOTS Brief is issued by the Oklahoma State Department of Health, as authorized by Terry Cline, Ph.D., Commissioner of Health and Secretary of Health and Human Services. Docutech printed 1,200 copies in July 2011 at a cost of $348. Copies were deposited with the Publications Clearinghouse of the Oklahoma Department of Libraries. 29.7 15.3 28.8 31.2 13.3 7.7 8.8 14.0 3.9 2.6 3.8 3.6 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0 OKLAHOMA Native American Black White Percent Breastfeeding Duration Rates for Oklahoma's Toddlers by Maternal Race, TOTS 2006-2009 6 months or more 12 months or more 18 months or more |
Date created | 2011-08-10 |
Date modified | 2011-10-27 |