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Breastfeeding, Community Vulnerability, Resilience, and Disasters: A Snapshot of the United States Gulf Coast

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  • Tony H. Grubesic

    (Center for Geospatial Sciences, School of Public Policy, University of California at Riverside, Riverside, CA 92521, USA)

  • Kelly M. Durbin

    (Childbirth International, Queenstown 9300, New Zealand)

Abstract

Climate change-induced disasters are increasing in intensity and frequency in the United States. Infant feeding in the aftermath of an extreme event is particularly challenging, especially given large variations in community vulnerability and resilience. The aim of this study was to identify the physical, social, and spatial vulnerabilities of communities along the Gulf Coast and highlight locations where high (or low) breastfeeding initiation rates have the potential to offset (or exacerbate) infant feeding challenges in the wake of a disaster. We structured this study as a retrospective, spatial data analysis of breastfeeding initiation, the risk for extreme events, social vulnerability, and community resilience to uncover locations that may need post-disaster intervention. The results suggested that significant gaps in the geographic distribution of community risk, vulnerability, resilience, and breastfeeding initiation existed. While many metropolitan areas benefitted from high breastfeeding initiation rates, they were also the most “at risk” for disasters. Conversely, many rural communities faced less risk for extreme events but exhibited more social vulnerability and less resilience should a disaster strike. Prioritizing emergency response resources to support infant feeding after a disaster is critically important, but urban and rural communities have divergent profiles that will require variable strategies to ensure recovery. Our results highlight this variability and provide prescriptive guidance regarding where to potentially allocate emergency resources.

Suggested Citation

  • Tony H. Grubesic & Kelly M. Durbin, 2022. "Breastfeeding, Community Vulnerability, Resilience, and Disasters: A Snapshot of the United States Gulf Coast," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:11847-:d:919476
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    References listed on IDEAS

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    1. Peter J Hotez & Kristy O Murray & Pierre Buekens, 2014. "The Gulf Coast: A New American Underbelly of Tropical Diseases and Poverty," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 8(5), pages 1-3, May.
    2. Anselin, Luc, 2002. "Under the hood : Issues in the specification and interpretation of spatial regression models," Agricultural Economics, Blackwell, vol. 27(3), pages 247-267, November.
    3. Susan L. Cutter & Bryan J. Boruff & W. Lynn Shirley, 2003. "Social Vulnerability to Environmental Hazards," Social Science Quarterly, Southwestern Social Science Association, vol. 84(2), pages 242-261, June.
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