title: Awareness of United States' Law for Nursing Mothers among Employers in New Orleans, Louisiana.
abstract: The U.S. Federal Reasonable Break Time for Nursing Mothers Law to support breastfeeding employees was passed in 2010, as part of the Affordable Care Act. However, few data are available assessing employers' awareness of the law or its implementation.
  
  
  
  The study aims were to 1) describe New Orleans employers' awareness of the law, 2) determine the extent of the law implementation within workplaces, and 3) determine the associations between workplace characteristics and employers' awareness and implementation.
  
  
  
  A cross-sectional survey was mailed to 652 workplaces with more than 50 employees in New Orleans, Louisiana, in the fall of 2013. A random sample of those who did not respond was called. The survey included questions about the industry category, number and type of employees, the employers' awareness of the law, if they had begun to implement the law, and their perceptions of barriers to implementation.
  
  
  
  The final sample included 182 workplaces (27.9% response rate). Eighty-seven participants (47.8%) reported having heard of the law. However, 52.7% of the participants (n = 96) responded that they had begun to implement the law. Large workplaces (≥100 employees) were more than four times as likely to be aware of the law compared with smaller workplaces (odds ratio, 4.23; 95% confidence interval, 1.69-10.59). The results were similar for beginning implementation.
  
  
  
  The proportion of large workplaces who are aware of the law remains lower than it should be, even 3 years after the institution of the Affordable Care Act. Outreach to all workplaces, including smaller ones, is needed to inform employers about the law and give them tools for implementation.
authors.affiliation: Tulane University School of Public Health & Tropical Medicine, New Orleans, Louisiana. Electronic address: caitrinalb@gmail.com.
authors.forename: Caitrin H
authors.initials: CH
authors.lastname: Alb
authors.affiliation: Tulane University School of Public Health & Tropical Medicine, New Orleans, Louisiana.
authors.forename: Katherine
authors.initials: K
authors.lastname: Theall
authors.affiliation: Tulane University School of Public Health & Tropical Medicine, New Orleans, Louisiana.
authors.forename: Marni B
authors.initials: MB
authors.lastname: Jacobs
authors.affiliation: Tulane University School of Public Health & Tropical Medicine, New Orleans, Louisiana.
authors.forename: Ana
authors.initials: A
authors.lastname: Bales
mesh_terms: D000328:Adult; D001942:Breast Feeding; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007878:Legislation as Topic; D008145:Louisiana; D009035:Mothers; D055820:New Orleans; D016134:Organizational Policy; D058991:Patient Protection and Affordable Care Act; D012944:Social Support; D014481:United States; D014931:Women, Working; D017132:Workplace