高收入国家农村母乳养者之间的母乳养差异:一项范围广泛的研究
Natsuko K Wood1, Rebecca A Penders2, Ann M Dyer3
1Washington State University College of Nursing, Nursing & Systems Science Department, Spokane, Washington, USA.
概括
高收入农村国家的低母乳养率影响到母亲和婴儿. 支持和政策等可修改因素可以改善母乳养的专属性和持续时间.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 健康差异 在健康上的差异
背景情况:
- 低的母乳养启动和专用性对农村的母亲和婴儿构成风险.
- 母乳养的差异影响着母亲和婴儿的发病率,死亡率和经济成本.
研究的目的:
- 确定高收入国家的农村二元期母乳养差异的决定因素.
- 确定影响这些差异的可修改因素.
主要方法:
- 使用阿克西和奥马利框架进行范围研究.
- 在PubMed,CINAHL Complete,Embase和APAPsycInfo.的2012-2022年间发表的研究文献综述.
主要成果:
- 包括25项研究;与城市同行相比,农村母亲表现出不同的人口和健康状况.
- 在农村环境中,种族和族群之间存在显著的母乳养差异.
- 确定的可修改因素包括孕产妇的准备,母乳养的挑战,生活方式,支持系统,工作场所政策和基于技术的干预措施.
结论:
- 尽管存在普遍的母乳养挑战,但高收入国家的农村双胞胎需要有针对性的支持.
- 改善资源配置和获得护理的机会至关重要.
- 以患者为中心的技术干预措施在缓解农村母乳养障碍方面显示出前景.
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