路易斯安那州的产妇护理沙漠和母乳养启动
Chanell O Haley1, Lily E King2, Lauren Dyer1
1Department of Behavioral, Social, and Population Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana; Mary Amelia Center for Women's Health Equity Research, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana.
概括
在产妇护理沙漠中生活与所有分娩人员的母乳养率较低有关. 解决这些差异需要改善农村地区获得怀孕护理的机会.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 健康 公平 卫生 公平
背景情况:
- 哺乳为母亲和婴儿提供了显著的健康优势.
- 低于最佳的母乳养率突出了严重的公共卫生问题.
- 产妇护理沙漠对最佳的产妇和婴儿护理构成了障碍.
研究的目的:
- 调查路易斯安那州产妇护理沙漠居住和母乳养开始率之间的关联.
- 探索在这些服务不足的地区开始母乳养的种族差异.
主要方法:
- 路易斯安那州教区按产妇护理准入水平分类,使用Dimes月份的数据.
- 分析了来自路易斯安那州生命记录办公室的活产数据 (n=112,151).
- 雇员调整后修改的Poisson回归和地理空间分析,并按种族/民族分层分析.
主要成果:
- 居住在有限或根本没有获得产妇护理的地区与较低的母乳养开始率 (OR 0.87-0.88) 有关.
- 在这些地区,非西班牙裔黑人和非西班牙裔白人分娩的人均显示母乳养开始减少.
- 调查结果表明,产妇护理对跨种族群体的母乳养产生了持续的负面影响.
结论:
- 获得产妇护理的机会是影响母乳养率的重要因素.
- 结构变革和基础设施投资对于改善服务不足地区的孕妇护理至关重要.
- 解决农村和种族在母乳养方面的不平等问题需要有针对性的干预和政策变化.
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