心脏病患者的母乳养率的种族差异
Ayamo G Oben1,2, Christina T Blanchard3,4, Ashton Robinson3
1University of Alabama at Birmingham Marnix E. Heersink School of Medicine, Birmingham, AL, USA. aoben2015@gmail.com.
Journal of racial and ethnic health disparities
|March 21, 2024
概括
与非西班牙裔白人患者相比,患有心脏病的非西班牙裔黑人患者打算母乳养和继续母乳养的可能性较低,尽管医院出院的比例相似.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 母亲心脏病需要专门的心脏和产科护理.
- 母乳养对母亲和孩子都有显著的健康益处.
- 健康结果的种族差异是孕产妇护理的一个关键问题.
研究的目的:
- 调查心脏病怀孕患者开始和继续母乳养的种族差异.
- 为了比较非西班牙裔黑人 (NHB) 和非西班牙裔白人 (NHW) 患者在心脏产科计划中的母乳养率.
主要方法:
- 怀孕心脏病患者的回顾性队列研究 (2015年3月 - 2019年6月).
- 包括NHB和NHW患者参加≥1次产前检查并在同一医院分娩.
- 主要结果:出院时的母乳养率;次要结果:母乳养的意图和产后母乳养率.
主要成果:
- 包括138名患者:58名NHB (42%) 和80名NHW (58%).
- 在入院时,NHB患者的母乳养意图较低 (74.2%对91.3%,p=0.01).
- 在NHB与NHW患者的产后诊所,母乳养率明显较低 (38.2%与61.1%,p=0.036).
结论:
- 尽管医院出院的母乳养率相似,但心脏病患者的NHB患者的母乳养意图和持续性降低.
- 定性研究对于理解和解决这些差异至关重要.
- 改善母乳养对患有母乳心脏病的NHB患者的支持至关重要.
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