在母乳养干预研究中,结构不平等的保留和交集
Helen Wilde LaPlant1, Confidence Francis-Edoziuno1, Zhe Guan2
1School of Nursing, University of Connecticut.
medRxiv : the preprint server for health sciences
|April 1, 2024
概括
在一项母乳养研究中,收入较低和少数种族/族裔背景的女性的保留率明显较低. 解决这些差异对于改善母乳养时间和终身健康行为至关重要.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 临床试验 留住 临床试验 留住
背景情况:
- 低于贫困线的妇女在母乳养研究中代表性不足.
- 在母乳养研究中的保留对于了解影响母乳养时间的因素至关重要.
- 哺乳是一种关键的终身预防性健康行为.
研究的目的:
- 在一个纵向母乳养自我管理研究中分析影响参与者保留因素.
- 确定参与母乳养研究的妇女中保留母乳的人口预测因素.
主要方法:
- 在母乳养期间对乳房和乳头疼痛进行随机对照试验的二次分析.
- 通过在线调查和面对面采访收集纵向数据.
- 统计分析包括描述性统计,曼-惠特尼,皮尔森的千平方和考克斯的比例危险回归.
主要成果:
- 随着时间的推移,保留率下降,在24周内保持率为72%.
- 与高收入女性相比,低收入女性的保留风险比率 (2.5) 高于高收入女性.
- 与其他群体相比,非西班牙裔黑人和西班牙裔女性的保留风险比率也更高,尽管在调整后,个别因素缺乏统计学意义.
结论:
- 哺乳研究中的参与者保留受到了收入,种族/种族和年龄的交集的影响.
- 可访问的研究设计没有完全克服社会经济弱势妇女的留学障碍.
- 在母乳养研究中提高保留率对于准确的关于母乳养时间及其健康益处的数据至关重要.
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