实施政策和实践变化,以支持纽约州社区的母乳养时间
Ann Lowenfels1, Megan Murphy2, Abbie Archibald2
1Bureau of Chronic Disease Evaluation and Research, New York State Department of Health, 1084 Corning Tower, Empire State Plaza, Albany, NY 12237 (ann.lowenfels@health.ny.gov).
Preventing chronic disease
|July 11, 2024
概括
创建哺乳友好社区计划改善了工作场所的母乳养支持,特别是在脆弱的地区. 然而,较小的农村工作场所需要有针对性的策略来减少母乳养时间的差异.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在美国,母乳养的持续时间低于最佳,差异影响了受教育程度较低,收入较低的母亲,非西班牙裔黑人母亲和非大都市地区的母亲.
- 创建友好母乳养社区计划旨在通过工作场所政策和实践变化,加强母乳养支持并减少差距.
研究的目的:
- 评估创建友好母乳养社区计划在增加母乳养支持和解决现有差异方面的有效性.
- 评估参与该计划的工作场所母乳养政策和实践的变化.
主要方法:
- 一个14项工具评估了292个工作场所的基线和后续的母乳养政策和做法.
- 分析了工地规模,社区社会脆弱性和县乡村情况,以了解计划的覆盖范围和影响.
- 使用统计分析来确定母乳养支持的改进,并确定差异.
主要成果:
- 在参与工作场所的母乳养支持的数量和质量有显著的改善.
- 该计划有效地参与了位于社会脆弱社区的工地.
- 虽然母乳养支持在所有工作场所子组增加,但在小型或农村工作场所的收益较小.
结论:
- 工作场所的哺乳计划和保护性劳动法是有效的促进母乳养.
- 针对小型,农村或社会脆弱的工作场所,需要有针对性的干预措施,以确保公平地改善母乳养支持并减少差异.
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