减少母乳养方面的差异:"成功的乳房"第二次超越
Deborah Hamilton1, Jaime Pérez2, Lydia Furman3
1Moms & Babies First Program, Neighborhood Health Association, Toledo, Ohio, USA.
概括
乳房为成功 (BFS) 计划显著增加了低收入的非洲裔美国人和黑人母亲的母乳养开始和继续率. 这种由社区卫生工作者领导的干预措施对旨在减少母乳养不平等的公共卫生计划具有前景.
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:
- 母乳养为母亲和婴儿提供了巨大的健康益处,但仍然存在显著的种族差异,特别是由于结构性种族主义而影响非裔美国人和黑人 (AA / B) 女人.
- 现有的母乳养支持计划往往无法充分满足高风险人群的需求,导致AA/B女性的启动,延续和独家率降低.
研究的目的:
- 评估Breast for Success (BFS) 干预措施在改善低收入,主要是AA/B母亲的母乳养结果中的可复制性和有效性.
- 评估BFS对真实世界社区卫生环境中产后一个月母乳养的启动,延续和专用性的影响.
主要方法:
- 进行了一项观察性研究 (BFS Excels a Second Time - BEST试验),将孕妇纳入由社区卫生工作者 (CHW) 领导的"母亲和婴儿第一 (MBF) "社区卫生工作者 (CHW) 领导的家庭访问计划.
- 参与者接受了BFS干预,包括11个CHW交付的母乳养模块,用品和产后哺乳访问,整合到现有的MBF计划中.
- 产后一个月开始母乳养,继续母乳养和独家母乳养是BEST试验参与者测量的主要结果.
主要成果:
- 研究人口主要由AA/B女性 (83%) 组成,其中大多数生活在贫困线200%以下 (95%) 和未婚 (98%).
- 在参与者中观察到异常高的母乳养率 (98%) 和产后一个月的继续 (98%).
- 91%的参与者在产后一个月实现了纯母乳养.
结论:
- "成功的乳房" (BFS) 干预非常有效,并与现有的医疗保健工作者主导的家庭访问计划无集成,在高风险人群中显著提高了母乳养率.
- BFS解决了母乳养支持的关键差距,证明了其在减轻母乳养方面的种族不平等以及改善母婴健康结果方面的潜力.
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