关于母乳养的信息来源与母乳养开始相关:对种族差异的洞察
Kaeli C Johnson1, Rohit Baal Balasundaram1, Idara N Akpan1
1School of Public Health, College of Public Health, University of North Texas Health Science Center, Fort Worth, Texas, USA.
概括
尽管黑人妇女从临床和社会来源获得信息,但她们的母乳养率较低. 诸如医疗保健偏见之类的系统性障碍有助于这些差异,需要文化定制的干预措施.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
背景情况:
- 哺乳对婴儿和母亲都有显著的健康益处.
- 在开始母乳养方面仍然存在种族和种族差异,尤其影响黑人妇女.
研究的目的:
- 调查母乳养方面的种族差异,从各种来源获取信息.
- 检查信息来源与母乳养开始率之间的关联.
主要方法:
- 分析8期核心怀孕风险评估监测系统数据 (2016-2020年,n=163,724).
- 跨种族群体开始母乳养的可能性的比较.
- 用单变量和多变量分析评估临床和社会信息来源的影响.
主要成果:
- 与其他种族群体相比,黑人妇女的母乳养率始终较低.
- 临床和社会信息来源都对开始母乳养产生了积极的影响.
- 尽管获得了信息,但黑人女性的入门率仍然低于白人女性.
结论:
- 系统性障碍,包括医疗保健种族主义和偏见,是母乳养差异的基础.
- 文化定制的干预措施和加强医疗保健提供者培训至关重要.
- 弥合临床和社会信息差距可以改善少数群体中母乳养率.
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