远程哺乳服务和按种族和民族分母养:一项随机临床试验
Lori Uscher-Pines1, Kandice Kapinos1, Molly Waymouth1
1RAND Corporation, Arlington, Virginia.
JAMA network open
|February 27, 2025
概括
视频远程哺乳服务对整体母乳养率没有显著影响,但对黑人母亲的情况有所改善. 这些服务可能有助于减少母乳养支持的种族差异.
科学领域:
- 生殖健康 生殖健康
- 健康 公平 卫生 公平
- 数字健康干预措施 数字健康干预措施
背景情况:
- 哺乳率表现出显著的种族和民族差异.
- 远程哺乳服务提供了一个潜在的解决方案,以减少母乳养支持方面的不平等.
- 目前关于远程哺乳的有效性的证据有限.
研究的目的:
- 评估视频远程哺乳对母乳养时间和独占性的影响.
- 为了评估不同人群的有效性.
- 确定远程哺乳是否可以减轻母乳养方面的种族差异.
主要方法:
- 一个数字随机临床试验,涉及39个州的2108名参与者.
- 参与者被随机分配到接受远程哺乳服务或婴儿护理电子书.
- 结果包括任何母乳养和产后24周的纯母乳养.
主要成果:
- 24周的总体母乳养率在各组之间没有显著差异 (70.6%对66.8%).
- 24周的纯母乳养率也没有显著差异 (46.9%与44.1%).
- 在远程哺乳组的黑人参与者中,观察到任何和专属母乳养的显著改善.
结论:
- 远程哺乳服务在本试验中没有显著影响整体母乳养率.
- 远程母乳养对黑人母乳养结果产生了显著的积极影响.
- 这些发现表明远程哺乳可以成为解决母乳养种族差异的一个有价值的工具.
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