多样化哺乳劳动力:在洛杉矶县推进母乳养公平的战略
Gayle Shipp1, Skye Shodahl2, Arissa Palmer3
1Charles Stewart Mott Department of Public Health, Michigan State University, College of Human Medicine, Flint, Michigan, USA.
概括
洛杉矶县的母乳养支持缺乏多样性,只有少数有色人种的国际董事会认证的哺乳顾问 (IBCLC). 解决成本和时间等障碍对于公平的婴儿养结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 孕产妇和儿童的健康
背景情况:
- 在洛杉矶县 (LAC) 存在持续的母乳养差异,不成比例地影响少数民族和低收入人口.
- 一个显著的因素是种族和少数民族在哺乳专业人员,特别是国际董事会认证的哺乳顾问 (IBCLCs) 中的代表性不足.
- 这种缺乏多样性限制了对文化敏感和一致的哺乳护理的获取.
研究的目的:
- 检查LAC地区哺乳专业人员的人口特征.
- 评估认证状况,并确定这些专业人员认证的障碍.
- 了解劳动力人口统计与母乳养差异的关系.
主要方法:
- 对服务于洛杉矶县的哺乳专业人员进行了横截面调查.
- 该调查收集了关于社会人口统计信息,哺乳教育,就业和国际认证哺乳顾问 (IBCLC) 认证障碍的数据.
- 用描述性分析和千平方测试来分析数据.
主要成果:
- 该研究包括483名受访者,其中大多数是白人 (60.5%) 和女性 (83.7%).
- 哺乳教育者构成了最大的群体 (47.2%),其次是同行辅导员 (24%) 和国际认证哺乳顾问 (IBCLCs) (20%).
- 获得IBCLC认证的主要障碍包括时间限制 (24.8%),财务负担 (13.4%) 和家庭义务 (8.3%).
结论:
- 尽管存在障碍,但78%的非IBCLC表示有意获得认证,这表明他们渴望取得晋升.
- 哺乳期劳动力的现有有限多样性使现有的母乳养差异延续.
- 提高获得哺乳培训,财政援助和指导的机会对于发展更具包容性的劳动力和改善贫困社区的母乳养支持至关重要.
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