从社会经济的角度来看,在产科里促进母乳养
Christina Kürten1, Nele Hockamp1, Kathrin Sinningen1
1Research Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef Hospital Ruhr-University Bochum Bochum Germany.
Food science & nutrition
|October 20, 2025
概括
在社会经济贫困地区的医院提供更少的母乳养支持. 改善医院内母乳养推广,信息和支持可以帮助减少母亲和儿童的健康差异.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 哺乳的社会差异可能导致母婴健康状况的不平等.
- 医院内母乳养促进,信息和支持对于建立短期和长期母乳养实践至关重要.
- 在COVID-19大流行背景下,突出了了解现有的医疗保健差异的必要性.
研究的目的:
- 检查医院内促进母乳养与德国北莱-威斯特伐利亚州医院流域社会经济状况之间的关系.
- 评估社会经济因素如何影响医院提供母乳养支持.
- 确定加强在服务不足地区促进母乳养的潜在策略.
主要方法:
- 使用基于世卫组织/联合国儿童基金会"成功母乳养的十个步骤"的母乳养促进指数 (BPI) 实施医院内母乳养支持.
- 根据德国社会经济贫困指数 (GISD) 和首席医生的估计,评估了医院流域的社会经济状况.
- 采用非参数统计测试 (Jonckheere-Terpstra) 和相关性分析 (斯皮尔曼的罗,肯德尔的 tau c).
主要成果:
- 在较低的社会经济地位和较低的BPI之间发现了显著的关联,反之亦然.
- 与GISD相比,使用首席医生估计的社会经济地位和BPI之间的关联更强.
- 较高的BPI和更高的区域社会经济地位与出院时母乳养率的增加有关.
结论:
- 医院可以通过分析其流域的社会经济状况来确定增强母乳养支持的需求.
- 调查结果表明,即使在德国已经建立的医疗保健系统内,也存在"不成比例的护理"的可能性.
- 有针对性的干预措施可能是必要的,以解决社会经济差异的母乳养支持和结果.
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