医院配方补充 哺乳后开始,社区经济和种族
Alison Mildon1, Gillian D Alton2, Jo-Anna B Baxter1
1Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
为哺乳新生儿补充医院配方奶粉是常见的,而且越来越多. 它与社会经济边缘化和母亲的种族有关,强调需要更好地支持母乳养,以改善健康公平.
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:
- 哺乳提供了重要的终身健康益处.
- 哺乳率存在持续的社会经济和种族差异.
- 医院配方补充剂的做法可能会导致这些差异.
研究的目的:
- 调查术后出生,母乳养新生儿和邻里社会经济地位以及母亲的种族之间非医学指示的医院配方补充剂之间的关联.
- 确定医院实践中影响婴儿养结果的潜在偏见.
主要方法:
- 一项使用加拿大安大略省 (2015-2021) 省级登记数据的队列研究.
- 包括422,048名按期出生的单独婴儿,他们开始母乳养.
- 暴露包括邻居的社会经济地位 (使用安大略省边缘化指数) 和母亲的种族 (亚洲人,黑人,白人,其他).
主要成果:
- 总体而言,27%的婴儿接受了非医疗指示的配方补充剂,在研究期间从23%增加到32%.
- 在更多的社会经济边缘化社区,补充剂的风险更高 (aRR为1.68).
- 与白人相比,亚洲人,黑人和其他种族群体的补充风险明显高 (aRR分别为2.69,2.07和1.43).
结论:
- 非医疗指示的配方补充剂在母乳养的新生儿中很普遍,并且在增加.
- 社会经济边缘化和母亲的种族化与配方奶粉补充剂的风险增加有关.
- 加强医院对母乳养支持指南的遵守对于促进健康公平至关重要.
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