Factors Associated with Inequities in Donor Milk Bank Access Among Different Hospitals.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Breastfeeding Medicine Pub Date : 2024-10-28 DOI:10.1089/bfm.2024.0199

Caroline Toney-Noland, Ronald S Cohen, Lenae Joe, Peiyi Kan, Henry C Lee

引用次数: 0

Abstract

Objective: Donor human milk (DHM) can provide many benefits to neonates. This study examines access to DHM and how structural barriers may exacerbate inequities. Study Design: The median test and analysis of variance test were used to compare the distribution of maternal race/ethnicity and insurance status variables with DHM access for California neonatal intensive care units (NICUs) in 2021. Results: Across 124 NICUs, those serving a higher percentage of white families were more likely to have access to DHM (p = 0.04). NICUs with a higher percentage of Hispanic families were less likely to have access to DHM (p = 0.03). Hospitals that had higher proportions of uninsured patients were also less likely to have access to DHM (p = 0.015). Conclusion: Inequities in DHM access and use among NICU infants begin at the structural level. Policies that reduce barriers to DHM access may reduce health inequities for Hispanic and uninsured families.

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不同医院在使用供体奶库方面存在不平等的相关因素。

目的：捐赠人乳（DHM）可为新生儿带来诸多益处。本研究探讨了获得 DHM 的途径以及结构性障碍如何加剧不平等。研究设计：采用中位数检验和方差分析检验，比较 2021 年加利福尼亚州新生儿重症监护病房 (NICU) 中产妇种族/族裔和保险状况变量的分布与 DHM 获取情况。结果：在 124 个新生儿重症监护室中，白人家庭比例较高的监护室更有可能获得 DHM（p = 0.04）。西班牙裔家庭比例较高的新生儿监护病房获得 DHM 的可能性较低（p = 0.03）。无保险患者比例较高的医院也较少使用 DHM（p = 0.015）。结论：新生儿重症监护室婴儿在获得和使用 DHM 方面的不平等始于结构层面。减少获得 DHM 障碍的政策可能会减少西班牙裔和无保险家庭在健康方面的不平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS

CiteScore

4.20

自引率

11.10%

发文量

130

审稿时长

6-12 weeks

期刊介绍： Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.