Reducing Disparities in Breastfeeding: "Breast for Success" Excels a Second Time.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Deborah Hamilton, Jaime Pérez, Lydia Furman
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引用次数: 0

Abstract

Background: Breastfeeding is a key public health priority with known racial inequities. Despite the well-described and far-reaching health benefits of breastfeeding for mothers and infants, rates of breastfeeding initiation, continuation, and exclusivity lag meaningfully among African American and Black (AA/B) women compared with other racial and ethnic groups due in main to current and historical structural racism. Methods: The study objective was to assess the replicability of Breast for Success (BFS) on breastfeeding rates among home-visited low-income predominantly AA/B mothers. The BFS Excels a Second Time (BEST) trial was an observational study conducted at the Neighborhood Health Association, Toledo, OH, enrolling expectant women (June 2022-March 2023, followed to October 2023) participating in the Moms and Babies First (MBF) Community Health Worker (CHW)-led home visiting program. The exposure, BFS, includes 11 CHW-delivered breastfeeding-supportive modules, breastfeeding supplies, and a postnatal lactation visit. All MBF mothers received BFS; those who agreed to data sharing were BEST participants. The outcomes were breastfeeding initiation, and breastfeeding continuation, and exclusivity at 1 month. Results: The majority of participants were AA/B (48, 83%), had an income <200% poverty level (55, 95%), and were unmarried (57, 98%); mean age was 25.8 years (SD 5.5). Of the 58 participants, 57 (98%) initiated breastfeeding and continued breastfeeding at 1 month postpartum; 53 (91%) were exclusively breastfeeding at 1 month postpartum. Discussion: BFS piggybacks seamlessly onto CHW-led home-visiting curricula and increased breastfeeding rates among women at high risk for not breastfeeding. Public health programs can add BFS to fill a critical curricular and impact gap with respect to breastfeeding support.

减少母乳喂养中的差异:"成功母乳喂养 "再创佳绩。
背景:母乳喂养是一项关键的公共卫生优先事项,存在已知的种族不平等。尽管母乳喂养对母婴健康的益处已被充分描述且意义深远,但与其他种族和族裔群体相比,非裔美国人和黑人(AA/B)妇女母乳喂养的开始率、持续率和纯母乳喂养率却明显落后,这主要是由于当前和历史上的结构性种族主义造成的。研究方法研究目的是评估 "成功母乳喂养法"(BFS)在家访低收入非裔美国人和黑人母亲中母乳喂养率的可推广性。BFS Excels a Second Time (BEST) 试验是在俄亥俄州托莱多市邻里健康协会开展的一项观察性研究,研究对象为参加 "妈妈宝宝第一"(MBF)社区健康工作者(CHW)领导的家访计划的孕妇(2022 年 6 月至 2023 年 3 月,跟踪至 2023 年 10 月)。该项目包括 11 个由社区保健员提供的母乳喂养支持模块、母乳喂养用品和一次产后哺乳访视。所有 MBF 母亲都接受了 BFS;同意数据共享的母亲为 BEST 参与者。其结果是母乳喂养的开始、母乳喂养的持续和 1 个月的纯母乳喂养。结果大多数参与者为 AA/B 族(48 人,占 83%),有收入讨论:BFS与CHW主导的家访课程无缝衔接,提高了高风险妇女的母乳喂养率。公共卫生项目可以加入 BFS,以填补母乳喂养支持方面的关键课程和影响空白。
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来源期刊
Breastfeeding Medicine
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.
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