Scholarlink

Objectives <p>This study examines the associations between race and ethnicity and receipt of Baby Friendly Hospital Initiative (BFHI) key clinical practices that support breastfeeding in US hospitals.</p> Methods <p>National data from 2016 to 2019 CDC PRAMS were analyzed. Our sample included 60,395 mothers who initiated breastfeeding with healthy, term newborns. We conducted adjusted regression analyses to compare the odds of receiving individual key clinical practices that support breastfeeding, as well as the percent of key clinical practices received.</p> Results <p>While some key clinical practices were received at high rates, less than 25% of mothers received 100% of recommended key clinical practices. Compared to White non-Hispanic mothers, mothers from various racial and ethnic groups were at lower odds of receiving 100% of key clinical practices: Black non-Hispanic [adjusted odds ratio (AOR) 0.59, 95% confidence interval (CI) (0.47–0.65)], English-Speaking Hispanic [AOR 0.79, 95% CI (0.71–0.88)], Spanish-speaking Hispanic [AOR 0.63, 95% CI (0.53–0.73)], and Asian/Pacific Islander non-Hispanic [AOR 0.54, 95% CI (0.47–0.63)].</p> Conclusions for Practice <p>Despite a steady increase in the number of BFHI hospitals in the US, there are racial and ethnic disparities in the receipt of BFHI key clinical practices. More US hospitals must adopt BFHI key clinical practices and consistently implement those practices for every racial and ethnic group.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Racial and Ethnic Disparities in Hospital Breastfeeding Care in the US

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年1月29日

查看全文
  • Jane Lazar Tucker,
  • Kimberly Arcoleo,
  • Diane DiTomasso,
  • Brietta M. Oaks,
  • Howard Cabral,
  • Thaís São-João

摘要

Objectives

This study examines the associations between race and ethnicity and receipt of Baby Friendly Hospital Initiative (BFHI) key clinical practices that support breastfeeding in US hospitals.

Methods

National data from 2016 to 2019 CDC PRAMS were analyzed. Our sample included 60,395 mothers who initiated breastfeeding with healthy, term newborns. We conducted adjusted regression analyses to compare the odds of receiving individual key clinical practices that support breastfeeding, as well as the percent of key clinical practices received.

Results

While some key clinical practices were received at high rates, less than 25% of mothers received 100% of recommended key clinical practices. Compared to White non-Hispanic mothers, mothers from various racial and ethnic groups were at lower odds of receiving 100% of key clinical practices: Black non-Hispanic [adjusted odds ratio (AOR) 0.59, 95% confidence interval (CI) (0.47–0.65)], English-Speaking Hispanic [AOR 0.79, 95% CI (0.71–0.88)], Spanish-speaking Hispanic [AOR 0.63, 95% CI (0.53–0.73)], and Asian/Pacific Islander non-Hispanic [AOR 0.54, 95% CI (0.47–0.63)].

Conclusions for Practice

Despite a steady increase in the number of BFHI hospitals in the US, there are racial and ethnic disparities in the receipt of BFHI key clinical practices. More US hospitals must adopt BFHI key clinical practices and consistently implement those practices for every racial and ethnic group.