Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco, California, USA.
Reaching Our Sisters Everywhere, Lithonia, Georgia, USA.
Breastfeed Med. 2021 Jun;16(6):447-451. doi: 10.1089/bfm.2020.0314. Epub 2021 May 12.
Breastfeeding is protective of maternal and infant health across the life course. Increasing breastfeeding rates in Black communities is an important public health strategy to address maternal and infant mortality and morbidity. Data trends for the past 10 years suggest that Black-led community efforts; local, state, and national initiatives; and maternity care practices that are supportive of breastfeeding have been effective in improving and increasing breastfeeding rates among Black women. Yet breastfeeding disparities and inequities in Black communities persist. Systemic and structural barriers, such as racism, bias, and inequitable access to lactation resources and support continue to be issues in the United States. Going forward, significant investments are needed to decolonize breastfeeding research and clinical practice. Public health and policy priorities need to center on listening to Black women, and funding Black, Indigenous, and People of Color (BIPOC) organizations and researchers conducting innovative projects and research.
母乳喂养对母婴健康具有终身保护作用。提高黑人群体的母乳喂养率是解决母婴死亡率和发病率的重要公共卫生策略。过去 10 年的数据趋势表明，黑人领导的社区努力、地方、州和国家的倡议，以及支持母乳喂养的产妇护理实践，在提高和增加黑人妇女的母乳喂养率方面是有效的。然而，黑人社区的母乳喂养差距和不平等仍然存在。在美国，系统性和结构性障碍，如种族主义、偏见和获得哺乳资源和支持的不平等，仍然是问题。展望未来，需要大量投资来使母乳喂养研究和临床实践去殖民化。公共卫生和政策重点需要放在倾听黑人妇女的意见上，并为开展创新项目和研究的黑人、原住民和有色人种（BIPOC）组织和研究人员提供资金。
