Department of Pediatrics and Duke Center for Childhood Obesity Research (MJ White, MC Kay, NN Duke), Duke University Medical Center, Durham, NC.
Department of Pediatrics and Duke Center for Childhood Obesity Research (MJ White, MC Kay, NN Duke), Duke University Medical Center, Durham, NC; Duke Global Digital Health Science Center (MC Kay), Duke University, Durham, NC.
Acad Pediatr. 2022 Nov-Dec;22(8):1429-1436. doi: 10.1016/j.acap.2022.02.008. Epub 2022 Feb 25.
To examine racial and ethnic differences in maternal social support in infancy and the relationship between social support and mother-infant health behaviors.
Secondary analysis of baseline data from a multisite obesity prevention trial that enrolled mothers and their 2-month-old infants. Behavioral and social support data were collected via questionnaire. We used modified Poisson regression to determine association between health behaviors and financial and emotional social support, adjusted for sociodemographic characteristics.
Eight hundred and twenty-six mother-infant dyads (27.3% non-Hispanic Black, 18.0% Non-Hispanic White, 50.1% Hispanic and 4.6% Non-Hispanic Other). Half of mothers were born in the United States; 87% were Medicaid-insured. There were no racial/ethnic differences in social support controlling for maternal nativity. US-born mothers were more likely to have emotional and financial support (rate ratio [RR] 1.14 95% confidence interval [CI]: 1.07, 1.21 and RR 1.23 95% CI: 1.11, 1.37, respectively) versus mothers born outside the United States. Mothers with financial support were less likely to exclusively feed with breast milk (RR 0.62; 95% CI: 0.45, 0.87) yet more likely to have tummy time ≥12min (RR 1.28; 95% CI: 1.02, 1.59) versus mothers without financial support. Mothers with emotional support were less likely to report feeding with breast milk (RR 0.82; 95% CI: 0.69, 0.97) versus mothers without emotional support.
Nativity, not race or ethnicity, is a significant determinant of maternal social support. Greater social support was not universally associated with healthy behaviors. Interventions may wish to consider the complex nature of social support and population-specific social support needs.
探讨婴儿期产妇社会支持的种族和民族差异，以及社会支持与母婴健康行为之间的关系。
对一项多地点肥胖预防试验的基线数据进行二次分析，该试验招募了母亲及其 2 个月大的婴儿。通过问卷收集行为和社会支持数据。我们使用修正后的泊松回归来确定健康行为与经济和情感社会支持之间的关联，同时调整了社会人口特征。
826 对母婴二人组（27.3%为非西班牙裔黑人，18.0%为非西班牙裔白人，50.1%为西班牙裔，4.6%为非西班牙裔其他族裔）。一半的母亲出生在美国；87%的母亲拥有医疗补助保险。在控制母亲出生地的情况下，社会支持方面没有种族/民族差异。与出生在美国以外的母亲相比，出生在美国的母亲更有可能获得情感和经济支持（相对比率 [RR]1.14，95%置信区间 [CI]：1.07，1.21 和 RR1.23，95%CI：1.11，1.37）。有经济支持的母亲更不可能完全母乳喂养（RR0.62；95%CI：0.45，0.87），但更有可能有 12 分钟以上的腹部时间（RR1.28；95%CI：1.02，1.59），而没有经济支持的母亲则没有。有情感支持的母亲更不可能报告母乳喂养（RR0.82；95%CI：0.69，0.97），而没有情感支持的母亲则没有。
出生地而不是种族或民族是产妇社会支持的重要决定因素。更多的社会支持并不总是与健康行为相关。干预措施可能希望考虑社会支持的复杂性质和特定人群的社会支持需求。
