新生儿重症监护室中母亲陪伴的社会人口学特征：交叉性分析
Sociodemographic characteristics of maternal presence in neonatal intensive care: an intersectional analysis.
作者信息
McCarty Dana B, Golden Shelley D, Ferrari Renée M, Zvara Bharathi J, Wilson Wylin D, Shanahan Meghan E
机构信息
Division of Physical Therapy, Department of Health Sciences University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Department of Maternal and Child Health, Gillings School of Global Public Health University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
J Perinatol. 2024 Nov 21. doi: 10.1038/s41372-024-02175-z.
OBJECTIVE
Maternal presence in the Neonatal Intensive Care (NICU) supports infant and maternal health, yet mothers face visitation challenges. Based on intersectionality theory, we hypothesized that mothers of Black infants with lower socioeconomic status (SES) living further from the hospital would demonstrate the lowest rates of maternal presence.
STUDY DESIGN
We extracted infant race, Medicaid status, and maternal home address from 238 infant medical charts. The primary outcome was rate of maternal presence. Generalized linear modeling and binomial regression were employed for analysis.
RESULTS
Medicaid status was the strongest single predictor of lower rates of maternal presence. Having lower SES was associated with lower rates of maternal presence in mothers of white infants, and living at a distance from the hospital was associated with lower maternal presence in mothers of higher SES.
CONCLUSIONS
Interventions to support maternal presence in the NICU should address resource-related challenges experienced by mothers of lower SES.
目的
产妇陪伴在新生儿重症监护病房（NICU）对婴儿和产妇健康有益，但母亲们面临探视挑战。基于交叉性理论，我们推测社会经济地位（SES）较低、居住地点离医院较远的黑人婴儿的母亲陪伴率最低。
研究设计
我们从238份婴儿病历中提取了婴儿种族、医疗补助状态和产妇家庭住址。主要结果是产妇陪伴率。采用广义线性模型和二项式回归进行分析。
结果
医疗补助状态是产妇陪伴率较低的最强单一预测因素。SES较低与白人婴儿母亲的较低陪伴率相关，而居住地点离医院较远与SES较高的母亲的较低陪伴率相关。
结论
支持产妇在NICU陪伴的干预措施应解决SES较低的母亲所面临的与资源相关的挑战。
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