Tucker Jane Lazar, Arcoleo Kimberly, DiTomasso Diane, Oaks Brietta M, Cabral Howard, São-João Thaís
College of Nursing, University of Rhode Island, 350 Eddy St, Providence, RI, 02903, USA.
College of Health Sciences, University of Rhode Island, 55 Lower College Rd, Kingston, RI, 02881, USA.
Matern Child Health J. 2025 Feb;29(2):173-182. doi: 10.1007/s10995-025-04065-y. Epub 2025 Jan 29.
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.
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.
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)].
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.
本研究探讨种族和族裔与美国医院获得支持母乳喂养的“爱婴医院倡议”（BFHI）关键临床实践之间的关联。
分析了2016年至2019年美国疾病控制与预防中心（CDC）孕期风险评估监测系统（PRAMS）的全国数据。我们的样本包括60395名开始母乳喂养健康足月儿的母亲。我们进行了调整后的回归分析，以比较接受支持母乳喂养的各项关键临床实践的几率，以及接受关键临床实践的百分比。
虽然一些关键临床实践的接受率很高，但不到25%的母亲接受了100%的推荐关键临床实践。与非西班牙裔白人母亲相比，来自不同种族和族裔群体母亲接受100%关键临床实践的几率较低：非西班牙裔黑人[调整后的优势比（AOR）0.59，95%置信区间（CI）（0.47 - 0.65）]、说英语的西班牙裔[AOR 0.79，95% CI（0.71 - 0.88）]、说西班牙语的西班牙裔[AOR 0.63，95% CI（0.53 - 0.73）]以及非西班牙裔亚裔/太平洋岛民[AOR 0.54，95% CI（0.47 - 0.63）]。
尽管美国BFHI医院的数量稳步增加，但在接受BFHI关键临床实践方面存在种族和族裔差异。更多美国医院必须采用BFHI关键临床实践，并针对每个种族和族裔群体持续实施这些实践。
