Disparities in Donor Human Milk Supplementation Among Well Newborns.
breastfeeding
epidemiological methods
human milk
milk banking
supplementation
Journal
Journal of human lactation : official journal of International Lactation Consultant Association
ISSN: 1552-5732
Titre abrégé: J Hum Lact
Pays: United States
ID NLM: 8709498
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
pubmed:
27
11
2019
medline:
10
2
2021
entrez:
27
11
2019
Statut:
ppublish
Résumé
Donor human milk supplementation for healthy newborns has increased. Racial-ethnic disparities in supplementation have been described in the neonatal intensive care unit but not in the well newborn setting. The aim of this study was to identify maternal characteristics associated with donor human milk versus formula supplementation in the well newborn unit. This retrospective cohort study includes dyads of well newborns and their mothers ( Nonwhite women were less likely to use donor human milk. Compared to non-Hispanic white women, the largest disparity was with Hispanic (adjusted odds ratio [OR] = 0.28, 95% CI [0.12, 0.65]), then non-Hispanic black (adjusted OR = 0.32, 95% CI [0.13, 0.76]) and Asian women (adjusted OR = 0.34, 95% CI [0.16, 0.74]). Lower donor human milk use was associated with primary language other than English and public versus private insurance. The goal of improving public health through breastfeeding promotion may be inhibited without targeting donor human milk programs to these groups. Identifying the drivers of these disparities is necessary to inform person-centered interventions that address the needs of women with diverse backgrounds.
Sections du résumé
BACKGROUND
BACKGROUND
Donor human milk supplementation for healthy newborns has increased. Racial-ethnic disparities in supplementation have been described in the neonatal intensive care unit but not in the well newborn setting.
RESEARCH AIM
OBJECTIVE
The aim of this study was to identify maternal characteristics associated with donor human milk versus formula supplementation in the well newborn unit.
METHODS
METHODS
This retrospective cohort study includes dyads of well newborns and their mothers (
RESULTS
RESULTS
Nonwhite women were less likely to use donor human milk. Compared to non-Hispanic white women, the largest disparity was with Hispanic (adjusted odds ratio [OR] = 0.28, 95% CI [0.12, 0.65]), then non-Hispanic black (adjusted OR = 0.32, 95% CI [0.13, 0.76]) and Asian women (adjusted OR = 0.34, 95% CI [0.16, 0.74]). Lower donor human milk use was associated with primary language other than English and public versus private insurance.
CONCLUSION
CONCLUSIONS
The goal of improving public health through breastfeeding promotion may be inhibited without targeting donor human milk programs to these groups. Identifying the drivers of these disparities is necessary to inform person-centered interventions that address the needs of women with diverse backgrounds.
Identifiants
pubmed: 31770064
doi: 10.1177/0890334419888163
pmc: PMC7015767
mid: NIHMS1062066
doi:
Types de publication
Journal Article
Langues
eng
Pagination
74-80Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR002537
Pays : United States
Organisme : NIMH NIH HHS
ID : K23 MH101157
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001860
Pays : United States
Organisme : NICHD NIH HHS
ID : K12 HD051958
Pays : United States
Organisme : NCATS NIH HHS
ID : U54 TR001356
Pays : United States
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