关键词: Breastfeeding adolescent mothers integrated primary care racial disparities teen-tot clinic

来  源:   DOI:10.1080/02646838.2024.2361367

Abstract:
UNASSIGNED: Breastfeeding has a positive impact on child and maternal health outcomes. Black and Latina women and adolescent mothers have lower rates of breastfeeding initiation and continuance in the U.S. Maternal depression and psychosocial stressors may contribute to reduced rates of breastfeeding. The current study aims to better understand behaviours and associated factors related to breastfeeding in a diverse group of adolescent mothers attending a teen-tot clinic for postpartum and infant well care.
UNASSIGNED: Participants were 191 mother-infant dyads. Mother\'s age ranged from 13 to 25, and 54% of mothers identified as Latina, 22% Black, 11% more than one race and 5% white. Demographic information and breastfeeding behaviour were abstracted from the medical record. Rates of postpartum mood/anxiety symptoms and psychosocial stressors were obtained from screening measures completed at medical visits.
UNASSIGNED: Analyses revealed that 87% of adolescent mothers in the sample initiated breastfeeding at birth and the racial/ethnic breakdown of those mothers closely mirrored the overall population (58% Hispanic or Latina, 17% Black, 10% more than one race, 5% white). At 2 months postpartum, only 41% of the population was still breastfeeding. Mothers with significant mood/anxiety symptoms at the newborn visit were more likely to be breastfeeding at the 1- and 2-month visits. Mothers with psychosocial stressors at the newborn visit were less likely to be breastfeeding at the 1- and 2-month visits.
UNASSIGNED: Efforts to promote health equity through breastfeeding for at-risk mothers must occur within the first few weeks postpartum and must consider associated factors including postpartum mood/anxiety symptoms and psychosocial stressors.
摘要:
母乳喂养对儿童和孕产妇健康结果有积极影响。在美国,黑人和拉丁裔妇女和青春期母亲开始和继续母乳喂养的比率较低。母亲抑郁症和社会心理压力源可能导致母乳喂养率降低。目前的研究旨在更好地了解与母乳喂养相关的行为和相关因素,这些行为和相关因素是在一个青少年诊所就诊的青少年母亲中进行产后和婴儿护理的。
参与者为191个母婴二叉。母亲的年龄从13岁到25岁不等,54%的母亲被认定为拉丁裔,22%黑色,11%以上的种族和5%的白人。从病历中提取了人口统计信息和母乳喂养行为。产后情绪/焦虑症状和心理社会压力源的比率是从医疗就诊时完成的筛查措施中获得的。
分析表明,样本中87%的青春期母亲在出生时开始母乳喂养,这些母亲的种族/族裔崩溃与总人口密切相关(58%的西班牙裔或拉丁裔,17%黑色,比一场比赛多10%,5%白色)。产后2个月,只有41%的人口仍在母乳喂养.在新生儿就诊时有明显情绪/焦虑症状的母亲在1个月和2个月就诊时更有可能母乳喂养。在新生儿就诊时具有心理社会应激源的母亲在1个月和2个月的就诊时不太可能母乳喂养。
通过母乳喂养促进高危母亲健康公平的努力必须在产后最初几周内进行,并且必须考虑相关因素,包括产后情绪/焦虑症状和心理社会压力因素。
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