Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review.
Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review.
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DOI：
10.1186/s12939-021-01388-4
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发表时间：
2021-03-06
影响因子：
4.8
通讯作者：
Pérez-Escamilla R
中科院分区：
文献类型：
--
作者：
Segura-Pérez S;Hromi-Fiedler A;Adnew M;Nyhan K;Pérez-Escamilla R
在美国，强烈的民族/种族、社会经济、人口和地理母乳喂养（BF）不平等持续存在，与白色妇女相比，非洲裔美国人和西班牙裔妇女实现母乳喂养目标的可能性更小。本系统性综述（SR）旨在回答以下问题：针对美国少数民族/种族女性的母乳喂养干预措施对改善BF启动、持续时间和排他性率有何影响？根据医学研究所指南和系统性综述和荟萃分析首选报告项目检查表进行SR。在PROSPERO（ID#CRD42020177764）中开发并预先注册了研究方案。检索MEDLINE All（奥维德）电子数据库。搜索策略由该团队的专家公共卫生图书管理员领导，使用受控词汇和自由文本查询，并针对现有评论中包含的一组经过验证的相关论文进行测试。GRADE方法用于评估研究的质量。我们纳入了60项随机（n = 25）、观察（n = 24）、准实验（n = 9）或横断面（n = 2）设计的研究。研究重点关注多种族/人种（n = 22）、仅西班牙裔（n = 24）、仅黑人（n = 13）和仅美洲印第安人（n = 1）的人群。研究干预措施按照社会生态模型进行分类：宏观系统/政策水平（n = 6）;社区水平（n=51），包括医疗保健组织（n = 34），妇女，婴儿和儿童特别补充营养计划（WIC）（n = 9）和社区组织/公共卫生机构（n = 8）;和人际水平（n = 3）。通过WIC、医疗机构和社区机构提供的政策和社区层面的干预措施可能会改善有色人种妇女的BF结果。在不同层次的社会生态模式的干预措施的组合还没有在美国的少数民族妇女实施科学研究需要学习如何最好地扩大和维持有效的BF干预措施，同时考虑到少数民族妇女的需求和愿望。因此，强烈建议进行大规模的实施研究，研究如何加强美国有色人种妇女周围的不同健康和社会环境，以改善她们的BF结果。 在线版本包含补充材料，可通过10.1186/s12939-021-01388-4获得。
In the U.S., strong ethnic/racial, socioeconomic, demographic, and geographic breastfeeding (BF) inequities persist, and African American and Hispanic women are less likely to meet their breastfeeding goals compared to White women. This systematic review (SR) was designed to answer the question: What is the impact of breastfeeding interventions targeting ethnic/racial minority women in the U.S. on improving BF initiation, duration and exclusivity rates? The SR was conducted following the Institute of Medicine Guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The study protocol was developed and registered a priori in PROSPERO (ID#CRD42020177764). The electronical databases searched was MEDLINE All (Ovid). Search strategies were led by the team’s expert public health librarian using both controlled vocabulary and free text queries and were tested against a validated set of relevant papers included in existing reviews. The GRADE methodology was used to assess the quality of the studies. We included 60 studies that had randomized (n = 25), observational (n = 24), quasi-experimental (n = 9), or cross-sectional (n = 2) designs. The studies focused on populations that were multi-ethnic/racial (n = 22), only Hispanic (n = 24), only Black (n = 13), and only American Indian (n = 1). The study interventions were classified following the socioecological model: macrosystem/policy level (n = 6); community level (n=51), which included healthcare organizations (n = 34), The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) (n = 9), and community organizations/public health institutions (n = 8); and interpersonal level (n = 3). Policy and community level interventions delivered through WIC, healthcare facilities, and community agencies) are likely to improve BF outcomes among women of color. The combination of interventions at different levels of the socioecological model has not been studied among minority women in the U.S. Implementation science research is needed to learn how best to scale up and sustain effective BF interventions, taking into account the needs and wants of minority women. Thus, it is strongly recommended to conduct large scale implementation research studies addressesing how to strengthen the different health and social environments surrounding women of color in the U.S. to improving their BF outcomes. The online version contains supplementary material available at 10.1186/s12939-021-01388-4.
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影响因子：
5.1
作者：
Chantry, Caroline J.;Dewey, Kathryn G.;Nommsen-Rivers, Laurie A.
通讯作者：
Nommsen-Rivers, Laurie A.
影响因子：
168.9
作者：
Black, Robert E.;Victora, Cesar G.;Uauy, Ricardo
通讯作者：
Uauy, Ricardo
影响因子：
5.1
作者：
Bartick, Melissa C.;Jegier, Briana J.;Stuebe, Alison M.
通讯作者：
Stuebe, Alison M.
影响因子：
3.3
作者：
Adams IK;Okoli CT;Dulin Keita A;Linares AM;Tanaka K;Polanin JR;Koempel A
通讯作者：
Koempel A
影响因子：
2.5
作者：
Binns, Colin;Lee, MiKyung;Low, Wah Yun
通讯作者：
Low, Wah Yun