2023-09-28 14:46:10 +00:00
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abstract: 'Background: While black mothers initiate human milk (HM) provision at
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lower rates than non-black mothers in the United States, some neonatal
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intensive care units (NICUs) report similar initiation rates regardless
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of race/ethnicity for mothers of very-low-birth-weight (VLBW) infants.
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However, racial disparity frequently becomes evident in the proportion
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of black infants who continue to receive HM feedings at NICU discharge.
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Since social factors have been associated with differences in HM
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provision for term infants, we sought to identify differences in social
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factors associated with HM feeding at discharge based on race/ethnicity.
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Materials and Methods: A prospective cohort study of racially diverse
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mothers of VLBW infants measured social factors including maternal
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education, breastfeeding support, return to work/school, HM feeding
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goal, previous breastfeeding, or formula experience. Multivariate
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logistic regression modeling was applied to social factors to predict HM
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feeding at discharge. Additional regression models were created for
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racial/ethnic subgroups to identify differences.
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Results: For all 362 mothers, WIC (Special Supplemental Nutrition
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Program for Women, Infants, and Children) eligibility and maternal goal
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near time of discharge of providing any HM negatively and positively
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predicted HM feeding at discharge, respectively. Perceived breastfeeding
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support from the infant''s maternal grandmother negatively predicted HM
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feeding at discharge for black mothers.
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Conclusions: Future interventions to increase duration of HM provision
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in VLBW infants should focus on the establishment and maintenance of
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maternal HM feeding goals. Further studies of the familial support
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system of black mothers are warranted to determine multigenerational
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impact and potential interventions.'
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affiliation: 'Patel, AL (Corresponding Author), Rush Univ, Childrens Hosp, 1653 West
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Congress Pkwy,Suite 353 Pavil, Chicago, IL 60612 USA.
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Fleurant, Erin, Rush Univ, Coll Med, Chicago, IL 60612 USA.
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Schoeny, Michael; Hoban, Rebecca; Meier, Paula P.; Patel, Aloka L., Rush Univ, Childrens
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Hosp, Dept Pediat, Chicago, IL 60612 USA.
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Hoban, Rebecca; Meier, Paula P.; Bigger, Harold; Patel, Aloka L., Rush Univ, Med
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Ctr, Dept Pediat, Chicago, IL 60612 USA.
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Asiodu, Ifeyinwa V., Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94143
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USA.
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Riley, Brittany, Nationwide Childrens Hosp, Coll Nursing, Columbus, OH USA.'
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author: Fleurant, Erin and Schoeny, Michael and Hoban, Rebecca and Asiodu, Ifeyinwa
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V. and Riley, Brittany and Meier, Paula P. and Bigger, Harold and Patel, Aloka L.
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author-email: aloka\_patel@rush.edu
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author_list:
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- family: Fleurant
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given: Erin
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- family: Schoeny
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given: Michael
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- family: Hoban
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given: Rebecca
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- family: Asiodu
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given: Ifeyinwa V.
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- family: Riley
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given: Brittany
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- family: Meier
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given: Paula P.
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- family: Bigger
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given: Harold
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- family: Patel
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given: Aloka L.
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da: '2023-09-28'
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doi: 10.1089/bfm.2016.0105
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eissn: 1556-8342
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files: []
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issn: 1556-8253
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journal: BREASTFEEDING MEDICINE
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keywords: premature infant; social factors; barriers; NICU; human milk
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keywords-plus: 'INTENSIVE-CARE-UNIT; AFRICAN-AMERICAN WOMEN; BREAST-MILK; LOW-INCOME;
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NECROTIZING ENTEROCOLITIS; NICU HOSPITALIZATION; PREMATURE-INFANTS; PEER
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COUNSELORS; MOTHERS; RISK'
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language: English
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month: JAN-FEB
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number: '1'
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number-of-cited-references: '40'
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orcid-numbers: 'Patel, Aloka L./0000-0003-1751-0421
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Hoban, Rebecca/0000-0001-9457-8791'
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pages: 20-27
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papis_id: f27a05811199c45d813f369f250edfd0
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ref: Fleurant2017barriershuman
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researcherid-numbers: 'Patel, Aloka L./T-1802-2019
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'
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times-cited: '41'
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title: 'Barriers to Human Milk Feeding at Discharge of Very-Low-Birth-Weight Infants:
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Maternal Goal Setting as a Key Social Factor'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000391843800005
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usage-count-last-180-days: '1'
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usage-count-since-2013: '21'
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volume: '12'
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web-of-science-categories: Obstetrics \& Gynecology; Pediatrics
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year: '2017'
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