Disparities in Donor Human Milk Supplementation Among Well Newborns

Laura R Kair; Nichole L Nidey; Jessie E Marks; Kirsten Hanrahan; Lorraine Femino; Erik Fernandez Y Garcia; Kelli Ryckman; Kelly E Wood

doi:10.1177/0890334419888163

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Disparities in Donor Human Milk Supplementation Among Well Newborns

Journal article

Open access

Peer reviewed

Disparities in Donor Human Milk Supplementation Among Well Newborns

Laura R Kair, Nichole L Nidey, Jessie E Marks, Kirsten Hanrahan, Lorraine Femino, Erik Fernandez Y Garcia, Kelli Ryckman and Kelly E Wood

Journal of human lactation, Vol.36(1), pp.74-80

02/2020

DOI: 10.1177/0890334419888163

PMCID: PMC7015767

PMID: 31770064

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https://doi.org/10.1177/0890334419888163View

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Abstract

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 ( = 678) who breastfed and supplemented with formula ( = 372) or donor human milk ( = 306) during the birth hospitalization at a single hospital in the midwestern United States. Maternal characteristics and infant feeding type were extracted from medical records. Chi-square and logistic regression were used to examine associations between maternal characteristics and feeding type. 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.

Adolescent

Adult

Chi-Square Distribution

Cohort Studies

Continental Population Groups - statistics & numerical data

Dietary Supplements - statistics & numerical data

Dietary Supplements - supply & distribution

Female

Humans

Iowa

Milk, Human

Odds Ratio

Retrospective Studies

Tissue Donors - statistics & numerical data

Details

Title: Subtitle: Disparities in Donor Human Milk Supplementation Among Well Newborns
Creators: Laura R Kair - University of Iowa, Iowa City, IA, USA
Nichole L Nidey - Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
Jessie E Marks - University of Iowa, Iowa City, IA, USA
Kirsten Hanrahan - University of Iowa, Iowa City, IA, USA
Lorraine Femino - University of Iowa, Iowa City, IA, USA
Erik Fernandez Y Garcia - University of California, Davis, Sacramento, CA, USA
Kelli Ryckman - University of Iowa, Iowa City, IA, USA
Kelly E Wood - University of Iowa, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Journal of human lactation, Vol.36(1), pp.74-80
DOI: 10.1177/0890334419888163
PMID: 31770064
PMCID: PMC7015767
NLM abbreviation: J Hum Lact
ISSN: 0890-3344
eISSN: 1552-5732
Grant note: UL1 TR002537 / NCATS NIH HHS U54 TR001356 / NCATS NIH HHS K23 MH101157 / NIMH NIH HHS K12 HD051958 / NICHD NIH HHS UL1 TR001860 / NCATS NIH HHS
Language: English
Date published: 02/2020
Academic Unit: Stead Family Department of Pediatrics; Epidemiology; Addiction Medicine; Craniofacial Anomalies Research Center; Nursing; Hospital Medicine
Record Identifier: 9984214840502771

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