ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Social and structural disparities in family presence and engagement in the NICU.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionWe examined associations of maternal sociodemographic factors and the Social Vulnerability Index (SVI) with NICU family presence and engagement (breastfeeding, skin-to-skin care, and receipt of discharge teaching 48 h prior to discharge).
methodsData was abstracted from medical records at six Massachusetts NICUs participating in a family engagement quality collaborative from 2021-2022. Sociodemographic factors included maternal race and ethnicity, language and insurance. SVI was determined from maternal zip code. We used mixed-effects logistic regression, accounting for clustering by hospital and multiple gestation and adjusting for covariates.
resultsAmong 450 mother-infant dyads, infants with non-Hispanic Black compared to non-Hispanic White mothers had lower odds of family presence. Public insurance and higher SVI were associated with lower odds of receiving mother's milk at discharge.
conclusionsFamily characteristics linked to social disadvantage were associated with less NICU family presence and engagement, underscoring the need for interventions to improve equitable NICU family engagement.
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