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Introduction <p>We 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).</p> Methods <p>Data 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.</p> Results <p>Among 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.</p> Conclusions <p>Family 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.</p>

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Social and structural disparities in family presence and engagement in the NICU

  • 期刊论文

  • 发表日期：

    2026年4月1日

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  • Neha S. Anand,
  • Nikita S. Kalluri,
  • Erika G. Cordova-Ramos,
  • Aviel Peaceman,
  • Molly Fraust-Wylie,
  • Zuzanna Kubicka,
  • Margaret G. Parker

摘要

Introduction

We 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).

Methods

Data 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.

Results

Among 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.

Conclusions

Family 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.