パンデミック初期における産後期およびCOVID-19のアウトカムとのエリア・デプリベーション・インデックスの関連:前向きなコホート研究の二次分析
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PubMedで要約を見る
まとめ
この要約は機械生成です。近所の貧困は,非常に早産の割合と,妊婦のCOVID-19感染と入院率の高さに関連しています. 健康の社会的決定因子に対処し,胎児の健康状態を改善するためにさらなる研究が必要です.
科学分野
- 生後流行病学
- 健康の社会的決定因子
- 妊娠中の感染症
背景
- 地域貧困指数 (Area Deprivation Index,ADI) で測定される地域貧困は,母と乳児の健康に影響を及ぼします.
- COVID-19 パンデミックは,特に脆弱な集団の間で,既存の健康格差を浮き彫りにしました.
研究 の 目的
- 早期出産を含む近所レベルの欠乏と 産後期間の結果との関連を調べる
- パンデミック初期における妊婦における近所の貧困とCOVID-19の結果との関係を調査する.
主な方法
- 妊婦の予期的な長期コホート研究 (n=306) の二次分析
- 配達先に基づいて,低 ADI (≤50 パーセント) と最高 ADI (≥75 パーセント) に分類する.
- 主なアウトカム:早産 (<37,<34,<28週);二次的なアウトカム:周期の合併症およびCOVID-19アウトカム.
主要な成果
- ADIが最も高いグループは,早産の割合が28週前 (12. 1% 対 4. 0%) と34週前 (12. 6% 対 5. 7%) で有意に高かった.
- ADIが最も高いグループは,SARS-CoV-2感染の確率 (59.3%対41.9%) とCOVID-19入院の確率 (3.9%対0.0%) が増加した.
- SARS-CoV-2 陽性患者のサブグループ分析や人種別層化では,結果の有意な差異は観察されなかった.
結論
- 近所の貧困は,妊娠中の妊婦の極度の早産,SARS-CoV-2感染,COVID-19入院のリスクの増加と関連しています.
- この研究は,健康と生理間での結果の社会的決定因子の相互作用を調査する必要性を強調しています.
- 改善可能な危険因子に対処する標的型介入は,恵まれない地域社会における母親と乳児の健康を改善するために不可欠です.
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