在太平洋岛民中早产的全球流行:系统性审查和元分析
Bohao Wu1, Veronika Shabanova2,3, Kendall Arslanian4
1Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, United States of America.
PLOS global public health
|June 14, 2023
概括
与白人女性相比,美国太平洋岛民的早产率更高. 新西兰新西兰新西兰新西兰
科学领域:
- 生殖健康 生殖健康
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 在太平洋岛民中,早产流行病学的理解很差.
- 太平洋岛民面临着严重的健康不平等.
- 了解早产的区域差异至关重要.
研究的目的:
- 估计太平洋岛民中早产的综合患病率.
- 为了比较太平洋岛民和白人/欧洲妇女的早产风险.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE等) 进行系统的文献搜索. 在2023年3月之前.
- 包括报告太平洋岛民早产结果的观察性研究.
- 随机效应和贝叶斯元分析模型用于估计流行率和赔率比率 (OR).
主要成果:
- 按地区的早产患病率有所不同:美国 (11.8%),USAPI (6.7%),新西兰 (7.7%),澳大利亚 (6.1%),巴布亚新几内亚 (7.0%).
- 与白人女性相比,美国太平洋岛民的早产风险更高 (OR=1.45).
- 在新西兰,风险与欧洲女性相似 (OR=1.00).
结论:
- 太平洋岛民在美国经历更高的早产患病率和健康不平等.
- 文化敏感的医疗保健方法,如新西兰的医疗保健方法,可能有助于解决差异.
- 由于研究有限和估计的异质性,需要进一步研究.
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