社区贫困是新生儿发作的重要危险因素
Osama Tanous1, Kholoud T Haj-Yahya1, Angie Ershead1
1Clalit Healthcare Services, Tel Aviv, Israel.
Neuropediatrics
|June 15, 2023
概括
新生儿发作与较低的社会经济地位 (SES) 和早产有关. 解决社区贫困对于改善新生儿结果和降低发作风险至关重要.
科学领域:
- 新生儿神经学 新生儿神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 新生儿发作 (NS) 是一个严重的健康问题,导致大量的死亡率和长期的发病率.
- 识别风险因素对于有针对性的干预和改善新生儿护理至关重要.
研究的目的:
- 调查与新生儿发作 (NS) 相关的风险因素在以色列多样化的人口.
- 分析社会经济地位 (SES),种族和其他人口/产后因素对NS发病率的影响.
主要方法:
- 采用病例控制研究设计,将新生儿与NS与匹配的健康对照进行比较.
- 这些数据是从2001年至2019年间在以色列Emek医疗中心的电子医疗记录中收集的.
- 人口,母亲和新生儿变量被系统地抽象和分析.
主要成果:
- 较低的社会经济地位 (SES) 是NS的重要风险因素 (OR=4.07).
- 阿拉伯种族/种族 (OR=2.66),辅助分娩 (OR=2.33),早产 (OR=2.27) 和低5分钟Apgar分数 (OR=54.1) 也与增加NS风险有关.
- 诸如原始性,异常的产前超声波,低出生体重和对于妊娠年龄来说小的因素也与NS有关.
结论:
- 较低的SES表示的社区贫困,成为NS的更强大的风险因素,而不是种族或种族.
- 调查结果强调了社会阶层作为决定母亲和新生儿健康结果的重要因素的重要性.
- 建议针对社区贫困和改善弱势地区SES的干预措施,以减轻新生儿不良后果.
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