趋势,特征和与怀孕期间无家可归状态相关的孕产妇死亡率
Jessica M Green1, Sonya P Fabricant1, Christina J Duval1
1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles.
JAMA network open
|July 31, 2023
概括
无家可归者之间的怀孕正在增加,并与严重的孕产妇发病率和死亡率有关. 这个高风险群体需要有针对性的干预措施来改善健康结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 无家可归在美国面临重大挑战,影响着母亲和婴儿的健康.
- 了解无家可归的孕妇的独特需求对于制定有效的医疗保健策略至关重要.
研究的目的:
- 分析无家可归的人群中怀孕的趋势,特征和孕产妇的结果.
- 为了确定与怀孕期间无家可归身份相关的风险因素和不良结果.
主要方法:
- 使用医疗保健成本和利用项目的全国 (全国) 住院患者样本 (2016-2020) 进行的横截面研究.
- 使用ICD-10-CM代码Z59.0.0.0识别没有住房的身份.
- 用多变量后勤回归和倾向得分调整模型分析时间趋势,患者/怀孕特征,分娩结果 (严重的孕产妇发病率,死亡率) 和避孕选择.
主要成果:
- 从2016年到2020年,无家可归患者分娩的发生率增加了72.1%.
- 没有住所的孕妇有更高的物质使用率,心理健康状况,传染病和特定的并发病.
- 在无家可归状态和极度早产 (AOR 2.76),严重的孕产妇发病率 (AOR 2.30) 和住院死亡率 (AOR 10.17) 之间发现了显著的关联.
结论:
- 怀孕期间的无家可归状态在美国越来越令人担忧.
- 经历无家可归的孕妇是高风险人群,其分娩结果不利的风险大大增加.
- 调查结果强调了针对这一弱势群体进行有针对性的干预和支持系统的需要.
相关概念视频
Pathophysiology of Diabetes
993
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
993
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
Mitral Valve Prolapse III: Nursing Management
16
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
16
Specialized Care Centers and Settings-II
756
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
756
Stereotype Content Model
14.8K
The Stereotype Content Model (SCM) was first proposed by Susan Fiske and her colleagues (Fiske, Cuddy, Glick & Xu, 2002; see also Fiske, 2012 and Fiske, 2017). The SCM specifies that when someone encounters a new group, they will stereotype them based on two metrics: warmth—or that group’s perceived intent, and how likely they are to provide help or inflict harm—and competence—or their ability to carry out that objective. Depending on the warmth-competence...
14.8K
Psychological and Sociocultural Causes of Schizophrenia
139
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
139


