怀孕早期的种族差异:一个叙事审查
Oluremi Mogekwu1, Swena Kapoor, Melissa Carmichael
1Department of Obstetrics and Gynecology, Early Pregnancy and Acute Gynaecology, Royal London Hospital, Whitechapel Road, London.
Current opinion in obstetrics & gynecology
|August 15, 2023
概括
种族差异显著影响到怀孕早期的健康结果. 解决这些不平等问题需要更多的研究和临床医生意识,以改善对所有女性的护理.
科学领域:
- 健康的社会决定因素
- 生殖健康 生殖健康
- 卫生公平性健康公平性
背景情况:
- 社会不平等,特别是种族不平等,显著影响健康和医疗保健结果.
- 在孕产妇和产周健康方面,种族差异得到了充分证实.
- 本综述特别探讨了怀孕早期时期的不平等现象.
研究的目的:
- 审查关于健康的社会决定因素的证据,重点关注怀孕早期的种族不平等.
- 为了突出早期怀孕表现和结果基于种族的差异.
主要方法:
- 关于健康的社会决定因素的现有证据的文献综述.
- 专注于怀孕早期的环境,以检查种族差异.
主要成果:
- 种族差异在怀孕早期是显而易见的,影响了表现和结果.
- 黑人妇女经历更高的流产率,宫外怀孕,和较差的生存从妊娠 trofhoblastic瘤.
- 亚洲女性的妊娠热囊细胞疾病发病率较高.
结论:
- 需要进一步研究种族对早期怀孕结果的影响,需要多样化的研究群体.
- 在怀孕早期提高临床医师对种族健康不平等的认识至关重要.
- 解决这些差异对于公平的医疗保健至关重要.
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