根据西班牙裔起源的怀孕相关死亡,美国,2009-2018年
Wilda Parker-Collins1, Fanny Njie1,2, David A Goodman1
1Division of Reproductive Health, National Center for Chronic Disease Prevention and Public Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Journal of women's health (2002)
|September 6, 2023
概括
在西班牙裔人口中,与怀孕相关的死亡人数因原产地而异,波多黎各人死亡率较高. 出血和感染是主要原因,但心肌病在波多黎各死亡中更为普遍.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 流行病学 流行病学
背景情况:
- 与怀孕相关的死亡率仍然是一个重大的公共卫生问题.
- 西班牙裔人口在孕产妇健康状况方面存在差异.
- 了解西班牙裔子组内的差异对于有针对性的干预至关重要.
研究的目的:
- 分析2009-2018年美国西班牙裔人口与怀孕相关的死亡率.
- 根据西班牙裔社区的原产地分层死亡率数据.
- 确定与妊娠相关死亡相关的人口和临床因素.
主要方法:
- 使用怀孕死亡率监测系统 (2009-2018) 进行的横截面描述性研究.
- 根据西班牙裔 (例如墨西哥人,波多黎各人,古巴人) 出生的妊娠相关死亡情况进行分层分析.
- 每10万活产婴儿的妊娠相关死亡率 (PRMR) 的计算.
主要成果:
- 西班牙裔人口的总体PRMR为每10万活产儿11.5.
- 根据原产地,PRMR有所不同:古巴的9.6,波多黎各的15.3.
- 出血和感染是主要原因;心肌病在波多黎各死亡中更为频繁.
- 与年龄较大和教育程度较低相关的死亡率较高.
结论:
- 根据出生地,西班牙裔子组之间存在着与怀孕相关的死亡率的显著差异.
- 波多黎各的个人表现出更高的死亡率和独特的死亡原因 (心肌病).
- 调查结果强调需要文化定制的预防策略来减少孕产妇死亡率差异.
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