美国新生儿死亡率的决定因素
Oluwasegun A Akinyemi1,2, Mojisola E Fasokun3, Terhas Asfiha Weldeslase4
1Health Policy and Management, University of Maryland School of Public Health, College Park, USA.
Cureus
|September 7, 2023
概括
劳动诱导和增强显著降低新生儿死亡风险. 然而,母亲的晚年和缺乏产前护理增加了这种风险,突出了改善婴儿存活率的干预关键领域.
科学领域:
- 围产期流行病学 围产期流行病学
- 公共卫生 公共卫生
- 孕产妇和胎儿的医学
背景情况:
- 与其他发达国家相比,美国的婴儿死亡率仍然很高,尽管有医疗保健支出.
- 新生儿死亡占总婴儿死亡率的很大一部分.
研究的目的:
- 确定与美国新生儿死亡率相关的关键风险因素.
- 为改善新生儿结果的策略提供信息.
主要方法:
- 美国生命统计记录 (2015-2019) 的回顾性分析.
- 多变量分析包括母亲的年龄,保险,教育,分娩干预,产前护理和先前存在的条件.
主要成果:
- 劳动增加 (OR=0.75) 和诱导 (OR=0.69) 与降低新生儿死亡率有关.
- 40岁以上的母亲年龄 (OR=1.29) 和没有产前护理 (OR=1.22) 增加了新生儿死亡风险.
- 预测模型实现了60.7%的灵敏度和99.9%的特异性.
结论:
- 劳动诱导,增强和适当的产前护理与改善新生儿存活率有关.
- 这些发现可以为算法提供信息,以提高美国新生儿的结果.
- 针对性的干预措施,重点关注母亲的年龄和产前护理的机会至关重要.
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