在加利福尼亚州,社区 gentrification,流离失所和严重的孕产妇发病率
Xing Gao1, Timothy A Thomas2, Rachel Morello-Frosch3
1Division of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, CA, USA.
Social science & medicine (1982)
|September 7, 2023
概括
城市化是为了让人更好地生活.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 城市研究 城市研究
背景情况:
- 城市化是一个复杂的过程,涉及社区发展和住房成本上升,可能会影响母亲的健康状况.
- 历史上被剥夺的社区经常面临由于 gentrification 的流离失所,这可能会影响弱势群体.
研究的目的:
- 为了检查在加利福尼亚州社区层面的 gentrification 和严重的孕产妇死亡率 (SMM) 之间的联系.
- 为了比较不同的衡量 gentrification 的方法及其对中小企业风险的影响.
主要方法:
- 对加利福尼亚州 (2006-2017年) 住院生育的大量人口样本的分析.
- 利用了三个不同的 gentrification 测量方法:弗里曼,兰迪斯 3-D 和城市流离失所项目类型学.
- 采用混合效应的后勤回归模型,对个人和妊娠因素进行调整,并对人口普查区集群进行核算.
主要成果:
- 邻居层面的 gentrification 显示了与 SMM 的混合关联,取决于测量方法.
- 弗里曼方法表明,化对SMM有保护作用 (OR=0.89),而化和迁移类型学则表明风险增加 (OR=1.18).
- 在非西班牙裔白人,非西班牙裔黑人和西班牙裔出生个体中观察到这些关联.
结论:
- 化影响严重的孕产妇发病风险,其影响因化如何定义和衡量而有所不同.
- 调查结果的异质性凸显了考虑 gentrification 的不同方面的重要性,例如住房负担能力与更广泛的社区影响.
- 了解这些细微差别对于制定有针对性的公共卫生干预措施来减轻在不断变化的社区中SMM风险至关重要.
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