贫血和严重的孕产妇发病率的种族和民族差异
Irogue I Igbinosa1, Stephanie A Leonard, Francecsa Noelette
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, and the Department of Pediatrics, School of Medicine, Stanford University, Stanford, and the BLACK Wellness & Prosperity Center, Fresno, California.
产前贫血不成比例地影响黑人孕妇患者,大大导致严重的孕产妇发病率 (SMM) 差异. 解决贫血症对于减少跨种族和种族群体的SMM至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 产前贫血的患病率因种族和种族而异.
- 严重孕产妇发病率 (SMM) 的种族和民族差异是一个关键的公共卫生问题.
- 了解贫血对SMM的贡献对于有针对性的干预措施至关重要.
研究的目的:
- 根据种族和民族来评估产前贫血患病率.
- 评估产前贫血对严重孕产妇发病率 (SMM) 和非输血SMM的贡献.
- 检查与产前贫血相关的SMM的种族和民族差异.
主要方法:
- 基于人口的队列研究,使用关联的生命和分娩住院数据 (加利福尼亚,2011-2020年).
- 对产前贫血患病率和趋势的分析,按种族和民族划分.
- 多变量后勤回归和人口归因风险计算以评估SMM风险和贫血贡献.
主要成果:
- 黑人孕妇的产前贫血发病率最高 (2020年为21.5%),从2011年到2020年增加了100%以上.
- 在混调整后,产前贫血显著降低了黑人孕妇SMM风险 (RR 1.27).
- 贫血导致黑人,西班牙裔,多种族,美洲印第安人-阿拉斯加原住民和太平洋岛民群体中20-21%的SMM病例.
结论:
- 产前贫血是严重的孕产妇发病率的种族和民族差异的关键因素.
- 针对有色人种孕妇贫血的治疗对于减少SMM至关重要.
- 在几个少数群体中,近五到六分之一的SMM病例部分归因于产前贫血.
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