孕妇歧视的前性调查和与非计划医疗保健利用的相关性
Rachel Greenberg1, Ronald Anguzu2, Elisha Jaeke1
1Medical of Wisconsin, Milwaukee, WI, USA.
Journal of racial and ethnic health disparities
|September 18, 2023
概括
终身种族和民族歧视与怀孕期间增加的非计划医疗保健使用有关. 这项研究强调了歧视对孕产妇健康状况和获得医疗保健的影响.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 生殖健康 生殖健康
背景情况:
- 歧视,特别是种族和民族歧视,是健康的重要社会决定因素.
- 了解终身歧视对怀孕期间医疗保健利用的影响对于改善孕产妇健康结果至关重要.
研究的目的:
- 调查孕妇一生暴露于种族和民族歧视和未计划的医疗保健利用之间的关联.
- 识别可能导致怀孕期间意外使用医疗保健的潜在因素.
主要方法:
- 一项前性队列研究与2021年至2022年的孕妇进行了研究.
- 关于社会人口因素和感知终身种族和种族歧视的数据是使用感知种族歧视问卷 (PED-Q) 收集的.
- 无计划的医疗保健利用被定义为为分娩和分娩,分拣,急诊室或紧急护理访问的无计划入院. 进行了双变量和多变量分析.
主要成果:
- 共有289名参与者完成了PED-Q. 其中,42.6%的人经历了计划外的医疗保健利用.
- 与计划使用医疗保健的人相比,非计划使用医疗保健的人报告了与计划使用医疗保健的人相比,一生的种族和种族歧视水平显著更高 (p=0.003).
- 在控制混因素后,终身种族和种族歧视仍然与非计划医疗利用率的增加显著相关 (aOR 1.78,95% CI 1.01-3.11).
结论:
- 较高的自我报告的终身种族和种族歧视水平与怀孕期间增加的非计划医疗保健使用率有关.
- 这些发现强调了解决医疗保健机构歧视问题的重要性,以改善孕产妇健康.
- 需要进一步的研究来探索旨在减轻歧视对孕妇的影响的干预措施.
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