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在医院中低风险剖腹产分娩率的种族差异
Rebecca R S Clark1,2,3, Morgan E Peele4, Sindhu Srinivas3,5
1Pennsylvania Hospital, Philadelphia, Pennsylvania, USA.
Birth (Berkeley, Calif.)
|October 6, 2023
概括
黑人妇女面临较高的低风险剖腹产率,特别是在有更多黑人患者的医院. 然而,一些医院实现了公平的费率,提供改善护理和减少差距的模式.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
- 产科 产科 产科 产科 产科
背景情况:
- 在低风险剖腹产出生率方面,种族差异仍然存在.
- 服务于黑人妇女比例较高的医院被检查了剖腹产分娩率.
研究的目的:
- 为了比较黑人和白人妇女之间的低风险剖腹产分娩率,跨越不同人口统计数据的医院.
- 为黑人和白人妇女确定具有公平的低风险剖腹产率的医院.
主要方法:
- 来自四个州的二次数据的横截面分析.
- 医院按黑人妇女分娩比例分类.
- 在黑人和白人妇女的医院类别中分析了低风险剖腹产的几率.
主要成果:
- 黑人妇女的低风险剖腹产率高于白人妇女在中低比例的黑人病人医院.
- 医院结构特征与黑人女性低风险剖腹产的几率之间没有显著的关联.
- 白人妇女在黑人患者比例最高的医院分娩,增加了低风险剖腹产的几率.
结论:
- 黑人妇女在患病率较高的医院中经历低风险剖腹产和获得护理的几率更高.
- 医院存在,低风险剖腹产率在黑人和白人妇女之间是平等的.
- 未来的努力应集中在改善黑人妇女的产后护理,并确定公平医院的最佳实践,以告知政策.
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