歧视和不良的围产期健康结果:一个潜在的类分析
Emily A Doherty1,2, Kathleen Cartmell1, Sarah Griffin1
1Department of Public Health Sciences, College of Behavioral, Social and Health Sciences, Clemson University, Clemson, South Carolina.
Preventing chronic disease
|November 2, 2023
概括
歧视对围产期健康产生影响,特别是对于经历普遍歧视的黑人和白人个人,导致产后抑郁症. 交叉性揭示了基于社会身份的各种健康结果.
科学领域:
- 社会流行病学 社会流行病学
- 健康差距 研究 研究 研究 研究
- 围产期健康 围产期健康
背景情况:
- 交叉性承认影响健康的多种社会身份.
- 关于歧视和健康的先前研究往往孤立种族.
- 本研究将一个交叉框架应用于围产期健康.
研究的目的:
- 检查所感知的歧视与不良的围产期健康结果之间的联系.
- 利用跨部门的方法来了解歧视的影响.
- 确定经历不同歧视模式的子组.
主要方法:
- 分析了2,286名孕妇参与者的数据 (黑人,西班牙裔,白人,其他).
- 使用日常歧视量表 (EDS) 评估所感知的歧视.
- 采用潜伏类分析和三步方法来比较跨歧视子组的健康结果.
主要成果:
- 确定了四个歧视子组:没有,一般,单个身份和多个身份.
- 在黑人和白人参与者中,与分娩后抑郁症相关的一般歧视.
- 一般歧视的白人参与者出生时体重较低的婴儿的比例较高;对于西班牙裔参与者没有发现显著差异.
结论:
- 感知到的歧视显著影响围产期健康结果.
- 交叉镜头对于理解歧视在孕产妇健康中的复杂作用至关重要.
- 需要进一步的研究来探索歧视和围产期健康差异.
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