国家层面的结构性种族主义指标和分娩期间母亲的严重不良结果
Jean Guglielminotti1, Goleen Samari2, Alexander M Friedman3
1Department of Anesthesiology, Columbia University Vagelos College of Physicians and Surgeons, 622 West 168th Street, PH5-505, New York, NY, 10032, USA. jg3481@cumc.columbia.edu.
Maternal and child health journal
|November 8, 2023
概括
结构性种族主义指标,如失业率和监禁不平等,与黑人和白人女性的严重不良孕产妇结果 (SAMO) 相关. 这突显了影响孕产妇健康差异的系统性问题.
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:
- 结构性种族主义 (SR) 是已知的种族差异在孕产妇健康的驱动因素.
- 关于SR与严重不良孕产妇结果 (SAMO) 之间的直接联系的证据有限.
研究的目的:
- 研究国家层面的结构性种族主义指标与分娩期间的SAMO之间的关联.
- 分析非西班牙裔黑人和非西班牙裔白人女性在SAMO中的差异.
主要方法:
- 利用非西班牙裔黑人和白人女性的美国出生数据 (2017-2018).
- 检查了州级的黑人与白人不平等的失业,教育和监禁的比例.
- 通过使用多层模型,评估患者水平的SAMO,包括脑震荡,输血,子宫切除术和重症监护室入院.
主要成果:
- 分析包括超过480万份出生证明.
- 黑人女性的SAMO发病率 (106.4/10,000) 与白人女性 (72.7/10,000) 相比较高.
- 增加的失业率和监禁不平等率与两种种族群体的SAMO几率更高显著相关.
结论:
- 失业率和监禁率的州级不平等与严重的不良孕产妇结果的可能性增加有关.
- 这些发现强调了结构性种族主义对孕产妇健康差异的影响.
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