产前住房不稳定与产周护理利用和结果的关联
Molly Zielenbach1,2, Etoroabasi Ekpe1, Antoinette Oot1,3
1Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
在调整其他因素后,怀孕期间住房不稳定与不充分的产前护理或产后访问出席没有显著的关联. 进一步的研究应该探索特定类型的住房不稳定及其围产期影响.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 健康的社会决定因素
背景情况:
- 健康的社会决定因素显著影响着母亲和儿童的健康结果.
- 关于怀孕期间住房不稳定与围产期护理利用之间的联系的研究有限.
研究的目的:
- 评估产前住房不稳定性与产前护理利用率和结果之间的关联.
- 确定住房不稳定是否影响产前护理和产后访问出席的充分性.
主要方法:
- 研究对490名产后妇女进行了调查.
- 住房不稳定性被评估使用六个选项目.
- 使用多变量逻辑回归分析了产前护理的充分性和二次结果 (孕产妇,新生儿,产后).
主要成果:
- 11.2%的参与者在怀孕期间经历住房不稳定.
- 未经调整的分析显示,在住房不稳定的人群中,不充分的产前护理率更高,产后访问率更低.
- 经过调整后的分析显示,住房不稳定与主要或次要结果之间没有统计学意义上的关联.
结论:
- 在这个队列中,怀孕期间住房不稳定与不充分的产前护理或产后访问出席并没有独立相关.
- 住房不稳定可能作为健康的其他社会决定因素的标记.
- 未来的研究应该调查特定类型和程度的住房不稳定及其围产期后果.
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