农村西班牙裔人口中与突发意外婴儿死亡相关的特征:一个病例对照研究
Carolyn R Ahlers-Schmidt1,2, Hayrettin Okut3, Lisette T Jacobson4,5
1Center for Research for Infant Birth and Survival, University of Kansas School of Medicine-Wichita, 3243 E. Murdock, Suite 604, Wichita, KS, 67208, USA. cschmidt3@kumc.edu.
Journal of racial and ethnic health disparities
|November 10, 2023
概括
堪萨斯州西班牙裔家庭的突然意外婴儿死亡 (SUID) 风险更高. 怀孕期间吸烟显著增加了SUID风险,强调了有针对性的戒烟计划的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇和儿童的健康
背景情况:
- 婴儿突然意外死亡 (SUID) 仍然是美国新生儿后死亡的主要原因.
- 与非西班牙裔白人婴儿相比,堪萨斯州在西班牙裔婴儿中出现了不成比例的高SUID率.
- 2005-2018年间,西班牙裔婴儿的SUID率停滞不前,而其他种族群体的SUD率却在下降.
研究的目的:
- 在堪萨斯州的西班牙裔分娩人员中调查与SUID相关的人口,行为和临床特征.
- 确定西班牙裔人口中导致SUID的特定风险因素,以告知有针对性的干预措施.
主要方法:
- 利用堪萨斯州出生和死亡关联的重要统计数据从2005年至2018年.
- 雇佣贪的最近邻居匹配配对 SUID 病例与四个对照,控制年龄,种族,支付人来源和平价.
- 应用后勤回归与Firth的惩罚性最大概率估计来分析风险因素.
主要成果:
- 怀孕期间吸烟与SUD风险增加三倍 (OR=3.208) 有关.
- 没有发现与婚姻状况,居住人口密度,教育,语言,产前BMI,妊娠体重增加,产前护理充分性,WIC入学或免疫登记参与的显著关联.
- 多变量模型对行为变量的预测准确性有限 (AUC=0.6303).
结论:
- 农村西班牙裔家庭的SUID似乎是一个复杂的问题,有多种因素.
- 调查结果强调了将戒烟支持纳入西班牙裔家庭的SUID风险降低策略的关键重要性.
- 结果为开发文化定制的教育计划以解决SUID预防提供了证据.
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