孕产妇的怀孕和早产时间过早
Xiaoning Huang1, Kristen Lee2, Michael C Wang3
1Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
JAMA pediatrics
|November 13, 2023
概括
与美国出生的个人相比,非美国出生的个体的早产率较低. 然而,在不同种族和种族群体中观察到早产率的显著变化,特别是在亚洲和西班牙裔子群体中.
科学领域:
- 产科和妇科 产科和妇科
- 围产期流行病学 围产期流行病学
- 公共卫生 公共卫生
背景情况:
- 过早分娩显著导致新生儿发病率和死亡率.
- 在母亲的种族和种族群体中,早产率存在差异.
- 虽然非美国出生的个人可能会经历更少的产科并发症,但早产的出生,种族和种族的相互作用是研究不足的.
研究的目的:
- 调查母婴出生率与未成年人中早产率之间的关联.
- 检查这种关联如何因自我报告的种族和种族而异.
主要方法:
- 在全国范围内,使用国家卫生统计中心出生记录 (2014-2019) 的横截面研究.
- 包括8,590,988个年龄在15-44岁之间的无双生个体,有单个活产.
- 分析过早分娩 (<37周) 和非常过早分娩 (<32周) 的比率,按出生时间和种族/民族分层.
主要成果:
- 总体而言,非美国出生的个人与美国出生的个人 (10.9%) 相比,年龄标准化早产率 (10.2%) 较低.
- 发现了显著的差异:非美国出生的日本人 (aOR,0.69) 和非西班牙裔黑人 (aOR,0.74) 的比例较低.
- 相反,非美国出生的太平洋岛民 (aOR,1.15) 和在波多黎各出生的波多黎各人 (aOR,1.07) 的比例更高.
结论:
- 非美国出生的身份与整体早产率较低有关.
- 种族和民族群体内部存在相当大的异质性,这突显了对细微的公共卫生战略的需要.
- 亚洲和西班牙裔子组的分类数据揭示了特定的差异和保护因素.
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