根据残疾的存在和程度的妊娠前健康风险,2019-2020年
Abigail Newby-Kew1, Jonathan M Snowden2, Ilhom Akobirshoev3
1Oregon Health & Science University and Portland State University School of Public Health; Institute on Development and Disability, School of Medicine, Oregon Health & Science University, Portland, Oregon.
American journal of preventive medicine
|November 26, 2023
概括
残疾女性面临更大的孕前健康风险负担. 残疾的程度与这些风险的数量增加相关,强调需要有针对性的支持.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 关于残疾人的研究.
背景情况:
- 与非残疾女性相比,残疾女性的妊娠前健康风险率更高.
- 这些风险与不良妊娠结果有关,突出了严重的公共卫生问题.
研究的目的:
- 评估残疾程度与怀孕前健康风险的患病率之间的关系.
- 确定影响残疾妇女不成比例的特定健康风险.
主要方法:
- 利用了来自22个网站的2019-2020年PRAMS数据,包括华盛顿集团关于残疾问题的简短问题集 (n=37,006).
- 采用多变量波桑回归来分析残疾程度 (没有,有些,很多困难) 和各种预先概念的健康风险之间的关联.
- 对社会人口统计学因素进行控制,以确定调整后的流行率 (aPR).
主要成果:
- 33.6%的受访者报告了一些困难,6.3%报告了很多困难.
- 经历1-2次健康风险的患病率在一些困难 (aPR=1.13) 和很多困难 (aPR=1.20) 的女性中较高.
- 与没有困难的女性相比,有很多困难的女性显示3+健康风险的流行率明显更高 (aPR=2.42).
结论:
- 残疾妇女,特别是那些功能限制较大的妇女,不成比例地受到多种孕前健康风险的影响.
- 这些发现强调,迫切需要加强对残疾妇女的孕前健康支持和干预措施.
- 在怀孕之前减轻这些风险对于改善这种脆弱人群的怀孕结果至关重要.
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