在COVID-19大流行期间的社会决定因素和围产期困难
Erica L Eliason1, Jasmine Agostino1, Hannah MacDougall2
1Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.
Journal of women's health (2002)
|November 27, 2023
概括
由于COVID-19的流行,许多新生母亲遭受了大量的失业,住房不稳定和财务压力. 黑人,无保险和医疗补助保险的个人面临着不成比例地更高的这些围产期困难率.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 流行病学 流行病学
背景情况:
- 随着COVID-19大流行,出现了前所未有的挑战,影响了孕产妇的健康和福祉.
- 周产期对母亲和婴儿的健康至关重要,这使得与流行病相关的困难成为一个重大问题.
研究的目的:
- 检查个人在围产期经历的与流行病相关的困难的流行率.
- 根据种族/种族,收入,保险类型以及城市/农村居住情况,调查这些困难中的差异.
主要方法:
- 利用了2020年怀孕风险评估监测系统 (PRAMS) COVID-19补充中的跨部分调查数据.
- 分析了来自26个州,哥伦比亚特区和纽约市的数据.
- 使用加权多变量逻辑回归来计算各种困难的调整预测概率.
主要成果:
- 31.9%的人报告说就业不稳定,11.2%的人面临住房不稳定,21.8%的人经历了财务困难,16.86%的人担心粮食安全.
- 非西班牙裔黑人,西班牙裔,无保险人和医疗补助保险人报告了所有受研究的困难的更高率.
- 经过调整后的分析显示,非西班牙裔黑人和没有保险的个人就业不稳定,经济困难和粮食不安全的可能性显著更高.
结论:
- 非西班牙裔黑人,医疗补助保险和无保险的个人在COVID-19大流行期间特别容易受到围产期困难的影响.
- 结果强调需要采取干预措施,以减轻这些困难对在大流行期间分娩的个体的广泛和不平等影响.
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