结构性种族主义,黑人妇女的出生和不良周产期结果的风险
Safyer McKenzie-Sampson1,2, Rebecca J Baer2,3,4, Laura L Jelliffe-Pawlowski1,2
1Department of Epidemiology & Biostatistics, University of California San Francisco School of Medicine, San Francisco, California, USA.
Paediatric and perinatal epidemiology
|December 20, 2023
概括
黑人妇女面临高风险的早产 (PTB) 和小的妊娠年龄 (SGA) 的出生. 结构性种族主义对美国出生的女性和加利福尼亚的非洲出生的女性的影响不同.
科学领域:
- 围产期流行病学 围产期流行病学
- 健康的社会决定因素
- 在医疗保健中的种族差异.
背景情况:
- 美国的黑人妇女在过早分娩 (PTB) 和怀孕年龄 (SGA) 的出生率不成比例地高.
- 与美国出生的黑人女性相比,在国外出生的黑人女性患PTB和SGA的风险较低.
- 对种族主义的不同暴露是解释这些基于出生的差异的潜在因素,但在加利福尼亚州的美国和非洲出生的女性中仍未得到充分研究.
研究的目的:
- 调查结构性种族主义,出生和加利福尼亚黑人妇女中PTB和SGA风险之间的关系.
- 根据出生地,研究社区层面的结构性种族主义如何影响不良的围产期结果.
主要方法:
- 一项以人口为基础的研究分析了加利福尼亚州 (2011-2017年) 美国和非洲出生的黑人妇女的单胎分娩情况.
- 极端集中度指数被用来衡量社区层面的结构性种族主义.
- 使用普森回归模型,使用概括估计方程,用于估计风险比率 (RR) 和95%置信区间 (CI).
主要成果:
- 与美国出生的女性 (9.7%的PTB,14.5%的SGA) 相比,非洲出生的女性的PTB (5.6%) 和SGA (8.3%) 的比例较低.
- 美国出生的女性比非洲出生的女性 (11.6%) 更有可能居住在结构性种族主义很高的社区 (20.8%).
- 结构性种族主义与所有黑人女性的PTB和SGA风险增加有关,在美国出生的女性中观察到的影响更大.
结论:
- 圣诞节在加利福尼亚州的黑人妇女如何经历结构性种族主义及其对PTB和SGA风险的影响方面发挥着重要作用.
- 调查结果强调需要针对性干预来解决结构性种族主义,以减轻各种黑人人口之间的围产期差异.
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