关于孕产妇发病率和死亡率的社会和结构性决定因素的证据地图:系统性审查
Carrie Neerland1, Jaime Slaughter-Acey, Kathryn Behrens
1School of Nursing, the School of Public Health, the Minnesota Evidence-based Practice Center, Division of Health Policy & Management, School of Public Health, and the Medical School, University of Minnesota, Minneapolis, the Amherst H. Wilder Foundation, St. Paul, and the MHealth Fairview Women's Clinic, Burnsville, Minnesota; and the Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado-Denver Anschutz Medical Campus, Aurora, Colorado.
社会和结构因素显著影响美国的孕产妇健康研究强调了歧视和暴力等风险因素的混合证据,需要对孕产妇发病率和死亡率进行更严格的研究.
科学领域:
- 孕产妇健康研究研究
- 健康的社会决定因素
- 公共卫生政策 公共卫生政策
背景情况:
- 美国的孕产妇发病率和死亡率受到复杂的社会和结构因素的影响.
- 了解这些决定因素对于改善产前和产后护理至关重要.
- 现有的研究在深度和质量方面存在局限性.
研究的目的:
- 系统地确定影响孕产妇健康结果的社会结构性健康决定因素.
- 分析各种风险因素与孕产妇发病率/死亡率之间的关联.
- 突出关于孕产妇健康社会决定因素的研究中的差距和未来方向.
主要方法:
- 在MEDLINE,CINAHL和社会科学引用指数中进行全面的文献搜索,截至2022年11月.
- 选了8378个独特的参考文献,其中118项研究符合纳入标准.
- 根据社会/结构决定因素和母体结果对研究进行分类,使用形图进行可视化.
主要成果:
- 研究检查了风险因素,包括身份,歧视,社会经济地位,暴力,创伤,压力和医疗保健.
- 与其他决定因素相比,暴力和创伤受到不成比例的研究.
- 结果包括孕产妇死亡率,严重发病率,高血压疾病,妊娠糖尿病和心理健康问题.
- 风险因素和结果之间的关联是混合的;心理健康结果是普遍存在的.
- 指出存在偏差的高风险和过度风险的报告有限.
结论:
- 目前研究的深度和质量阻碍了对因果路径和风险因素相互依存的理解.
- 未来的研究应该优先考虑估计因果关系效应的方法和提高研究严格度.
- 需要开发全面的数据集,以便对社会决定因素,它们的交叉点和反循环进行可靠的检查.
更多相关视频
03:35Determining Gender-Based Differences in Retinal and Choroidal Thickness in Underweight Individuals via Swept-Source Optical Coherence Tomography
Published on: December 1, 2023
06:55Assessment of Maternal Vascular Remodeling During Pregnancy in the Mouse Uterus
Published on: December 5, 2015
相关概念视频
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
International Nursing Organizations II
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Strategies for Assessing and Addressing Confounding
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
Regression Toward the Mean
Psychological and Sociocultural Causes of Schizophrenia
