美国非妇产产妇死亡率趋势,按种族分类
Ryan S Huang1, Andrea R Spence2, Haim A Abenhaim3
1Division of Experimental Medicine, McGill University, Montreal, QC, Canada.
Maternal and child health journal
|December 26, 2023
概括
在美国,非产科产妇死亡人数正在增加,特别是在美洲印第安妇女中. 有针对性的干预措施对于解决这些可预防的死亡原因和改善孕产妇健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 孕产妇死亡率干预措施往往忽视了诸如意外和过量服用等非产科原因.
- 这些非产科因素占孕产妇死亡的很大一部分.
研究的目的:
- 为了检查美国不同种族群体的非产科原因产妇死亡的趋势.
- 分析种族对非产科产妇死亡风险和时间变化的影响.
主要方法:
- 使用国家出生和死亡数据 (2000-2019) 进行基于人口的横截面研究.
- 计算每年每10万活产中非产科产妇死亡的发生率.
- 采用后勤回归来评估特定种族的风险和趋势.
主要成果:
- 非产科原因占母亲死亡的34.5% (7,334例).
- 交通事故和意外中毒是主要原因.
- 美国印第安人妇女面临的风险最高 (OR 2.20),随着时间的推移,死亡风险显著增加,特别是美国印第安人和黑人妇女.
结论:
- 在美国,非产科产妇死亡问题越来越令人担忧,不成比例地影响着美洲印第安妇女.
- 新型公共卫生干预措施必须特别针对美洲印第安妇女,以减少非产科产妇死亡率.
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