在科罗拉多州的无家可归妇女中,短暂的妊娠间隔
Rie Sakai-Bizmark1,2, Nicholas J Jackson3, Frank Wu1
1The Lundquist Institute for Biomedical Innovation at Harbor-UCLA (University of California, Los Angeles) Medical Center, Torrance.
JAMA network open
|January 4, 2024
概括
经历无家可归的女性更有可能出现短间隔妊娠 (SIPI). 干预措施必须解决受孕管理问题,并考虑无家可归人口的种族和种族差异.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 公共卫生 公共卫生
背景情况:
- 短暂的妊娠间隔 (SIPI) 与不良的孕产妇和新生儿结局有关.
- 现有的研究表明SIPI的社会经济差异,但对无家可归妇女的数据有限.
研究的目的:
- 为了比较无家可归和定居妇女之间的SIPI率和特征.
- 检查无家可归如何影响SIPIs与种族/种族之间的关联.
- 根据住房状况,评估非常短的妊娠间隔 (VSIPI) 是否会根据住房状况不同影响孕产妇/新生儿的结果.
主要方法:
- 一项科罗拉多州全州的队列研究将多个数据库 (索赔,无家可归管理,重要记录) 联系起来.
- 包括2016年1月1日至2021年12月31日期间分娩的妇女.
- 分析了关于无家可归,种族/种族,SIPI以及母亲/新生儿结局的数据.
主要成果:
- 无家可归与增加SIPI的几率有关 (AOR,1.23).
- 与西班牙裔女性相比,非西班牙裔黑人和白人女性的无家可归和SIPI之间的关联较小.
- 在无家可归妇女中,VSIPI与急诊室访问和低出生体重有更大的关联,尽管在统计学上并不显著.
结论:
- 无家可归与更高的短期妊娠间隔的可能性有关.
- 对于经历无家可归的女性来说,怀孕管理至关重要.
- 干预措施应解决该人口中SIPI的种族和民族差异.
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