出生证明数据的有效性与医院出院数据相比,在报告母亲病率和差异方面存在差异
Alison Gemmill1, Molly Passarella, Ciaran S Phibbs
1Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; the Department of Pediatrics, Children's Hospital of Philadelphia, and the Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania; the Health Economics Resource Center, Veterans Affairs Palo Alto Healthcare System, Menlo Park, and the Department of Pediatrics and the Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California; and the Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota.
出生证明数据低于报告的孕产妇病率和种族差异. 住院数据提供了对母亲健康结果和黑人与白人差异的更有效的评估.
科学领域:
- 生殖健康 生殖健康
- 公共卫生监督 公共卫生监督
- 健康差距 研究 研究 研究 研究
背景情况:
- 出生证明数据越来越多地用于孕产妇发病率研究.
- 人们对出生证明数据的质量和有效性存在担忧.
- 孕产妇发病率的种族差异是一个关键的公共卫生问题.
研究的目的:
- 评估出生证明数据的准确性,以评估母亲的发病率.
- 用出生证明与住院数据来比较孕产妇发病率和黑白人差异.
- 为了确定单独的出生证明数据是否足以研究孕产妇健康差异.
主要方法:
- 2018年加利福尼亚州和密歇根州的出生证明和住院数据.
- 分析使用两种数据源的孕产妇发病率指标.
- 两个数据集之间报告的发病率和黑白差异的比较.
主要成果:
- 在出生证明数据中,母亲的发病率被严重低估.
- 当仅使用出生证明数据时,孕产妇发病率指标的有效性很差.
- 报告不足因种族而异,导致关于黑人和白人差异的不准确结论.
- 观察到的黑人-白人的母亲发病率差异在出生证明数据中与住院数据相比,不那么明显.
结论:
- 仅凭出生证明数据就不足以进行准确的母亲发病率研究.
- 仅仅依靠出生证明数据,就可能导致对孕产妇健康的种族差异做出错误的推断.
- 住院数据为调查孕产妇发病率和相关差异提供了更可靠的来源.
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