罗德岛的邻居风险和产前护理利用率,2005年至2014年
Helena Habtemariam1,2, Lauren E Schlichting2, Martha B Kole-White3
1School of Public Health, Brown University, Providence, Rhode Island, USA.
Birth (Berkeley, Calif.)
|January 12, 2024
概括
生活在高风险社区与较低的充分产前护理利用率有关. 这凸显了需要解决社区层面的差异,以实现公平的孕产妇健康.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 孕产妇健康 孕产妇健康
背景情况:
- 适当的产前护理对于积极的母亲和婴儿健康结果至关重要.
- 之前的研究经常检查单个邻里因素,限制了全面的分析.
- 这项研究引入了一个新的社区风险指数,以评估累积的基于地点的风险.
研究的目的:
- 评估累积邻居风险和产前护理利用之间的关联.
- 调查综合社区风险指数如何影响获得及时和适当的产前护理.
主要方法:
- 使用的罗德岛生命统计出生数据 (2005-2014).
- 使用八个社会经济区组变量构建了一个社区风险指数.
- 采用多变量逻辑回归来分析充分的产前护理使用与邻里风险之间的关系.
主要成果:
- 更高的邻居风险与减少充分或更好的产前护理利用率有显著的联系.
- 在APNCU指数 (aOR 0.91) 和R-GINDEX (aOR 0.88) 中,结果一致.
- 高风险地区的个体显示,接受适当产前护理的几率较低.
结论:
- 社区社会经济因素显著影响产前护理的获取和利用.
- 在干预中优先考虑服务不足的社区对于公平的产前护理至关重要.
- 解决基于地点的差异是改善孕产妇健康结果的关键一步.
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