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最近患有炎症性肠病的移民从怀孕前到产后有显著的医疗保健利用:人口队列研究
Parul Tandon1,2,3, Vivian Huang1,3,4, Denice S Feig2,3,4
1Mount Sinai Centre for Inflammatory Bowel Disease, Division of Gastroenterology and Hepatology, University of Toronto, Toronto, Ontario, Canada.
与非移民相比,最近患有炎症性肠病 (IBD) 的移民使用了更多的门诊和内镜护理,但在怀孕期间接受的产前护理较少. 这突显了IBD移民妇女获得医疗保健的差异.
科学领域:
- 胃肠病学和肝病学
- 公共卫生 公共卫生
- 生殖健康 生殖健康
背景情况:
- 患有炎症性肠病 (IBD) 的移民在怀孕期间可能会经历不同的医疗保健利用模式.
- 了解这些差异对于公平的医疗保健服务至关重要.
研究的目的:
- 根据移民身份来描述IBD孕妇的医疗保健使用情况.
- 为了比较移民和非移民群体之间的门诊,急诊,住院,内镜和产前检查.
主要方法:
- 对于患有IBD和单独怀孕的18-55岁妇女的行政数据库 (2003-2018) 的回顾性分析.
- 移民身份的分类:最近 (<5年),远程 (≥5年) 和没有.
- 多变量负二项式回归用于计算各种医疗保健访问的调整发病率比率 (aIRR).
主要成果:
- 最近的移民在孕前,怀孕和产后期间显示出明显更高的IBD特异性门诊和内镜检查率.
- 两组之间没有观察到急诊室或住院访问的显著差异.
- 所有的移民群体都不太可能在第一季度进行产前检查.
结论:
- 最近有IBD的移民需要更多IBD特定的门诊护理,但面临着足够的产前护理障碍.
- 研究结果表明,IBD的移民妇女在获得产前护理方面存在潜在的差异.
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