在受过大学教育的女性中,按种族分类的孕产妇和新生儿疾病
Adina R Kern-Goldberger1, Nigel Madden1, Caitlin Baptiste1,2
1Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York.
AJP reports
|January 30, 2024
概括
产科结果的种族差异甚至在大学受过教育的女性中仍然存在. 与非西班牙裔白人女性相比,非西班牙裔黑人女性在剖腹产后的孕产妇和新生儿患病率较高.
科学领域:
- 产科和妇科 产科和妇科
- 健康差异 在健康上的差异
- 孕产妇和新生儿健康
背景情况:
- 不利的孕产妇和新生儿后果不成比例地影响非西班牙裔黑人和西班牙裔妇女.
- 现有研究表明,在产科护理方面存在种族差异.
- 种族对受过大学教育的女性成绩的影响需要进一步调查.
研究的目的:
- 确定在接受剖腹产分娩的大学受过教育的女性中是否存在产科结果的种族差异.
- 在这个人口中的不同种族/族群中比较孕产妇和新生儿死亡率.
主要方法:
- 对2540名经历剖腹产的妇女进行了回顾性队列研究.
- 女性被归类为受过大学教育 (4年学位完成).
- 种族/族群包括非西班牙裔白人,非西班牙裔黑人,西班牙裔,亚洲裔,美洲原住民和未知. 用多变量逻辑回归来分析结果.
主要成果:
- 与非西班牙裔白人女性相比,受过大学教育的非西班牙裔黑人女性的孕产妇死亡率明显高 (OR 1.77,95% CI 1.12-2.80).
- 新生儿发病率在非西班牙裔黑人 (OR 1.91,95% CI 1.31-2.79) 和西班牙裔 (OR 3.34,95% CI 2.23-5.01) 妇女中明显较高.
结论:
- 产科结果的种族和民族差异甚至在大学受过教育的人群中仍然存在.
- 与剖腹产相关的孕产妇和新生儿病率在大学教育的非西班牙裔黑人女性中明显高于非西班牙裔白人女性.
- 这些发现凸显了解决导致这些持续差距的系统因素的必要性.
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