终身上升经济流动性和美国出生的拉丁裔妇女的早产率
John Feister1,2, Clarissa Najera3, Kristin Rankin3
1Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati, OH, 45267, USA. john.feister@cchmc.org.
Maternal and child health journal
|February 3, 2024
概括
从温和的贫困中走出来的拉美女性经历了较低的早产风险 (PTB). 然而,经济上升的流动性并没有显著降低最初来自极端贫困地区的人的PTB率.
科学领域:
- 生殖健康 生殖健康
- 健康的社会经济决定因素
- 围产期流行病学 围产期流行病学
背景情况:
- 在贫困的城市社区的早期居住是产生不良出生结果的重要风险因素.
- 了解社会经济流动对拉丁裔妇女早产 (PTB) 的影响,对于有针对性的干预至关重要.
研究的目的:
- 研究拉丁裔妇女的经济上升流动性与早产风险 (PTB) 之间的关联,基于她们早期生活的邻里贫困水平.
主要方法:
- 在伊利诺伊州跨世代出生档案中利用多变量逻辑回归分析.
- 包括1989-1991年间出生的西班牙裔婴儿及其母亲 (出生于1956-1976).
- 添加了美国人口普查收入数据,以评估社会经济地位和流动性.
主要成果:
- 来自中等贫困地区的拉丁裔女性经济上升流动性较低的PTB率 (8.5%) 与那些在类似地区终身居住 (13.1%) 相比.
- 调整后TB的相对风险 (RR) 为0.66 (0.47,0.93) 来自中等贫困地区的女性.
- 经济上升的流动性没有显著减少来自极端贫困社区的妇女的PTB风险 (经调整的RR 0.95 [0.75,1.22]).
结论:
- 从适度贫困的城市社区上升的经济流动性与拉丁裔妇女早产风险的降低有关.
- 经济流动性对PTB风险的保护作用并未被观察到对于生活在极贫困地区的早期居住的妇女.
- 早期居住的社会经济背景可能会改变上升流动对出生结果的影响.
相关概念视频
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Applications of Life Tables
64
Life tables are versatile across various fields, providing a quantitative basis for analyzing mortality and survival rates. Whether used by demographers, actuaries, epidemiologists, or sociologists, life tables offer valuable insights into the dynamics of life and death, facilitating informed decisions in public health, insurance, conservation, and beyond. Their broad applicability highlights the interconnectedness of demographic data with practical outcomes in everyday life and strategic...
64
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Longitudinal Studies
163
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
163
Prevalence and Incidence
524
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
524


