英格兰的种族和种族,贫困和婴儿死亡率,2019-2022年
David E Odd1,2, Sylvia Stoianova2, Tom Williams2
1Division of Population Medicine, School of Medicine, University of Cardiff, Cardiff, United Kingdom.
JAMA network open
|February 12, 2024
概括
英格兰的婴儿死亡率与种族和种族有关,黑人和亚洲婴儿的风险更高. 过早分娩可能解释了近一半的差异,强调了有针对性的干预措施的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会医学科学 社会医学科学
背景情况:
- 与其他欧洲国家相比,英格兰的婴儿死亡率很高.
- 社会经济因素被怀疑是导致婴儿死亡率种族和民族差异的原因,但确切的关联仍然不清楚.
研究的目的:
- 检查婴儿种族和种族与英格兰婴儿死亡率之间的关系.
- 为了调整早产和社会经济贫困对这些协会的影响.
主要方法:
- 一项队列研究分析了2019年4月至2022年3月期间英格兰5621例婴儿死亡的数据.
- 婴儿的特征,包括种族和种族 (亚裔,黑人,多种族,白人,其他) 从死亡通知中获得.
- 统计分析计算了死亡的相对风险,调整为贫困,妊娠年龄和地区.
主要成果:
- 与白人婴儿相比,黑人 (1.93) 和亚裔 (1.67) 婴儿的未调整相对死亡风险明显高.
- 在非白人婴儿中,婴儿死亡率的可归因人群风险分数为12.0%.
- 对贫困进行调整并不能完全解释观察到的差异;亚洲和黑人社区的早产风险可能占过剩死亡率的约一半.
结论:
- 英格兰的婴儿死亡率与种族和种族有关,具有显著的人口归因风险.
- 社会经济贫困并没有完全解释观察到的差异.
- 亚洲和黑人婴儿早产风险增加是一个重要因素,需要进一步研究减少婴儿死亡率的干预措施.
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