乔治亚州怀孕前体重和怀孕相关疾病的种族种族差异:一项基于人口的研究
Suhasini Ramisetty-Mikler1,2,3, Angelique Willis4, Chetan Tiwari4,5
1Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, USA. sramisettymikler@gsu.edu.
Journal of racial and ethnic health disparities
|February 21, 2024
概括
孕产妇健康差异显示,在种族少数群体中,产后抑郁症,妊娠期糖尿病和高血压的发病率更高. 促进健康的妊娠前体重对于更好的妊娠结果至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 与怀孕相关的疾病如妊娠高血压 (GHT),妊娠糖尿病 (GDM) 和产后抑郁症 (PPD) 具有重大风险.
- 怀孕前肥胖和过度妊娠体重增加的种族种族差异已知是导致母亲不良后果的因素.
研究的目的:
- 调查GHT,GDM和PPD发病率中的种族种族差异.
- 检查怀孕前超重/肥胖与这些疾病之间的关联.
- 确定这些疾病发病率高的地理区域和需要医疗干预的少数群体.
主要方法:
- 利用了4年的 (2017-2020) 格鲁吉亚怀孕风险评估监测系统数据 (N=3208).
- 使用回归建模来控制人口统计和其他混因素.
- 将GHT和PPD率的地理分布与种族种族人口模式和医院可用性进行比较.
主要成果:
- 在亚洲,西班牙裔和黑人母亲中观察到高的PPD率;亚洲母亲中GDM最高;黑人母亲中GHT最高.
- 在怀孕前超重/肥胖显著增加了跨种族群体GHT和GDM的几率.
- 在特定的种族群体中,早产与GHT和PPD的几率增加有关.
结论:
- 促进健康的怀孕前体重对于降低孕产妇发病率至关重要.
- 有针对性的产前监测,可能使用技术干预,可以帮助保持健康的怀孕和解决差异.
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