母亲的种族和社会经济贫困:对不良妊娠结果的影响
M Minopoli1,2, L Noël3, A Dagge4
1Fetal Medicine Unit, St George's University Hospitals NHS Foundation Trust, University of London, London, UK.
概括
种族,特别是黑人和南亚人,与更高的不良妊娠结果率有关. 然而,大多数病例发生在白人女性身上,这凸显了在风险评估中需要考虑社会经济因素的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 与胎盘功能障碍相关的不良妊娠结果是一个重大问题.
- 了解种族和社会经济地位的相互作用对于有效的风险分层至关重要.
研究的目的:
- 确定种族和社会经济贫困在预测不良妊娠结果方面的相对重要性.
- 分析妊娠不良结果组合 (CAPO) 和严重不良妊娠结果组合 (CAPO-S) 的患病率.
主要方法:
- 对13,165个单独怀孕的回顾性队列研究.
- 用多重贫困指数收集关于种族和社会经济贫困的数据.
- 怀孕期间使用胎儿医学基金会算法对子宫前风险进行查.
主要成果:
- 在白人中,CAPO的患病率为16.3%,在黑人中为29.3%,在南亚女性中为29.3%.
- 尽管在少数民族中患病率更高,但大多数CAPO病例 (51.7%) 发生在白人女性中.
- 观察到种族和社会经济贫困之间存在显著的相互作用 (r = -0.223).
结论:
- 种族和社会经济贫困都对胎盘介导的不良妊娠结果的流行有显著的影响.
- 种族被确定为影响因素最强的因素.
- 社会经济贫困应纳入CAPO的早期怀孕风险评估,特别是在大多数白人人口中.
关键词:
怀孕的复合不良结果.民族身份 民族身份多重剥夺的指数.过早分娩 过早分娩是什么孕产妇产前炎症 (pre-eclampsia) 是一个疾病.对于怀孕年龄来说小.社会经济上的贫困.一个死产的死产.宫胎盘功能障碍的发生更多相关视频
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