在怀孕期间的无家可归
L Creswell1, C Leahy1, E McNamee1
1The Coombe Hospital, Dublin, Ireland.
概括
经历无家可归或生活在避难所的妇女有较差的围产期结果,包括更高的早产率和较低的出生体重. 这项研究强调了弱势群体在母亲和婴儿健康方面的差异.
科学领域:
- 孕产妇和胎儿的医学
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 无家可归和难民住宿是健康的重要社会决定因素.
- 围产期结果可能受到社会经济因素和获得护理的机会的影响.
- 了解这些关联对于有针对性的干预至关重要.
研究的目的:
- 调查无家可归/难民身份与分娩/产前结果之间的联系.
- 将弱势群体的结果与爱尔兰的参考群体进行比较.
- 为有风险的孕妇提供医疗保健策略的信息.
主要方法:
- 对133名无家可归或难民状况的孕妇进行了回顾性队列研究.
- 与76,858名拥有稳定的住房的女性的参考组进行了比较.
- 对2013-2022年社会人口统计特征和围产期数据的分析.
主要成果:
- 无家可归/难民人口的单身状态,意外怀孕,精神疾病,家庭暴力和药物使用史的比例较高.
- 显著增加过早分娩的可能性 (调整的OR 1.71).
- 与参考组相比,出生时中位数体重 (3270g vs 3420g) 较低.
结论:
- 处于无家可归或难民状况的妇女面临不良周产期结果的风险增加.
- 这些发现强调了对孕妇经历住房不稳定的孕妇需要加强支持服务的必要性.
- 解决社会决定因素对于改善母婴健康平等至关重要.
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