在美国早产中失踪的黑人男性,1995年至2019年
Tim A Bruckner1, Suman Chakrabarti2, Brenda Bustos3
1Department of Health, Society, and Behavior, and the Center for Population, Inequality, and Policy, University of California, Irvine, Irvine, California, United States of America.
PloS one
|March 18, 2024
概括
与非西班牙裔白人出生相比,非西班牙裔黑人出生在早产 (PTB) 中的男性与女性比例较低. 这一发现表明PTB性别比率可能表明胎儿死亡风险的种族差异,特别是在男性婴儿中.
科学领域:
- 生殖健康 生殖健康
- 围产期流行病学 围产期流行病学
- 健康方面的种族差异.
背景情况:
- 与非西班牙裔 (NH) 黑人个人相比,非西班牙裔 (NH) 白人个人面临胎儿死亡风险的两倍.
- 男性胎儿在子宫内死亡的风险更高,可能会影响活产生的性别比率,特别是在早产 (PTB).
研究的目的:
- 调查是否早产性比在美国的NH黑人,NH白人和西班牙裔人口之间有所不同.
- 为了确定NH黑人出生中的PTB性别比率是否低于NH白人和西班牙裔出生中的PTB性别比率.
主要方法:
- 利用1995年至2019年的美国出生数据,分析了超过1000万例早产.
- 使用线性回归来分析PTB性别比率的趋势和季节性模式.
- 检查了PTB性别比率的亚组变化,包括晚期母亲年龄和双胞胎妊娠.
主要成果:
- NH黑人PTB性别比率 (1.06) 显著低于NH白人PTB性别比率 (1.18).
- 在NH中较低的PTB性别比率,在双胞胎和35岁以上母亲的出生中观察到黑色分娩.
- 只有NH白色PTB性别比率在研究期间表现出趋势.
结论:
- 在NH黑人怀孕队伍中,与NH白人队伍相比,发现男性早产的持续赤字.
- 在NH的低PTB性别比率中,黑人出生集中在具有更高胎儿死亡风险的子组中.
- PTB性别比率可以作为胎儿死亡的种族/种族和子组差异的指标,特别是在男性怀孕中.
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