社会脆弱性对药物使用检测实践在怀孕期间的影响
Virginia A Lijewski1, Heather Aldrich1, Heather L Straub1
1Department of Obstetrics and Gynecology, University of Colorado, Aurora, Colorado.
American journal of perinatology
|March 19, 2024
概括
社会脆弱的孕妇在物质使用检测方面面临差异. 种族,种族,年龄和保险影响查结果,强调需要对这些不平等进行进一步研究.
科学领域:
- 生殖健康 生殖健康
- 健康 公平 卫生 公平
- 药物使用研究研究 药物使用研究
背景情况:
- 社会脆弱性显著影响美国孕妇获得医疗保健的机会和结果.
- 现有的文献表明,在怀孕人口中如何检测物质使用的潜在差异.
- 了解这些差异对于公平的产前护理至关重要.
研究的目的:
- 综合当前关于社会脆弱性对美国怀孕相关物质使用检测影响的文献.
- 识别和突出怀孕个体中物质使用检测实践的差异.
- 强调需要对导致这些不平等的因素进行进一步调查.
主要方法:
- 从2014年1月到2023年11月,在多个数据库 (Clinicaltrials.gov,Google Scholar,PubMed,Cochrane Library) 中进行了全面的文献搜索.
- 关键词包括与怀孕,物质使用查和社会脆弱性/不平等相关的术语.
- 包括的研究被系统地审查,最终根据相关性和质量选择了18份手稿进行分析.
主要成果:
- 少数民族身份是最常见的社会脆弱性领域 (17/18研究).
- 社会经济地位和家庭特征也是常见的脆弱性因素.
- 发现种族,种族,年龄和公共保险与物质使用检测率的增加有关,这表明存在显著的差异.
结论:
- 社会脆弱性显然影响了在美国怀孕个体中检测物质使用的情况.
- 种族,种族,年龄和保险状况等特定的人口因素在这些检测差异中发挥着关键作用.
- 进一步的研究是必不可少的,以充分理解各种特征的复杂相互作用及其对产前护理中公平的物质使用检测的影响.
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