过早分娩风险和母亲的出生,种族和种族
Alejandra Barreto1,2, Brielle Formanowski2, Michelle-Marie Peña3
1Department of Population and Public Health Sciences, University of Southern California, Los Angeles.
JAMA network open
|March 21, 2024
概括
移民出生的人通常有较低的早产率,但种族和民族之间存在差异. 需要有针对性的干预措施,特别是针对代表性不足的人群.
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
- 健康差异 在健康上的差异
背景情况:
- 移民分娩个体往往比美国出生的同行表现出较低的早产率.
- 现有的研究还没有全面检查各种种族,种族和出生群体中早产分歧的国家模式.
研究的目的:
- 调查母亲的出生,种族和种族之间的关联以及早产风险.
- 分析这些关联在不同的妊娠年龄类别.
主要方法:
- 一项大型队列研究利用了2009-2018年美国出生证明数据.
- 分析包括超过3400万个独生子活产,并比较了各种母婴出生,种族和种族的子组.
- 修改Poisson和多项逻辑回归模型被使用,调整了人口和医疗共变量.
主要成果:
- 与美国出生的非西班牙裔白人个人相比,大多数种族和少数民族子组的早产风险增加.
- 非美国出生的个人通常有较低的早产风险,有显著的例外.
- 与美国出生的同行相比,非西班牙裔原住民夏威夷人或其他太平洋岛民移民面临着显著增加的早产风险.
结论:
- 在母亲的出生,种族,种族和妊娠年龄之间,早产率存在显著的异质性.
- 调查结果强调,需要针对性干预和政策来解决早产差异.
- 了解这些细微的模式对于支持代表性不足的分娩人口至关重要.
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