加拿大有或没有残疾的生育年龄妇女在怀孕前的健康差异
Samantha M Forbes1, Lesley A Tarasoff2, Meredith Evans2
1Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
概括
残疾女性面临着严重的怀孕前健康 (PCH) 差异,包括更高的吸烟率和肥胖率. 解决这些差距对于改善母亲和婴儿的结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 关于残疾人的研究.
背景情况:
- 孕前健康 (PCH) 对生殖,孕产妇和新生儿的结果至关重要.
- 在PCH中存在差异,需要有针对性的干预措施.
- 了解残疾妇女的PCH对于公平的护理至关重要.
研究的目的:
- 为了比较残疾和无残疾妇女之间的PCH指标.
- 确定残疾妇女所经历的特定的PCH差异.
主要方法:
- 加拿大社区健康调查 (CCHS) 数据 (2003-2014) 的二次分析.
- 包含一个与产科分娩数据的出院摘要数据库 (DAD) 相关的子样本.
- 修改Poisson和多项逻辑回归分析,调整为人口统计学.
主要成果:
- 残疾女性的吸烟 (aPR 1.42) 和肥胖 (aPR 1.57) 患病率较高.
- 在残疾女性中,自我报告的身体 (aPR 5.56) 和心理健康 (aPR 4.07) 明显较差.
- 残疾女性更有可能有多个 (≥3) PCH指标.
结论:
- 加拿大残疾女性经历了显著的PCH差异.
- 需要量身定制的教育,资源和政策来解决结构性障碍.
- 需要进一步的研究来支持残疾人的PCH.
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