环境正义指数和不良妊娠结果
Jaclyn Del Pozzo1,2,3, Insaf Kouba1,2,3, Alejandro Alvarez1,4
1Northwell Health, New Hyde Park (Drs Del Pozzo and Kouba, Mr Alvarez, and Dr Blitz), NY.
AJOG global reports
|April 8, 2024
概括
较高的环境正义指数得分与增加的不良妊娠结果相关,特别是死产和高血压疾病. 这突出了影响孕产妇健康不平等的社区层面因素.
科学领域:
- 环境健康 环境健康
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
背景情况:
- 环境正义指数 (EJI) 量化了社区的环境负担和社会脆弱性.
- 在不良怀孕结果的种族和民族差异得到了充分证实.
- 了解个人和环境风险因素的相互作用至关重要.
研究的目的:
- 评估环境正义指数 (EJI) 与不良妊娠结果之间的关联.
- 在分析中调整个人临床和社会人口统计学风险因素.
主要方法:
- 2019年1月至2022年2月期间65,273次交付的回顾性横截面研究.
- 使用环境正义指数 (EJI) 分数作为主要的独立变量.
- 不良的妊娠结果包括高血压疾病,妊娠糖尿病,早产等. 使用多变量逻辑回归.
主要成果:
- 在37.6%的怀孕中发生了不良妊娠结果.
- 增加的EJI得分与更高的妊娠不良结果几率有关 (aOR,1.014每0.1增加).
- 最强烈的关联是与死产和妊娠高血压疾病. 第三类肥胖症和某些种族/种族群体也显示出显著的关联.
结论:
- 环境正义指数 (EJI) 评分与不良妊娠结果有积极的关联.
- 使用EJI的地理空间分析可以识别与妊娠并发症相关的邻里特征.
- 这种方法有助于理解和解决产妇护理中的健康不平等问题.
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