在英格兰的6-8周婴儿检查覆盖范围中的种族不平等 2006- 2021:使用临床实践研究数据链接的队列研究
Claire X Zhang1, Maria A Quigley1, Clare Bankhead2
1NIHR Policy Research Unit in Maternal and Neonatal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford.
概括
6-8周婴儿检查覆盖率的种族不平等在英格兰仍然存在,在特定的族群和地区观察到的最低率. 需要有针对性的干预措施来解决这些差异,并确保平等获得基本的婴儿医疗保健.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 孕产妇和儿童的健康
背景情况:
- 现有报告强调了英格兰母亲和婴儿医疗覆盖率的不平等.
- 在6-8周婴儿检查中的种族差异尚未在全国范围内量化.
研究的目的:
- 调查母亲种族对2006年至2021年英格兰6至8周婴儿检查覆盖率的影响.
主要方法:
- 利用来自英格兰初级保健的电子健康记录进行一项队列研究.
- 计算了16个族群的婴儿检查覆盖率,分析了按年和地区的变化.
- 员工修改了波桑回归来估计风险比率,并检查了与母亲检查和婴儿疫苗接种相关的覆盖时间.
主要成果:
- 在6-8周婴儿检查覆盖率中发现了显著的种族不平等,因地区和年份而异.
- 覆盖率一般增加到2015-2016年,然后在大多数群体中停滞在80-90%左右.
- 孟加拉国和巴基斯坦群体的覆盖率始终最低,特别是在西米德兰斯和西北地区,即使经过调整后也持续存在.
结论:
- 在6-8周婴儿检查覆盖范围中持续存在的种族差异需要委托委员会,初级保健网络和全科医生实践采取协调行动.
- 了解这些不平等的根本原因对于制定有针对性的战略来改善获取和结果至关重要.
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