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西班牙裔种族和生育结果
Devon M Langston1, Kiarad Fendereski2, Joshua A Halpern3
1Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT.
Urology
|April 25, 2024
概括
犹他州的西班牙裔男性生育率明显降低,活产的可能性降低了近40%. 这项研究强调了在生殖健康方面存在的种族差异,需要进一步调查.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 社会人口统计学 社会人口统计学
背景情况:
- 生育结果可能受到各种因素的影响,包括种族和社会经济地位.
- 了解这些关联对于解决健康不平等至关重要.
研究的目的:
- 在全州的队列中调查种族和男性生育结果之间的关系.
- 为了确定不同种族之间的生育成功率的潜在差异.
主要方法:
- 分析了11363名在犹他州 (1998-2017) 接受精液分析的不育男性的队列.
- 数据与犹他州人口数据库和子养健康辅助生殖和环境数据库进行了数据链接.
- 使用多变量Cox比例危险模型来评估种族对生育结果的影响.
主要成果:
- 西班牙裔男性 (队列的9.1%) 在较低社会经济地位的群体中占比不大.
- 控制人口和临床因素,西班牙裔男性显示活产的可能性降低 (HR=0.62).
- 西班牙裔男性不太可能使用生育治疗,尽管它们对结果有积极的影响.
结论:
- 西班牙裔种族与犹他州更差的生育结果有显著的关联.
- 显著的差异存在,西班牙裔男性每年每100名男性约有14名活产婴儿少.
- 这些发现强调了解决生殖健康服务和结果的种族差异的必要性.
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