在旧金山早产审查的概念框架
Jodi D Stookey1, Sylvia Guendelman2, Brady McCallister3
1Maternal, Child, and Adolescent Health Division, San Francisco Department of Public Health, San Francisco, CA, United States.
Frontiers in public health
|May 16, 2024
概括
解决健康的社会决定因素 (SDH) 对于预防早产至关重要. 旧金山开发了一个概念框架,指导数据收集和干预措施,以预防早产.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 早产仍然是婴儿死亡率和发病率的主要原因.
- 现有的干预措施往往失败,因为没有考虑健康的社会决定因素 (SDH) 和相互作用的风险因素.
- 持续的早产差异与SDH有关,如种族,住房和邮政编码.
研究的目的:
- 在旧金山为早产审查 (PTBR) 制定一个概念框架.
- 引导数据收集,分析和干预策略,以预防早产的现型.
- 通过系统地考虑SDH和其他风险因素,使基本公共卫生服务成为可能.
主要方法:
- 开发了一个PTBR概念框架,整合了10个SDH领域,9个全人领域和8个个人内部领域.
- 进行了关于SDH对早产的影响的文献范围审查.
- 利用卫生当局的共识报告和用于框架验证的试点数据.
主要成果:
- 该框架系统地考虑了对早产的影响的多层次.
- 试点数据证实了数据收集的可行性和同时出现的风险因素的普遍性.
- 确定了对特定早产表型和干预机会的联合影响的潜在潜力.
结论:
- PTBR概念框架为风险分层,可视化,分析和干预设计提供了实际意义.
- 它促进了一种多层次,多组件的方法来预防早产.
- 学到的经验教训将为PTBR基础设施的发展提供信息,用于持续的公共卫生工作.
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