哈维风和自发早产和早产的风险
Xinyue Liu1, Alique G Berberian2, Sophia Wang3
1Department of Epidemiology, Jonathan and Karin Fielding School of Public Health, University of California Los Angeles, California.
Environmental epidemiology (Philadelphia, Pa.)
|May 27, 2024
概括
暴露于哈维风的风险在一周内增加了14%的早产风险,特别影响弱势群体. 这项研究强调了需要在气候相关灾害期间为孕妇提供有针对性的支持.
科学领域:
- 环境健康 环境健康
- 生殖流行病学 生殖流行病学
- 灾难医学 灾难医学
背景情况:
- 2017年,哈维风在德克萨斯州休斯顿造成了大范围的洪水.
- 之前关于风暴露和早产的研究已经产生了不一致的结果.
- 这项研究调查了哈维风与自发早产和早产之间的联系,重点关注弱势群体.
研究的目的:
- 为了确定哈维风暴露是否增加了自发早产的风险.
- 评估哈维风与自发早产之间的关联.
- 为了确定受"哈维"风对出生结果影响不成比例的子群体.
主要方法:
- 一项回顾性研究分析了大休斯顿地区 (2015-2019) 的行政记录中的单独生育.
- 后勤回归模型将哈维风发生在1,2,4周内或期间的出生与未暴露的时期进行了比较.
- 根据洪水的严重程度,父母的年龄,怀孕风险,种族/种族以及产前护理的机会来评估效果的修改.
主要成果:
- 在风哈维暴露和一周内自发早产之间没有发现显著的关联.
- 在哈维风 (OR,1.14;95%CI = 1.04,1.25) 一周内,自发早产的几率增加了14%.
- 在严重淹水的地区,隔离的社区,外国出生的西班牙裔和没有产前护理的个人中,发现早产的几率更高.
结论:
- 风哈维的暴露与自发早产的几率增加有关,直到事件发生后一周.
- 社会边缘化的人群,包括那些在高洪水地区和没有产前护理的人群,经历了更大的影响.
- 研究结果强调了在极端天气事件期间考虑环境暴露和母亲和婴儿健康的社会决定因素的重要性.
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