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怀孕期间被监禁的第一民族分娩父母的出生结果:加拿大马尼托巴的一项链接行政数据研究
Nathan C Nickel1, Jennifer E Enns1, Marni Brownell1
1Manitoba Centre for Health Policy, Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
概括
产前监禁与加拿大的第一民族和其他分娩父母的不良分娩结果有关. 这凸显了改善护理和监禁的替代方案的需要,以解决健康不平等问题.
科学领域:
- 公共卫生 公共卫生
- 土著健康土著健康
- 生殖健康 生殖健康
背景情况:
- 加拿大的殖民政策为第一民族人民创造了健康不平等.
- 监禁不成比例地影响到第一民族的个人,导致他们和他们的婴儿的健康风险.
- 产前监禁对生育父母和新生儿构成特定风险.
研究的目的:
- 调查产前监禁与不良分娩结果之间的联系.
- 为了比较第一民族和其他出生父母在加拿大马尼托巴的结果.
- 检查与产前与产后监禁相关的风险.
主要方法:
- 利用了2004-2017年整体人口相关的行政数据.
- 包括第一民族 (n=1,449) 和其他曼尼托巴 (n=278) 产前监禁的分娩父母.
- 使用通用线性模型与倾向性得分加权的比较小组.
主要成果:
- 与产后监禁相比,在产前监禁的第一民族父母的低出生体重 (RD 1.59) 率更高.
- 与产后监禁相比,其他患有产前监禁的曼尼托巴父母的低出生体重率 (RD -2.33) 较低.
- 产前监禁与两个组的不良结果有关,例如早产和低Apgar分数.
结论:
- 监禁可能会通过对出生结果产生负面影响来延续代际压迫.
- 迫切需要加强对被监禁的孕妇的护理.
- 投资监禁的替代品是减少健康差异的关键.
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