社会经济地位是孕妇感染SARS-CoV-2的风险因素之一
Julia Lastinger1, Joachim Gerich2, Martina Beham-Rabanser2
1Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University, Linz, Austria.
具有较低社会经济地位 (SES) 和教育水平的孕妇患SARS-CoV-2感染的风险更高. 这些社会经济因素,再加上COVID-19,会对怀孕结果产生负面影响,需要针对性的卫生干预措施.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 由于COVID-19与不良妊娠结果的关联,孕妇是一个脆弱的群体.
- 低社会经济地位 (SES) 是已知的SARS-CoV-2感染的风险因素.
- COVID-19和低SES的综合影响可能会协同破坏怀孕结果.
研究的目的:
- 评估检测出SARS-CoV-2阳性的孕妇的社会经济背景.
- 评估SES自我报告,教育,财务状况和孕妇SARS-CoV-2感染之间的关联.
主要方法:
- 一项涉及150名怀孕妇女的病例控制研究,其中有SARS-CoV-2 PCR阳性测试和150名匹配的对照.
- 通过书面问卷和医院信息系统记录收集数据.
- 匹配是基于出生时的妊娠年龄.
主要成果:
- 感染SARS-CoV-2的孕妇报告社会经济地位较低 (p=0.029) 和教育水平较低 (p=0.003).
- 在COVID-19组中的母亲显著年轻 (p=0.024),但在调整教育后,年龄不是独立的风险因素 (p=0.326).
- 观察到的感染风险的社会梯度没有被潜在的调解者或混因素解释.
结论:
- 较低的社会经济地位与怀孕期间感染SARS-CoV-2的风险增加之间存在明显的联系.
- 在SARS-CoV-2预防和孕妇的医疗保健策略中,必须考虑健康不平等,特别是那些来自弱势背景的孕妇.
- 解决社会经济因素对于减轻与COVID-19相关的负面妊娠结果至关重要.
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