在不良怀孕结果的全球不平等:我们可以做什么?
James M Roberts1, Seye Abimbola2, Tracy L Bale3
1Departments of Obstetrics, Gynecology, and Reproductive Sciences, Epidemiology, and Clinical and Translational Research, Magee-Womens Research Institute, University of Pittsburgh, Pittsburgh, PA (Roberts).
在怀孕护理方面没有实现健康公平,这体现在孕产妇和婴儿死亡率的差异. 解决健康和研究实践的社会驱动因素对于改善全球结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
背景情况:
- 卫生公平确保所有人公平获得医疗保健资源.
- 孕产妇和婴儿死亡率的显著差异凸显了怀孕护理中缺乏健康公平的现象.
- 这些不平等在全球低资源和高资源环境中持续存在.
研究的目的:
- 探索怀孕护理中的健康不平等的根本原因.
- 审查这些不平等现象的环境.
- 提出方法和建议,以提高孕产妇医疗保健中的健康公平.
主要方法:
- 从全球怀孕协作研讨会的数据和案例研究的审查.
- 探索导致差距的健康社会决定因素.
- 分析当前关于母亲健康的研究实践.
主要成果:
- 确定了健康的社会驱动因素,包括低收入,住房不足,饮用水不足,结构性种族主义和医疗保健沙漠,作为不平等的关键因素.
- 强调在怀孕护理方面的不平等现象在低资源和高资源环境中普遍存在.
- 对当前研究实践在延续孕产妇健康不平等方面的潜在作用表示担忧.
结论:
- 在怀孕护理中实现健康公平需要解决健康的多方面的社会驱动因素.
- 创新的研究和持续的关注是解决持续不平等的必要.
- 提供的建议为改善孕产妇健康结果和实现更大的公平提供了可行的策略.
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