疫情期间与怀孕相关的死亡率:农村地区的差异
Claire E Margerison1, Xueshi Wang2, Alison Gemmill3
1Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, Michigan.
American journal of preventive medicine
|September 14, 2024
概括
农村地区面临更高的与怀孕相关的死亡率,在COVID-19大流行期间,差异加剧. 产科,药物相关和自杀死亡的增加在农村人口中最为明显.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 美国农村人口经历更高的不良孕产妇健康结果.
- 关于与怀孕相关死亡 (PAD) 的农村/城市差异的数据有限,特别是在COVID-19大流行期间.
研究的目的:
- 分析美国与怀孕相关死亡 (PAD) 的农村/城市差异.
- 调查COVID-19大流行如何影响PAD的这些农村/城市差异.
主要方法:
- 利用美国生命统计数据从2018年到2021年的死亡数据.
- 根据年份,病因和农村地区 (城市,郊区,农村) 计算PAD比率和95%置信区间.
- 根据农村地区,评估了大流行前 (2018-2019) 和大流行 (2020-2021) 期间PAD比率的百分比变化.
主要成果:
- 在疫情期间,农村地区的产科,药物相关,自杀和其他原因的PAD比率最高.
- 在农村地区,从大流行前到大流行期间,所有原因都增加了PAD.
- 农村地区经历了与毒品有关的死亡人数的最大增长,并且在疫情期间,自杀死亡人数的唯一增加.
结论:
- 农村地区承受着与怀孕相关死亡的高负担.
- COVID-19大流行加剧了农村人口在孕产妇死亡率方面的现有不平等.
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