描述退伍军人的不良怀孕事件和与怀孕相关的死亡
Deirdre A Quinn1,2, Florentina E Sileanu1, Maria K Mor1,3
1Center for Health Equity Research & Promotion (CHERP), VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Journal of women's health (2002)
|September 20, 2024
概括
使用VA怀孕福利的退伍军人面临高水平的不良怀孕事件和死亡率. 与白人退伍军人相比,黑人退伍军人经历了明显更高的不良结果,突出了种族差异.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 退伍军人健康的医疗服务
背景情况:
- 使用VA怀孕福利的退伍军人可能面临不良妊娠结果的风险.
- 关于退伍军人中不良怀孕事件的发生率和与怀孕相关的死亡率的数据有限.
- 了解这些风险对于改善退伍军人人口中母亲和婴儿健康至关重要.
研究的目的:
- 确定使用VA怀孕福利的退伍军人中不良怀孕事件和与怀孕相关的死亡率.
- 为了比较不同种族和族群的退伍军人中不良妊娠事件的发生率.
- 确定退伍军人人口中母亲健康结果的潜在差异.
主要方法:
- 使用VA国家行政数据进行回顾性队列研究.
- 纳入标准:18至45岁的退伍军人,在2009年10月至2016年9月期间怀孕,并在怀孕前一年内进行了VA初级保健访问.
- 在怀孕期间和产后一年内确定了不良事件和全因死亡率;用于种族/民族比较,使用了后勤回归.
主要成果:
- 在退伍军人中观察到高的妊娠不良事件和与怀孕相关的死亡率.
- 与白人退伍军人相比,黑人退伍军人的怀孕显示任何不良事件的几率比白人退伍军人高69% (aOR = 1.69).
- 估计与怀孕相关的死亡率为每10万活产婴儿中有76例死亡.
结论:
- 使用VA怀孕福利的退伍军人经历了严重的不良妊娠结果和死亡率.
- 存在明显的种族差异,黑人退伍军人面临不成比例的更高风险,反映了非VA人口的趋势.
- 需要有针对性的干预措施来解决这些差异,并改善所有退伍军人的孕产妇健康.
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