化对加利福尼亚州不良分娩结果的影响
Xing Gao1, Mahasin S Mujahid2, Amani M Nuru-Jeter2,3
1Department of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA.
Journal of urban health : bulletin of the New York Academy of Medicine
|September 27, 2024
概括
化与加利福尼亚州早产的可能性增加有关. 这项研究强调了社区变化,如 gentrification,有助于不利的出生结果的差异.
科学领域:
- 公共卫生 公共卫生
- 社会医学科学 社会医学科学
- 流行病学 流行病学
背景情况:
- 位置显著影响围产期的结果,但社会政治因素,如 gentrification 驱动的空间不平等在不利的出生结果是研究不足的.
- 了解将邻居环境与出生结果联系在一起的机制对于解决健康差异至关重要.
研究的目的:
- 评估加利福尼亚州的 gentrification 和不良分娩结果 (早产,怀孕年龄较小,低出生体重) 之间的关联.
- 检查不同的 gentrification 测量方法如何影响这些跨种族和种族群体的协会.
主要方法:
- 利用了加利福尼亚州一个庞大的出生数据集 (超过500万个出生).
- 使用弗里曼方法和移位和 gentrification 类型学的 gentrification 的测量.
- 采用混合效应的后勤回归模型,调整社会人口统计学和怀孕因素,分析 gentrification 和出生结果之间的关联,考虑人口普查区集群.
主要成果:
- 在这两种测量方法中,化与早产的几率增加有关.
- 与弗里曼方法相比,流离失所和化类型学始终显示不良结果的几率更高.
- 关联在种族/族群和特定出生结果的方向和规模上有所不同,这取决于所使用的 gentrification 度量.
结论:
- 城镇化是加利福尼亚州不利出生结果的一个重要因素.
- 优化衡量方法的选择影响了与出生结果的观察到的关联.
- 研究结果强调需要考虑社会政治机制来理解和减轻围产期健康中的空间不平等.
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