对产前症的种族差异的审查
Katie Raphael1,2, Kate Wiles1,2, Stamatina Iliodromiti1,2
1Women's Health Research Unit, Wolfson Institute of Population Health, Queen Mary University of London.
Current opinion in obstetrics & gynecology
|October 3, 2024
概括
孕前不成比例地影响少数民族,导致更糟糕的结果. 解决预测,诊断和护理方面的种族差异对于改善孕产妇健康和减少不平等至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 健康 公平 卫生 公平
背景情况:
- 与白人女性相比,少数民族,包括黑人和南亚女性,面临更高的孕前和不良孕产妇结果的风险.
- 孕前是孕产妇发病率和死亡率的重要因素,特别是在代表性不足的人群中.
研究的目的:
- 审查在产前的结果,预测,诊断,预防和管理方面的种族差异.
- 突出在孕产妇医疗保健中需要文化敏感和公平的方法.
主要方法:
- 对近期关于子宫前的种族差异的证据的系统审查.
- 对不同种族群体的生化和生物物理标志物的分析,以预测不同种族群体的孕前.
- 审查导致差距的因素,包括偏见和种族主义.
主要成果:
- 预孕前预测和诊断的生物化学和生物物理标志物显示出种族差异,需要定制模型.
- 少数族裔群体经历了不成比例的更高的孕产妇患病率和死亡率,由于产前.
- 潜在的偏见和系统性种族主义被确定为不符合标准的护理和不良结果的主要贡献者.
结论:
- 解决产前症护理中的种族不平等问题对于减少母亲不良结果至关重要.
- 目前的临床实践需要修改,以拆除障碍,并确保所有妇女得到公平的护理.
- 需要进一步的研究和政策变化,以改善少数民族的产前症结果.
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