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社区暴力和产前物质暴露的交叉点:时空空间分析

Ramanathapura Haricharan¹, Stephanie Thompson², Frank Annie²

¹Department of Pediatric Surgery, Charleston Area Medical Center, Charleston, West Virginia.

American journal of perinatology

|October 10, 2024

概括

产前物质暴露 (PSE) 和新生儿戒断综合征 (NAS) 在地理上与社区暴力相聚. 针对高风险地区的有针对性的资源分配可以改善社区健康结果.

科学领域:

公共卫生公共卫生
新生儿健康新生儿健康
犯罪学犯罪学

背景情况:

孕妇在怀孕期间使用物质是产生不良分娩结果和长期健康问题的重要危险因素.
接触家庭和社区暴力也与出生结果不佳有关.
关于产前物质暴露 (PSE) 和新生儿戒断综合征 (NAS) 对人口水平公共卫生挑战的研究有限.

研究的目的:

检查社区暴力和PSE/NAS之间的地理和时间交叉点.
调查社区枪支暴力与PSE/NAS之间的关系.

主要方法:

2012-2019年使用了新生儿与PSE/NAS诊断 (n=1,523) 的抽象记录.
使用医院创伤注册表 (2012-2019) 识别社区暴力案件 (n=1580)
采用新兴热点分析来检测社区暴力和PSE/NAS之间的空间聚类和地理重叠.

主要成果:

证明了PSE/NAS的显著的地理和时间聚类.
在PSE/NAS和社区袭击案件之间发现了统计学意义上的重叠区域 (p < 0.01).
观察到PSE/NAS与社区枪支暴力的显著集群 (p < 0.01).

结论:

在社区暴力和PSE/NAS之间确实存在时空重叠.
倡导将资源分配到确定的高风险地理区域,以提高弱势社区的健康.
强调需要社区层面的干预措施,解决怀孕期间的暴力和物质暴露问题.

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