美国国家社会支出和早产和低出生体重
Lawrence Chang1,2,3, Henry T Puls4,5, Michael C Monuteaux1,2
1Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts.
JAMA pediatrics
|October 14, 2024
概括
增加的社会计划支出与早产数量减少有关,尤其对黑人母亲来说. 对现金援助和住房的投资可能会减少婴儿健康结果的差异.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 像早产和低出生体重这样的不良出生结果不成比例地影响美国黑人母亲的婴儿,与社会经济因素有关.
- 社会计划是一个潜在的政策途径,以减轻出生结果中的这些差异.
研究的目的:
- 调查州级政府对社会计划的支出与早产和低出生体重率之间的关联.
- 分析这些协会的整体和具体的种族.
主要方法:
- 2011-2019年美国50个州活产婴儿的横截面,生态研究.
- 检查每年每个低收入人对社会计划 (例如,EITC,现金援助,住房) 的州和地方政府支出.
- 分析了与州级早产和低出生体重率的关联.
主要成果:
- 较高的社会计划总支出与较低的整体早产率有关.
- 对现金援助和住房/社区发展的支出增加与黑人母亲早产率的降低有关.
- 总社会支出和总体低出生体重率之间没有发现显著的关联.
结论:
- 国家社会计划支出增加与早产率的降低有关,特别是在黑人婴儿中.
- 建议包括增加政府对现金援助和住房计划的投资,以解决母亲和婴儿健康差异.
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