社会脆弱性指数与新生儿不良结果之间的关联
Charlotte B McCarley1,2, Christina T Blanchard3, Ariann Nassel4
1Center for Women's Reproductive Health, University of Alabama at Birmingham, Birmingham Alabama.
American journal of perinatology
|October 30, 2024
概括
社会脆弱性指数 (SVI) 与新生儿重症监护室 (NICU) 的入院没有联系. 然而,中度SVI与新生儿发病率的增加有关,这表明需要加强社会服务以改善婴儿的结果.
科学领域:
- 围产期健康 围产期健康
- 社会流行病学社会流行病学
- 公共卫生 公共卫生
背景情况:
- 确定新生儿重症监护室 (NICU) 入院的社会风险因素对于制定有针对性的干预措施至关重要.
- 社会脆弱性指数 (SVI) 衡量了社区层面的压力因素,提供了评估这些风险的潜在工具.
研究的目的:
- 通过SVI测量社区层面的社会脆弱性与NICU入院之间的关联.
- 探索SVI与新生儿发病率和NICU停留时间等次要结局之间的关系.
主要方法:
- 一项回顾性队列研究分析了2014-2018年间13,757次分娩.
- 用患者地址来分配复合SVI和主题分数.
- 多变量后勤回归评估了SVI tertiles和NICU入院之间的关联,控制共变量.
主要成果:
- 较高的SVI与黑人种族和医疗并发症有关.
- 在中度或高SVI和NICU入院之间没有发现显著的关联 (aORs~1.12-1.13).
- 中度SVI与新生儿发病率增加有关 (aOR:1.18). 接受新生儿重症监护室治疗的婴儿的平均SVI分数更高,收入较低和更多的移动家庭是重要的因素.
结论:
- 社区层面的社会脆弱性本身并没有直接与NICU入院有关.
- 中度SVI与较高的新生儿发病率相关,表明需要社会支持.
- 解决低收入等社会经济因素的干预措施可能是改善新生儿结果的关键.
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