怀孕中的高血压疾病:西班牙裔种族和黑人种族的差异
Jheanelle A Atkinson1, Suzan L Carmichael2,3, Stephanie A Leonard2
1School of Medicine, Meharry Medical College, Nashville, TN, USA. jatkinson22@mmc.edu.
Journal of racial and ethnic health disparities
|November 5, 2024
概括
怀孕期间的高血压疾病不成比例地影响黑人. 非西班牙裔黑人个人比非黑人西班牙裔个人有75%更高的赔率,而西班牙裔黑人个人比非黑人西班牙裔个人有31%更高的赔率.
科学领域:
- 生殖健康 生殖健康
- 健康差异 在健康上的差异
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 黑人面临着最高的孕产妇死亡率,怀孕期间高血压疾病对这种差异作出了重大贡献.
- 现有的研究经常将西班牙裔黑人个人与其他西班牙裔族群结合起来,可能掩盖特定的风险模式.
研究的目的:
- 调查拉美裔黑人和非拉美裔黑人怀孕期间高血压疾病的独特风险.
- 将这些风险与非黑人西班牙裔参考组进行比较.
主要方法:
- 对加利福尼亚州全州的生命记录数据集进行分析,这些记录与住院出院数据有关 (2007-2018).
- 多变量后勤回归模型根据主要的人口和临床因素进行调整.
- 任何高血压疾病的几率比较,单独的慢性高血压,以及怀孕期间的严重高血压疾病.
主要成果:
- 非西班牙裔黑人个体在怀孕期间出现高血压疾病的几率增加了75% (aOR: 1.74).
- 与非黑人西班牙裔个人相比,西班牙裔黑人个体的赔率增加了31% (aOR: 1.31).
- 仅在慢性高血压方面就观察到最大的种族/民族差异.
结论:
- 怀孕期间的高血压疾病在西班牙裔黑人,尤其是非西班牙裔黑人中比非黑人西班牙裔更为普遍.
- 在高血压疾病中的种族/民族差异在慢性高血压中比在产前中更为明显.
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