早产与成年后的经济和教育成果之间的关联:基于人口的匹配队列研究
Asma M Ahmed1, Eleanor Pullenayegum1, Sarah D McDonald2
1Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
PloS one
|November 6, 2024
概括
过早分娩与较低的成年收入和就业有关. 这些社会经济劣势持续到成年早期,结果随着出生时更早的妊娠年龄而恶化.
科学领域:
- 公共卫生 公共卫生
- 社会经济流行病学
- 产周研究 产周研究
背景情况:
- 过早分娩 (PTB) 影响全球约10%的出生.
- 现有的研究主要集中在PTB的短期临床结果上.
- 对于PTB的长期社会经济后果,研究不足.
研究的目的:
- 调查早产和长期社会经济结果之间的关联.
- 检查PTB对成年早期收入,就业和教育的影响.
主要方法:
- 加拿大活产婴儿 (1990-1996) 的人口级匹配队列研究一直持续到2018年.
- 评估结果:年度就业收入,就业状况,中学后入学和教育程度.
- 统计分析包括概括估计方程和多项逻辑回归模型.
主要成果:
- 过早出生的人平均每年收入减少958加元,就业率降低2.13%.
- 观察到与大学入学 (RR 0.93) 和毕业 (RR 0.95) 的负相关性.
- 极早出生 (24-27周) 个体的收入显著降低 (-5,463加元/年),大学入学/毕业率降低.
结论:
- 过早分娩与经济和教育成就的下降有关,延伸到成年早期.
- 社会经济影响的严重程度与出生时更早的妊娠年龄相关.
- 对于决策者,临床医生和家长来说,意识到PTB终身社会经济影响至关重要.
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