肌出生损伤的种族和民族差异是由已知的危险因素解释的吗?
Mary Claire Manske1, Machelle Wilson1, Barton Wise1
1University of California Davis.
Research square
|November 28, 2024
概括
母亲的种族/民族影响臂出生损伤 (BPBI) 的风险. 虽然黑人和西班牙裔母亲面临更高的肥胖和糖尿病等疾病的风险,但这些因素仅解释了他们增加BPBI风险的很小一部分.
科学领域:
- 产科和妇科 产科和妇科
- 儿科神经学 儿科神经学
- 公共卫生 公共卫生
背景情况:
- 腕出生损伤 (BPBI) 是产科的一个重大问题.
- 了解母亲人口统计学在BPBI风险中的作用对于有针对性的预防策略至关重要.
研究的目的:
- 检查母亲的种族/族裔与腕出生损伤 (BPBI) 风险因素之间的关联.
- 量化确定风险因素对某些种族/族群中观察到的过度BPBI风险的贡献程度.
主要方法:
- 在加利福尼亚州 (1996-2012) 进行了超过620万活产的回顾性队列研究.
- 包括7,762例腕出生损伤 (BPBI) 的病例.
- 应用多重逻辑回归和因果调解分析来评估关系.
主要成果:
- 黑人和西班牙裔分娩个体表现出肥胖,糖尿病的风险增加,产前护理减少.
- 相反,这些群体对已确立的BPBI风险因素的风险降低,如肩膀缩,巨,延长的第二阶段分娩和阴道分娩.
结论:
- 已确定的BPBI风险因素只对黑人和西班牙裔人口中高风险的很小一部分产生影响.
- 强调需要识别新的风险因素,并了解BPBI发病率人口差异的驱动因素.
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