投票限制和增加了美国出生不良结果的几率
Sze Yan Liu1, Erin Grinshteyn2, Daniel Cook3
1Department of Public Health, College for Community Health, Montclair State University, University Hall, Room 4153, 1 Normal Avenue, Montclair, NJ, 07043, USA. lius@montclair.edu.
Journal of racial and ethnic health disparities
|December 6, 2024
概括
投票限制与更高的不利出生结果的几率有关,例如早产和小到妊娠年龄 (SGA). 这些差异不成比例地影响着亚洲和太平洋岛民 (API) 出生的个体,加剧了现有的不平等.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 生殖健康 生殖健康
背景情况:
- 持续存在的种族差异在不利的出生结果,包括早产和小到妊娠年龄 (SGA).
- 之前的研究将投票限制与健康结果联系起来,例如获得保险和青少年出生率.
- 这项研究调查了投票限制与不良出生结果之间的关联是否因种族/种族而异.
研究的目的:
- 检查国家一级的投票限制与不利的出生结果之间的联系.
- 为了确定这种关联是否在种族和种族群体之间存在差异.
主要方法:
- 使用的2019-2020年怀孕风险评估监测系统 (PRAMS) 数据与州级投票成本指数 (COVI) 数据合并.
- 采用多级物流回归模型,考虑社会人口和地理因素.
- 进行了子分析,以探索种族/种族的差异影响.
主要成果:
- 在调整后的模型中,增加的投票限制 (COVI中每标准偏差增加) 与SGA的更高几率有关.
- 投票限制与不良出生结果之间的关联因种族/种族而异.
- 亚洲和太平洋岛民 (API) 个体在早产和SGA方面经历了最大的影响.
结论:
- 结构性投票障碍似乎不成比例地增加了不利的出生结果,特别是对于API分娩的个人.
- 越来越多的投票限制可能会加剧出生结果的现有差异.
- 针对投票权的政策干预可以减轻这些健康不平等.
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