在黑人,西班牙裔和白人出生的人群中,有或没有身体障碍的严重孕产妇发病率和其他周产并发症
Willi Horner-Johnson1,2, Bharti Garg3, Jonathan M Snowden2,3
1Institute on Development and Disability, Oregon Health & Science University, Portland, Oregon, USA.
Journal of women's health (2002)
|December 19, 2024
概括
身体残疾的人,特别是黑人和西班牙裔人,面临严重孕产妇发病率 (SMM) 和其他不良产周结果的显著更高风险. 这突显了孕产妇医疗保健的严重差异,需要紧急关注和政策改变.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
背景情况:
- 身体残疾增加了不良周产期结果的风险,包括严重的孕产妇发病率 (SMM).
- 身体残疾和少数民族种族/民族地位在怀孕结果中的交叉是研究不足的.
- 少数群体的残疾人可能在孕产妇医疗保健中面临复杂的风险.
研究的目的:
- 调查不同种族和种族群体中身体残疾和严重孕产妇死亡率 (SMM) 之间的关联.
- 为了比较SMM的风险和残疾黑人,西班牙裔和白人分娩人员的其他不良产周结果,与参考组进行比较.
- 在残疾和种族/种族的交叉点上识别围产期结果的差异.
主要方法:
- 来自加利福尼亚州 (2008-2020年) 的相关医院出院和生命记录数据的分析.
- 使用诊断代码识别身体残疾 (先天性异常,伤害,肌肉骨,神经系统疾病).
- 用Poisson回归来比较SMM和其他结果,对五个组进行比较:残疾/无残疾的黑人,残疾/无残疾的西班牙裔,残疾的白人和无残疾的非西班牙裔白人分娩人员.
主要成果:
- 与非残疾白人相比,残疾黑人和西班牙裔分娩人员的SMM相对风险 (RRs) 显著更高.
- 残疾黑人个人 (RR=6.13) 和残疾西班牙裔个人 (RR=3.67) 的风险明显超过了残疾白人个人 (RR=2.44) 和他们的非残疾种族/民族对手的风险.
- 残疾的黑人分娩人员经历了大多数不良结果的最大风险,其次是残疾的西班牙裔分娩人员.
结论:
- 身体残疾的黑人和西班牙裔个人面临严重的孕产妇发病率和其他产周并发症的不成比例的高风险.
- 在种族,种族和身体残疾的交叉点上存在着母亲健康结果的显著差异.
- 迫切需要努力了解这些差异的根本原因,并实施政策,以确保公平的孕产妇护理.
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