澳大利亚第一民族的代际早产风险:澳大利亚北领地的基于人口的队列研究,澳大利亚
Holger W Unger1,2,3,4,5, Abel Dadi6,7, Kiarna Brown6,8
1Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia. holger.unger@menzies.edu.au.
BMC pregnancy and childbirth
|December 23, 2024
概括
原住民早产妇女面临更高的早产早产 (PTB) 的风险. 诸如子前症等疾病部分解释了这种代际PTB复发,这表明需要有针对性的预防性护理.
科学领域:
- 生殖健康 生殖健康
- 围产期流行病学 围产期流行病学
- 土著健康土著健康
背景情况:
- 过早分娩 (PTB) 与长期健康问题有关,澳大利亚北部领地 (NT) 的第一民族婴儿的发育率更高.
- 了解代际PTB复发是制定有效的公共卫生战略的关键.
研究的目的:
- 评估NT中代际PTB复发的程度.
- 确定PTB复发的潜在驱动因素,特别是在第一民族妇女中.
主要方法:
- 一项回顾性队列研究分析了新北地区5,366名母亲 (1986-2017) 的9,571例分娩情况.
- 经修改的波桑回归估计了与母体PTB相关的PTB的相对风险,并调整了共变量.
- 调解分析探讨了诸如子宫前等疾病在PTB复发中的作用.
主要成果:
- 原住民妇女早产的风险大大增加 (aRR 1.28).
- 母亲早期PTB与后代早期PTB的风险更高相关 (aRR 1.95).
- 孕前,子宫内生长限制和高血压病部分介导了这种关联,占复发的26%.
结论:
- 原住民妇女早产的风险增加了早期PTB的风险,受到诸如子前症等条件的影响.
- 识别有PTB病史的母亲可以帮助针对NT第一民族妇女进行预防性干预.
- 在这项研究中,母亲的PTB病史与非第一民族妇女的PTB病史没有相关性.
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