民族,社会经济地位和怀孕结果:通过隐性阶级的调解模型
Ian Henderson1, Siobhan Quenby2,3
1University of Warwick Warwick Medical School, Coventry, UK ian.henderson@npeu.ox.ac.uk.
Journal of epidemiology and community health
|January 6, 2025
概括
结构性种族主义为少数民族妇女的早产 (PTB) 和小到妊娠年龄 (SGA) 的健康差异做出了贡献. 潜伏的社会经济地位 (SEP) 调解了这些不平等现象,突出了超越简单措施的细微分析的需要.
科学领域:
- 生殖健康 生殖健康
- 社会学 社会学 社会学
- 健康差异研究 研究健康差异研究
背景情况:
- 过早分娩 (PTB) 和小于妊娠年龄 (SGA) 不成比例地影响黑人和亚洲女性.
- 结构性种族主义是健康不平等的关键驱动力.
- 了解社会经济地位 (SEP) 的作用对于解决这些差异至关重要.
研究的目的:
- 调查社会经济地位 (SEP) 在种族和不良出生结果 (PTB和SGA) 之间的关系中的调解作用.
- 探索隐性阶级分析在识别导致健康不平等的复杂社会经济因素方面的实用性.
主要方法:
- 基于英国的千年队列研究 (n=17,701) 的数据分析.
- 与白人女性相比,跨族群对PTB和SGA的相对风险 (RR) 的估计,调整为SEP.
- 使用前性社会经济数据识别潜在的SEP类别,并进行调解测试.
主要成果:
- 隐藏的SEP类调解了孟加拉国,非洲黑人,加勒比黑人和巴基斯坦妇女的种族和PTB之间的关联 (RR 1.06-1.08).
- 对于SGA (RR 1.26-1.35) 也观察到类似的中介作用.
- 简单的SEP措施 (教育,收入,婚姻状况) 显示了有限的调解,主要是针对黑人非洲和黑人加勒比妇女的SGA.
结论:
- 推动PTB和SGA健康不平等的因素在各族群之间有所不同.
- 个人层面的SEP,特别是当使用隐性类分析进行分析时,在这些差异中发挥着重要的调解作用.
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