怀孕期间物质使用的农村和城市差异
Emma Kathryn Boswell1, Olivia M Hinds2, Cassie Odahowski1
1University of South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
概括
农村孕妇的烟草使用率更高,而城市妇女的酒精消费率更高. 这些发现凸显了围产期物质使用的地理差异,需要针对孕妇进行量身定制的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 药物过量服用是美国与怀孕有关的死亡的主要原因之一.
- 农村和城市的物质使用差异已被记录下来,但不是专门针对产前期.
- 需要对这些差异进行全国性审查.
研究的目的:
- 综合研究围产期物质使用的城乡差异.
- 根据地理位置确定孕妇吸烟,饮酒和非法药物使用的差异.
主要方法:
- 利用了来自3499名孕妇的横截面数据 (2015-2019年全国药物使用和健康调查).
- 分析了农村 (非大都市) 与城市 (大都市) 上个月物质使用的差异.
- 采用了罗-斯科特基平方测试和复杂调查权重的多变量逻辑回归.
主要成果:
- 与小 (15.2%) 和大 (8.2%) 城市地区相比,农村孕妇在过去一个月的烟草使用率较高 (24.7%).
- 经过调整后,农村孕妇使用烟草的可能性更高 (aOR:2.32),但使用酒精的可能性更低 (aOR:0.58),而不是大城市的孕妇.
- 没有发现过度饮酒,非法药物使用或仅使用大麻的显著农村和城市差异.
结论:
- 围产期物质使用的地理差异需要有针对性的干预措施.
- 优先考虑农村地区的烟草预防和城市地区的酒精干预措施,以帮助孕妇.
- 解决这些差异对于改善母亲和婴儿健康结果至关重要.
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