低风险非计划剖腹产的种族和民族差异:亚洲数据的分类
Sydney M Spencer1,2, Amy A Laurent3, Vivienne L Souter4
1Microsoft Corporation, Redmond, WA, USA. sspenc4@uw.edu.
Journal of racial and ethnic health disparities
|March 27, 2025
概括
与其他群体相比,南亚人经历了更高的意外剖腹产率,即使风险因素较少. 这凸显了需要更好的数据收集,以解决分娩中的健康不平等问题.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 剖腹产产生的结果在不同亚洲族群中未得到充分研究.
- 这项研究通过检查不同亚洲背景的低风险,首次母亲之间的意外剖腹产的变化来解决一个差距.
- 利用来自美国西北部医院的临床出生数据集,可以对这些差异提供局部视角.
研究的目的:
- 评估亚洲种族分类的非计划剖腹产的差异.
- 为了比较各种亚洲族群和白人出生剖腹产率.
- 识别低风险,首次母亲的产科护理中的潜在不平等.
主要方法:
- 一项横截面研究分析了2017-2021年的出生数据.
- 纳入标准侧重于无胎儿,满期,单子,顶点呈现,自发分娩,并排除了预定的剖腹产,产后移植和社区分娩.
- 使用多级逻辑回归模型来比较非计划剖腹产产率,并根据相关风险因素进行调整.
主要成果:
- 这项研究包括了40,160例分娩,其中21.3%被确定为亚洲人.
- 整体分娩剖腹产率为23.1%,亚洲子组之间存在显著差异 (南亚人33.9%,东亚人17.0%).
- 与白人相比,南亚人 (aOR 2.18) 和其他特定的亚洲群体的剖腹产几率明显高,而东亚人的几率较低.
结论:
- 南亚人面临不成比例地更高的意外剖腹产的几率,即使控制已知的风险因素.
- 这些发现强调了在医疗系统中对分类种族和种族数据的关键需求.
- 收集详细的数据可以为妊娠管理和减少剖腹产分娩率的不平等提供关键的见解.
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