在挪威的移民妇女中使用产前护理:全国性的基于登记册的队列研究
Torill A Rotevatn1, Nina Høy-Petersen2, Lema Hussaini3
1Division of Health Services, Norwegian Institute of Public Health, PO Box 222, Skøyen, Oslo, 0213, Norway. torillalise.rotevatn@fhi.no.
BMC pregnancy and childbirth
|April 11, 2025
概括
挪威的某些移民群体,特别是来自撒哈拉以南非洲的移民群体,对产前护理的启动有所延迟. 需要有针对性的干预措施,以改善这些人口及时获得必要的产前服务.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 移民健康 移民健康
背景情况:
- 国际研究表明,移民减少了获得产前护理的机会.
- 在移民群体中,关于产前护理利用率的差异的全面全国性数据很少.
- 这项研究研究了挪威的产前护理准入情况,将移民妇女与本地出生人口进行了比较.
研究的目的:
- 根据原籍国/地区的移民妇女与挪威妇女的产前护理使用情况进行比较.
- 识别特定的移民群体,他们无法获得最佳的产前护理.
- 评估社会人口统计学因素对这些差异的影响.
主要方法:
- 从挪威医疗出生登记处分析了2012-2018年间的348,547例单独分娩.
- 包括移民妇女79,671次分娩,在初级保健中进行产前咨询.
- 后勤回归模型计算了晚期产前护理启动的几率比率 (OR) 和95%置信区间 (CI),调整了社会人口统计学变量.
主要成果:
- 在产前护理启动方面,观察到国家特定的显著差异.
- 厄立特里亚,索马里,埃塞俄比亚和其他撒哈拉以南地区的妇女的晚期产前护理启动率最高.
- 护理利用在后三个月变得更加相似,索马里妇女持续使用较低;社会人口统计学因素解释了许多差异.
结论:
- 在挪威的特定移民群体中,迟迟开始和不充分利用产前保健是显而易见的.
- 及时的产前护理对于母亲和儿童的福祉至关重要.
- 建议采取干预措施,以促进更早获得产前护理,特别是厄立特里亚,索马里,埃塞俄比亚和其他撒哈拉以南地区的妇女.
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