种族差异和共同疾病:阿拉巴马州母亲结果的网络分析
Yasin Fatemi1, Haneen Ali2,3,4, Jingyi Zheng5
1Department of Industrial and Systems Engineering, Auburn University, Auburn, AL, USA.
Journal of racial and ethnic health disparities
|April 29, 2025
概括
伴随疾病的种族差异显著影响出生结果. 复杂的疾病相互作用在黑人,亚洲人和美洲原住民群体中更为普遍,需要量身定制的孕产妇健康干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 网络分析 网络分析
背景情况:
- 利用了阿拉巴马州443,902名母亲 (2014-2021) 的大型数据集.
- 采用网络分析来调查种族和并发症对出生结果的影响.
研究的目的:
- 评估伴随性疾病模式中的种族差异.
- 确定特定疾病对低出生体重 (LBW) 和正常出生体重 (NBW) 结果的影响.
- 了解跨种族群体共同疾病的差异性影响.
主要方法:
- 为白人,黑人,亚洲人和美洲印第安人/阿拉斯加原住民群体建立了多病症网络.
- 使用Salton Cosine指数量化疾病关联.
- 在LBW/NBW网络中应用随机森林和物流回归来进行特征选择.
主要成果:
- 与白人相比,在黑人,美洲印第安人/阿拉斯加原住民和亚洲人群中观察到更大的并发症网络复杂性.
- 在白人和黑人群体中,确定高血压和湿是主要的LBW风险因素.
- 发现LBW网络比NBW网络更密集,表明复杂的并发症与不良结果的联系.
结论:
- 突出了在孕产妇健康和分娩结果方面的显著种族差异.
- 强调需要针对种族量身定制的医疗保健干预措施.
- 强调解决不同健康状况的重要性,以减少孕产妇健康差异.
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