在伯明翰和索利赫尔的不良出生结果的更广泛的决定因素
David Ellis1, Chung Him Au-Yeung1, Alexander Dallaway2,3
1Public Health, Birmingham City Council, Birmingham, United Kingdom.
Frontiers in public health
|April 30, 2025
概括
社会经济和种族不平等显著增加了不良出生结果的风险,如伯明翰和索利赫尔的低出生体重和早产. 针对性干预对于弱势群体至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 伯明翰和索利赫尔都面临着不良分娩结果的重大挑战.
- 识别人口,社会经济和生活方式因素对于降低风险至关重要.
研究的目的:
- 确定与低出生体重,早产,死产和新生儿死亡风险增加相关的因素.
- 计算因社会经济和种族不平等而导致的不良分娩结果的可归因比例.
主要方法:
- 分析了2020年10月至2023年4月期间41,231例出生.
- 多重后勤回归用于识别不利出生结果的风险因素.
- 计算早产和低出生体重 (LBW) 的可归因分数.
主要成果:
- 种族,社会经济贫困,医疗保健,生活方式和脆弱状态是显著的风险因素.
- 与白人女性相比,亚裔和黑人女性患LBW的几率是1.4-2.7倍.
- 怀孕期间吸烟和多胎分娩显著增加了不良结果的几率.
结论:
- 针对性干预和对有风险人群的支持至关重要.
- 解决社会经济和种族不平等问题可以减少不良分娩结果.
- 调查结果强调了需要社区特定的支持策略.
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