周产期资源和野火 烟雾 烟雾
Michel Boudreaux1, Maranna Yoder2, Evan Ellicott3
1Department of Health Policy and Management, University of Maryland, College Park, MD.
Medical care
|May 10, 2025
概括
野火烟雾暴露不成比例地影响孕妇和婴儿. 高风险地区减少了对基本围产期护理的获得,包括更少的妇产科医生和更远的距离到医院和新生儿重症监护室.
科学领域:
- 环境健康 环境健康
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 野火烟雾对孕妇和婴儿造成重大健康风险.
- 在受烟雾影响的地区,关键的围产期医疗保健资源的可用性在很大程度上仍未得到审查.
研究的目的:
- 评估和绘制美国各县的围产期护理资源的分布,这些县的野火烟雾暴露水平各不相同.
- 根据野火烟雾风险,识别出获得产妇护理和新生儿重症监护单位 (NICU) 的差异.
主要方法:
- 利用来自美国各县野火烟雾暴露 (2016-2020) 危险映射系统的数据.
- 评估产周资源,包括接近产科医院和新生儿集中治疗室,医院规模,地理隔离,以及妇产科医生和家庭医学医生的可用性.
- 采用地理绘图和回归分析来比较烟雾风险的资源可用性,包括农村县的子组分析.
主要成果:
- 与风险较低的县相比,高野火烟雾风险的县每1万例出生的妇产科医生显著减少.
- 高风险县位于距离最近的产科院和新生儿重症监护室 (NICU) 更远的地方.
- 在考虑到社会人口统计学因素后,围产期护理的这些差异仍然存在,并且在农村地区显而易见.
结论:
- 经常接触野火烟雾的社区经常面临地理障碍,无法为孕妇和新生儿提供基本的医疗服务.
- 调查结果强调,迫切需要改善野火易发地区的医疗基础设施和医疗接入,以减轻弱势群体的风险.
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