美国出生过早婴儿死亡率的农村和城市差异
Stephanie L Bourque1, Kathleen E Hannan1, Sara C Handley2
1Department of Pediatrics, Section of Neonatology, University of Colorado School of Medicine, Aurora, Colorado.
Hospital pediatrics
|May 12, 2025
概括
与城市婴儿相比,农村早产婴儿的婴儿死亡率更高. 这些差异受种族和种族的影响,突出了针对性干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 新生儿研究新生儿研究
- 农村健康差异 农村健康差异
背景情况:
- 美国的婴儿死亡率 (IMR) 在农村地区更高.
- 现有的研究缺乏按早产状态分类的数据.
- 过早分娩显著增加了婴儿死亡风险.
研究的目的:
- 评估农村和城市之间的婴儿死亡率差异. 在早产婴儿中.
- 根据种族/种族和居住地来确定婴儿死亡率的流行率和预测因素.
- 为了确定早产婴儿死亡率的具体差异.
主要方法:
- 利用国家相关的出生和死亡证明数据 (2005-2014).
- 使用2013年城市影响代码将住宅归类为农村或城市.
- 采用多变量后勤回归来分析IMR,居住地,种族和种族之间的关联.
主要成果:
- 在超过400万名早产儿中,3.23%导致婴儿死亡.
- 与城市婴儿相比,农村早产婴儿的死亡率高出9% (aOR,1.09).
- 与城市非西班牙裔白人婴儿相比,农村非西班牙裔白人和美洲印第安人/阿拉斯加原住民早产婴儿的死亡率增加.
结论:
- 农村地区的早产婴儿的婴儿死亡率较高,因种族和种族而异.
- 数据强调,急需采取干预措施,减少农村早产人口的死亡率.
- 解决农村-城市和种族/民族差异对于改善婴儿存活率至关重要.
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