英格兰死胎的差异:对130万例出生人口研究的分析
Ggenga Kayode1, Baskaran Thilaganathan2,3, Christy Burden1
1Translational Health Science, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK.
概括
在英格兰,死产率因种族和社会经济地位而异. 黑人妇女和贫困地区的妇女面临更高的风险,这表明社会因素是这些差异的关键驱动因素.
科学领域:
- 围产期流行病学 围产期流行病学
- 公共卫生研究 公共卫生研究
- 医疗服务研究 医疗服务研究
背景情况:
- 死产仍然是孕产妇健康状况的一个重要问题.
- 现有研究表明,不同的人口群体的死产率可能存在差异.
- 了解这些变异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 调查英国健康信托机构中不同种族和社会经济群体中死产率的变化.
- 将这些比率与国家平均水平进行比较,并确定具体的差异.
主要方法:
- 一项国家注册研究分析了来自英格兰国家卫生服务 (NHS) 所有健康信托机构的死产数据.
- 包括2015年4月至2017年3月期间出生的所有母亲和婴儿.
- 在133个健康信托中对1,268,367个分娩的观察分析.
主要成果:
- 平均死产率在白人女性中从3.4/1000到黑人女性的7.1/1000不等.
- 随着社会经济贫困的增加,贫困地区的比例从2.9/1000增加到最贫困地区的4.7/1000.
- 健康信托显示出显著的差异:38.6%的黑人妇女的死产率很高,而白人妇女的死亡率为0.8%.
结论:
- 获得和提供产妇护理似乎因母亲的种族和社会经济地位而有所不同.
- 除了孕产妇护理之外,社会决定因素可能是导致死胎不平等的重要因素.
- 调查结果强调需要采取多方面的方法来解决社会因素,以减少死胎差异.
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