产科关闭对儿童学业成绩,婴儿健康和产妇护理的影响
George L Wehby1,2,3
1Department of Health Management and Policy, University of Iowa, 145 N. Riverside Dr., 100 College of Public Health Bldg., Room N232A, Iowa City, IA, 52242-2007, USA. george-wehby@uiowa.edu.
Maternal and child health journal
|June 12, 2025
概括
产科关闭对儿童学业成绩和婴儿健康结果的影响很小. 需要进一步的研究来探讨对护理连续性和获得权的影响.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 儿科健康 儿科健康
背景情况:
- 产科病房关闭可能会影响医疗保健的准入,并可能影响母亲和儿童的健康结果.
- 了解这些关闭的长期后果对于公共卫生政策至关重要.
研究的目的:
- 调查产科单位关闭对儿童学业成绩 (数学和阅读成绩) 的影响.
- 检查产科关闭对婴儿健康 (妊娠年龄,出生体重) 和母亲护理结果 (产前检查) 的影响.
主要方法:
- 使用爱荷华州出生证明数据 (1994-2009) 的回顾性队列研究与学校测试成绩 (二至十一年级) 相关联.
- 采用双向固定效应 (TWFE) 和卡拉威和圣安娜 (C&S) 差异差异模型.
- 分析结果包括数学/阅读,妊娠年龄,出生体重和产前检查的国家百分位数排名 (NPRs).
主要成果:
- 产科单位关闭对儿童数学或阅读NPR没有统计学上显著的影响.
- 对于妊娠年龄和出生体重观察到的小,无意义的关联.
- 其他婴儿健康和孕产妇护理结果显示的关联是最小的和不显著的.
结论:
- 有限的证据表明,在出生后五年内关闭产科单位不会显著影响儿童的学业成绩或婴儿健康.
- 未来的研究应该探讨对护理连续性的影响,接入,以及基于母亲风险因素的潜在差异.
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