美国孕产妇梅毒趋势的城乡差异,2016-2023年
Clara E Busse1, Danielle R Gartner, Katy B Kozhimannil
1University of Minnesota Rural Health Research Center and the Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, Minnesota; and the Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, Michigan.
Obstetrics and gynecology
|June 18, 2025
概括
孕产妇梅毒病例在全国范围内急剧增加. 自2021年以来,农村地区的怀孕梅毒发病率高于城市地区,两者都显著增加,特别是在少数群体中.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 在美国,孕产妇梅毒病例急剧增加.
- 种族少数群体面临不成比例的高率.
- 关于母亲梅毒的农村和城市差异的研究有限.
研究的目的:
- 为了比较农村和城市人口之间的孕产妇梅毒率.
- 分析2016年至2023年孕产妇梅毒的趋势.
主要方法:
- 利用来自疾病控制和预防中心 (CDC) 的扩展出生率数据.
- 在2016年至2023年期间,农村和城市居民的孕产妇梅毒率比较.
主要成果:
- 自2021年以来,农村母亲梅毒的发病率已经超过了城市的发病率.
- 在全国范围内,从2016年到2023年,孕产妇梅毒的发病率在农村地区增加了五倍,在城市地区增加了三倍.
- 美国印第安人/阿拉斯加原住民和黑人农村居民与城市同行相比,经历了特别高的利率和增加.
结论:
- 现在,农村地区的孕产妇梅毒发病率高于城市地区.
- 孕产妇梅毒的显著增加影响了农村和城市人口,在农村地区的特定种族/少数民族群体中出现了令人担忧的趋势.
- 解决孕产妇梅毒需要有针对性的干预措施,考虑到地理和种族差异.
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