预孕健康指标和剥夺:使用国家产妇保健数据的跨部门研究
Emma H Cassinelli1, Lisa Kent1, Kelly-Ann Eastwood1,2
1Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.
概括
怀孕前的健康指标显示,许多女性的健康状况低于最佳,特别是那些生活在贫困地区的妇女. 需要有针对性的干预措施来改善孕产妇的健康状况,特别是在弱势群体中.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
背景情况:
- 定期收集的孕产妇数据为了解孕前健康提供了宝贵的资源.
- 确定关键的预孕指标对于改善母亲和婴儿的结果至关重要.
- 社会经济贫困是已知的健康决定因素,影响了怀孕前的幸福感.
研究的目的:
- 使用例行收集的孕产妇数据,描述关键妊娠前健康指标的流行程度.
- 探索怀孕前健康指标与区域级社会经济贫困之间的关联.
- 为改善怀孕前护理提供有针对性的公共卫生干预信息.
主要方法:
- 基于人口的回顾性研究,使用来自北爱尔兰生育系统 (NIMATS) (2011-2021) 的匿名数据.
- 对255,177例怀孕的分析,重点关注在产前预约约会记录的指标.
- 使用后勤回归模型来评估预概念指标和剥夺五分位数之间的关系.
主要成果:
- 很大一部分女性表现出不理想的孕前健康指标,如肥胖 (21.3%).
- 居住在最贫困地区的妇女与生活在最贫困地区的妇女相比,风险因素的患病率更高.
- 例如,在最贫困的五分之一 (25.7%) 与最不贫困的五分之一 (5.6%) 中,吸烟的发病率明显高.
结论:
- 在北爱尔兰,以人口为基础的产妇数据突出显示了改善妇女妊娠前健康的关键领域.
- 显然需要加强支持,特别是对生活在最贫困地区的妇女.
- 这些发现作为未来干预和监测孕前健康的基线,承认数据的局限性.
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