巴西剖腹产产后的重叠社会结构:分解分析
Surbhi Shrivastava1, Heeju Sohn1
1Department of Sociology, Emory University, Atlanta, Georgia, United States of America.
PloS one
|June 25, 2025
概括
巴西的剖腹产率很高,因种族而异. 个人因素部分解释了差异,但地理隔离和区域风险显著导致种族群体之间不平等的CS率.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 生殖健康 生殖健康
背景情况:
- 全球剖腹产率的上升引发了对孕产妇护理质量和不必要的手术的担忧.
- 巴西拥有世界上最高的CS率之一,在种族/族群,社会阶级和地区之间存在很大的差异.
- 基于种族/族裔的住宅隔离及其与社会阶级的联系使了解CS率决定因素和差异变得复杂.
研究的目的:
- 解开影响巴西CS率和差异的交叉社会和上下文因素.
- 量化社会经济,产前护理,怀孕风险和地理因素对CS种族/民族差异的贡献.
- 确定干预机会,以减少整体CS率和相关差异.
主要方法:
- 2019年巴西国家出生登记数据的分析 (n=2,567,039).
- 应用卡尔森-霍尔姆-布林 (KHB) 分解方法.
- 利用多变量逻辑回归模型来评估促成因素.
主要成果:
- 个体风险因素 (教育,社会地位,年龄,产前护理,怀孕概况) 显著促进了CS率,但不能完全解释种族/民族差异.
- 地理因素,包括住宅位置和区域CS风险,与CS率有很强的相关性,并部分解释了差异.
- 发现重叠的社会结构是导致某些种族/族群患上CS风险更高的关键决定因素.
结论:
- 虽然个体因素起作用,但地理隔离和区域特征对于理解和解决巴西CS率的种族/民族差异至关重要.
- 干预措施必须考虑社会,经济和地理决定因素的复杂相互作用,以有效地减少整体CS流行率和不平等.
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