欧洲各地死产和早产率的社会经济不平等:基于人口的研究
Lucy Smith1, Marianne Philibert2, Sonya Scott3
1Department of Population Health Sciences, College of Life Sciences, University of Leicester, UK.
概括
死亡出生和早产的社会经济不平等在欧洲广泛存在. 需要有针对性的政策来防止低社会经济地位人口的不良结果.
科学领域:
- 围产期流行病学 围产期流行病学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 社会经济地位 (SES) 显著影响围产期健康结果.
- 现有的关于欧洲死产和早产SES不平等现象的数据有限.
- 常规的国家数据为监测这些差异提供了宝贵的资源.
研究的目的:
- 量化欧洲各国死胎和早产率的社会经济不平等情况.
- 利用基于人口的常规数据来估计这些差异.
- 确定不同欧洲国家间不平等的差异.
主要方法:
- 采用了横截面研究设计,分析了国家一级的数据.
- 包括欧欧统计局网络内的24个国家的数据,涵盖了大约1700万个出生 (2015-2019).
- 死亡出生,非常早产 (VPB) 和中度/晚期早产 (MLPB) 的比率来自常规的国家出生记录.
主要成果:
- 在较低的SES群体中,与较高的SES群体相比,观察到较高的死产率,VPB和MLPB.
- 与较低的SES相关的不良结果的过重负担在各国之间差异很大,特别是对于死产.
- 度指数显示,在整个欧洲,围产期结果的社会经济不平等是显著的和多样化的.
结论:
- 在欧洲各国存在广泛的,但变化的,生死胎和早产的社会经济不平等.
- 这些不平等似乎独立于不利结果的总体比率.
- 针对低SES人口的有针对性的政策干预对于预防死产和早产至关重要;常规数据促进了国际监测.
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