怀孕期间的出生,种族,民族和高血压疾病
Madeline R Fram1, Jeff M Denney1, Kristen H Quinn1
1Section on Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Journal of clinical medicine
|July 12, 2025
概括
与美国出生的母亲相比,在国外出生的母亲的妊娠高血压疾病发病率较低,特别是在黑人和西班牙裔人口中. 这一发现支持健康移民对母亲健康状况的影响.
科学领域:
- 围产期流行病学 围产期流行病学
- 健康社会学健康的社会学.
- 公共卫生 公共卫生
背景情况:
- 健康移民效应表明,移民的健康状况比本地出生的人群更好.
- 之前的研究探讨了少数群体与怀孕相关的高血压疾病的这种影响.
研究的目的:
- 研究出生,种族和种族之间的关系以及与怀孕相关的高血压疾病的患病率.
- 为了确定健康移民效应是否可在怀孕期间的高血压疾病中观察到.
主要方法:
- 一项回顾性队列研究利用了PRAMS CDC数据集中的数据.
- 奇平方 (Χ2) 比较分析了外国出生的与美国出生的母亲中高血压疾病的患病率.
- 对黑人和西班牙裔女性进行了子组分析.
主要成果:
- 总共分析了63,648名母亲,揭示了妊娠高血压患病率的显著差异.
- 美国出生的黑人母亲 (12.6%) 的发病率高于国外出生的黑人母亲 (8.0%).
- 美国出生的西班牙裔母亲 (9.5%) 的发病率高于外国出生的西班牙裔母亲 (7.2%).
- 总体而言,美国出生的母亲 (11.0%) 的发病率高于外国出生的母亲 (7.0%).
- 在美国出生的西班牙裔母亲 (0.8%) 中,高血压湿的发生率也明显高于国外出生的西班牙裔母亲 (0.3%).
结论:
- 与美国出生的母亲相比,在国外出生的母亲患有与怀孕有关的高血压疾病的患病率明显较低.
- 这一趋势在整个样本和黑人和西班牙裔子样本中是一致的.
- 研究结果支持将健康移民效应应用于与怀孕相关的高血压疾病,特别是在种族和少数民族妇女身上.
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