与日常和终身歧视相关的生育能力
Ugochinyere Vivian Ukah1, Sharonda M Lovett2, Renée Boynton-Jarrett3
1Department of Medicine, McGill University, Montreal, Quebec, Canada.
JAMA network open
|July 14, 2025
概括
日常和终身歧视的经历与较低的生育能力,怀孕的可能性有关. 这些发现凸显了不公平待遇对生殖健康的影响以及需要进一步研究的必要性.
科学领域:
- 生殖健康 生殖健康
- 社会流行病学 社会流行病学
- 生育能力中的心理社会因素
背景情况:
- 在生育结果中的种族和社会经济差异已得到充分证实.
- 歧视与生育能力之间的关联仍未得到充分研究.
研究的目的:
- 检查自我报告的日常和终身歧视经历与生育能力的关联.
主要方法:
- 一项前性预孕队列研究 (在线妊娠研究) 包括6578名试图怀孕的女性参与者.
- 每天和终身歧视使用经过验证的比例表来衡量.
- 比例概率回归模型估计了生育率 (FRs),调整了混因素,并按种族/种族分层.
主要成果:
- 每天的歧视与降低的生育能力有关 (FR,0.82对于非常高的vs没有).
- 终身歧视也与生育能力的下降有关 (FR,0.93对任何与没有),特别是医疗保健和就业方面的歧视.
- 在白人参与者中观察到生育能力降低,每天的歧视高,少数群体的个人有任何终身歧视.
结论:
- 日常和终身歧视与降低生育能力有关.
- 歧视对生育能力的影响因类型,频率和归因而异.
- 需要进一步的研究来了解不公平待遇对生殖健康的影响.
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