生命历程 财务困难和生育能力 在北美预先概念队列研究中
Molly N Hoffman1, Collette N Ncube1, Eleanor J Murray1
1Department of Epidemiology, Boston University School of Public Health, Boston, MA.
Epidemiology (Cambridge, Mass.)
|August 1, 2025
概括
任何生命阶段的经济困难都会略微降低生育能力. 在成年期经历困难,特别是在童年或青春期之后,显著降低了生育能力,表明生殖健康的敏感时期.
科学领域:
- 生殖健康 生殖健康
- 社会经济因素 社会经济因素
- 人类生育能力的人类生育能力
背景情况:
- 生活过程中的社会经济因素,特别是经济困难,与生育率相关的研究不足.
- 了解财务压力在不同生命阶段对生殖能力的影响,对公共卫生至关重要.
研究的目的:
- 调查生活不同阶段 (童年,青春期,成年期) 经历的经济困难与生育能力之间的关联.
- 为了确定累积的财务困难是否会影响生育结果.
主要方法:
- 利用了来自美国和加拿大怀孕计划者在线怀孕研究 (PRESTO) 队列研究 (N=6,377) 的数据.
- 采用反向概率加权的比例概率模型来分析自我报告的财务困难和12个月的生育能力之间的关系.
- 在分析中考虑了时间依赖的混和选择偏差.
主要成果:
- 任何生命阶段的经济困难都与生育能力略有下降有关 (FR=0.93).
- 成年期的经济困难与生育能力的负相关性更强 (FR=0.83).
- 累积的财务困难,特别是在早些时候的困难之后的成年期,表明生育能力减少最为显著 (FR=0.77).
结论:
- 成年期代表了一个关键时期,经济困难可以显著影响一个女人的怀孕能力.
- 财务困难对整个生命周期的累积影响与逐渐降低的生育能力有关.
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