美国婴儿死亡率与社区社会脆弱性之间的关联:一个横截面研究
Catherine G Coughlin1,2, Gabrielle D'Ambrosi1,2, Michael C Monuteaux1,2
1Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.
BMJ public health
|August 12, 2025
概括
较高的社会脆弱性指数得分与美国婴儿死亡率的增加有关. 这项研究强调了社会因素对婴儿健康结果的影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 美国的婴儿死亡率在种族和种族群体之间显示出显著的差异.
- 社会脆弱性指数 (SVI) 是一种新的指标,用于识别面临不良健康后果风险的人群.
- 了解社会脆弱性和婴儿死亡率之间的联系对于有针对性的干预措施至关重要.
研究的目的:
- 检查县级社会脆弱性指数 (SVI) 评分与婴儿死亡率之间的关联.
- 调查社会脆弱性如何影响美国不同县的婴儿健康结果.
主要方法:
- 使用2018年国家卫生统计中心数据进行的回顾性横截面研究.
- 进行了多变量负双项回归分析.
- 对母亲的因素进行了调整,包括年龄,婚姻状况,产前护理的充分性和吸烟.
主要成果:
- 总共有3,791,712名婴儿被纳入该研究.
- 较高的县级SVI得分与逐步增加的婴儿死亡率有显著的关联.
- 单身,母亲吸烟和不充分的产前护理等因素也与更高的婴儿死亡率有关.
结论:
- 县级婴儿死亡率显示,随着社会脆弱程度的上升,婴儿死亡率逐步增加.
- 社会脆弱性指数是识别婴儿死亡率高风险地区的一个有价值的工具.
- 解决健康的社会决定因素对于减少婴儿死亡率差异至关重要.
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