加拿大黑人社区的母亲和新生儿健康:流行病学研究的范围审查
Ebonee Lennord1, Elsie Amoako2, Maya Rajasingham1
1Department of Obstetrics & Gynecology, McMaster University, Hamilton, ON, Canada.
Canadian journal of public health = Revue canadienne de sante publique
|September 4, 2025
概括
在加拿大,母亲和新生儿健康存在种族差异,黑人面临更高的不良结果率. 需要更多的国家数据来了解这些健康不平等.
科学领域:
- 公共卫生
- 流行病学
- 医疗公平
背景情况:
- 黑人与白人在孕产妇和新生儿健康方面的差异是全球公认的,
- 目前对加拿大这些差异的研究有限,因此需要更清楚地了解加拿大背景.
研究的目的:
- 进行范围审查,以确定加拿大黑人与白人健康差异的流行病学证据的程度.
- 确定受加拿大人口种族差异影响的具体孕产妇和新生儿后果.
主要方法:
- 从开始到2024年5月,对OVID平台 (MEDLINE,Embase,Emcare) 进行了全面的搜索.
- 包括同行评审的流行病学研究,评估加拿大的黑人与白人的孕产妇或新生儿结果.
- 通过描述性分析合成了结果.
主要成果:
- 六项回顾性队列研究符合纳入标准,主要使用来自安大略省的省级数据.
- 所有包括的研究都报告了种族与母亲或新生儿不良结果之间的显著关联.
- 黑人患有更高的自发胎儿丧失率,围产死亡率,早产,低阿普加尔评分,妊娠前和妊娠糖尿病.
结论:
- 尽管文献稀少,但在母亲和新生儿健康方面在加拿大存在明显的黑人-白人差异.
- 这些发现强调需要基于人口的全国数据来充分理解这些种族差异.
- 需要进一步的研究来确定导致这些健康不平等的根本因素.
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