社会经济贫困作为死产的风险因素:一个病例控制研究
Jessica V Keane1, Paul Corcoran1, Sara Leitao1
1National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland.
Midwifery
|September 21, 2025
概括
这项研究发现,社会经济贫困和死产风险之间没有直接联系. 然而,胎盘死产的原因在贫困地区更为普遍,这表明需要进一步研究.
科学领域:
- 围产期流行病学 围产期流行病学
- 孕产妇健康研究研究
- 死亡出生风险因素分析分析
背景情况:
- 死产代表了一个显著的不良周产期结果,并对家庭产生深远的影响.
- 识别和减轻死产的危险因素是一个关键的公共卫生优先事项.
- 社会经济贫困是与不良周产期结果相关的已知因素,包括死产.
研究的目的:
- 调查社会经济贫困与死产风险之间的关联.
- 探索贫困程度与死产的具体原因之间的关系.
- 确定影响死产风险的混因素.
主要方法:
- 一项观察性病例对照研究将127例死胎与266例活胎对照相匹配 (2:1比率).
- 在爱尔兰的第三级产妇单位从2018年至2021年进行了回顾性数据收集.
- 利用Pobal HP剥夺指数和后勤回归进行统计分析,控制母亲的年龄,平价,BMI,并预订妊娠期.
主要成果:
- 在整体贫困水平和死产风险 (p=0.288) 之间没有发现统计学意义上的相关性.
- 在更贫困的五分位数中观察到较高死胎代表率的趋势,但在统计学上并不显著.
- 在剥夺和胎盘死产原因之间发现了显著的关联 (p=0.048).
- 高BMI,怀孕预订晚期和母亲的晚年与死产风险增加有关.
结论:
- 这项研究没有确定社会经济贫困和死产之间的明确直接联系.
- 在更贫困的五分之一中,与胎盘相关的死产率更高.
- 需要进一步的国家研究来探索剥夺和死产之间的复杂关系,特别是胎盘原因.
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