加利福尼亚州母亲心血管健康的趋势和种族和种族差异
Elleni M Hailu1, Suzan L Carmichael1, Jonathan M Snowden2
1Division of Neonatology, Department of Pediatrics, School of Medicine Stanford University Palo Alto CA USA.
Journal of the American Heart Association
|September 25, 2025
概括
美国,母亲的心血管健康状况呈现出恶化的趋势和显著的种族差异. 非西班牙裔黑人母亲面临高血压疾病的更高风险,而美国印第安人/阿拉斯加土著母亲的理想心血管健康水平较低.
科学领域:
- 心血管健康 心血管健康
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
背景情况:
- 美国的孕产妇健康危机需要检查心血管健康趋势.
- 母亲心血管健康的种族和民族差异需要紧急关注.
研究的目的:
- 分析母亲心血管健康的流行病学趋势.
- 调查妊娠高血压疾病中的种族和民族差异.
- 评估跨种族群体在怀孕前和怀孕期间的理想心血管健康.
主要方法:
- 利用了加利福尼亚州的分娩住院和生命统计记录 (2007-2019).
- 检查了怀孕的高血压疾病,慢性高血压和妊娠高血压/孕前.
- 使用临床指标和修改的波桑回归模型评估理想的心血管健康.
主要成果:
- 随着时间的推移,所有组的不良母亲心血管结果都会恶化.
- 与白人母亲相比,非西班牙裔黑人母亲患高血压疾病的风险高出60%.
- 美国印第安人/阿拉斯加土著母亲在怀孕前和怀孕期间表现出较低的理想心血管健康.
结论:
- 在母亲心血管健康方面存在显著的种族和民族差异.
- 这些差异仍然存在,需要紧急调查.
- 需要解决这些差异的结构性决定因素.
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