绘制产前护理的准入地图:西弗吉尼亚州农村社区的地理差异
Madelin Coyne1, Brian Hendricks2, Amna Umer3
1West Virginia University, Department of Epidemiology and Biostatistics, United States.
农村社区面临不充分产前护理 (PNC) 的更高风险. 限制进入分娩设施,特别是更长的驾驶时间,显著增加了所有保险类型的风险,突出了关键的进入障碍.
科学领域:
- 孕产妇和儿童的健康
- 空间流行病学 空间流行病学
- 医疗保健获取研究 医疗保健获取研究
背景情况:
- 适当的产前护理 (PNC) 对于母亲和婴儿的福祉至关重要.
- 与城市环境相比,农村地区的PNC不足率更高.
- 缺乏空间统计建模限制了对影响PNC不足的社区层面因素的理解.
研究的目的:
- 确定具有高比例不充分PNC的地理区域.
- 分析保险类型对PNC不足的影响.
- 确定驾驶时间在PNC的地理差异中的作用.
主要方法:
- 使用了来自西弗吉尼亚州邮政编码的Project WATCH/Birth Score Program (2018年5月-2022年3月) 的数据.
- 用于公共和私人保险集团的分层空间回归分析.
- 评估了影响PNC不足风险和保险特定关系的预测因素.
主要成果:
- 到达分娩设施的30分钟车程与公共 (IRR:3.83) 和私人保险 (IRR:4.31) 的不充分的PNC有显著的关联.
- 不充分PNC风险的热点集中在西弗吉尼亚州中东和南部.
- 风险最高的社区距离分娩中心的车程超过30分钟.
结论:
- 对分娩设施的限制与女性在各种保险类型中的不充分的PNC密切相关.
- 对于公共和私人保险集团来说,PNC不足的地理差异表明存在不同的障碍,包括运输和驾驶时间.
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