应用混合方法来分析暴露于结构性种族主义和经济劣势如何影响围产期健康结果:一项ECHO研究
Dana E Goin1,2, Ronel Ghidey3, Holly Schuh4,5
1Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, United States.
American journal of epidemiology
|October 20, 2025
概括
结构性种族主义和经济劣势显著影响围产期健康,影响出生体重差异. 这些不平等,特别是拉丁裔-白人结构性种族主义,导致胎儿生长不良.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 围产期健康不平等在种族和经济群体中持续存在.
- 了解结构因素对胎儿生长的影响对于公共卫生干预至关重要.
研究的目的:
- 调查结构性种族主义和经济劣势对胎儿生长和妊娠年龄的影响.
- 分析与围产期结果相关的社会经济地位和种族隔离的区域级衡量标准.
主要方法:
- 利用了来自环境影响儿童健康结果队列的数据.
- 链接参与者针对地区级预期寿命,教育,失业率,医疗保险,监狱率,隔离和住房成本负担的指标.
- 采用量子G计算来评估同时暴露增加对胎儿生长和妊娠年龄的影响.
主要成果:
- 增加的经济劣势与降低的出生体重 (-25.65g) 有关.
- 拉丁裔-白人结构性种族主义的增加与拉丁裔参与者 (-80.83g) 的出生体重降低有关.
- 黑人-白人结构性种族主义显示出复杂的关联,白人参与者出生时体重较高 (+57.47g).
结论:
- 同时发生的结构性不平等,包括经济劣势和种族主义,显著影响胎儿成长中的种族差异.
- 针对结构因素对于减轻围产期健康不平等至关重要.
- 研究结果强调,需要制定政策来解决系统性障碍,以改善出生结果.
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