欧洲第二代母亲的孕产妇和新生儿后果:系统性审查
Sara Cavagnis1, Davide Tarditi1, Isabella Rosato2
1Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Globalization and health
|November 25, 2025
概括
在欧洲出生的第二代母亲 (SGMs) 的剖腹产风险低于本地出生的女性. 然而,他们面临着延迟产前护理的挑战,这表明持续的健康差异.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 孕产妇和儿童的健康
背景情况:
- 第二代母亲 (SGMs),在欧洲出生于外国出生的父母,是越来越多的人口.
- 现有的研究广泛记录了第一代移民和土著人的健康差异,但对SGM知之甚少.
研究的目的:
- 系统地审查和元分析欧洲SGM中母亲和新生儿健康结果.
- 为了比较SGM,本地出生的妇女和第一代移民之间的这些结果.
主要方法:
- 在MEDLINE,Embase和Scopus数据库中搜索到2024年12月.
- 包括19项研究,主要来自德国和北欧国家.
- 进行随机效应元分析,以计算各种孕产妇和新生儿结果的合并几率比率.
主要成果:
- 与本地出生的女性相比,SGM的剖腹产风险明显较低 (合计OR=0.68).
- 在SGMs中观察到较高风险的晚期产前护理和妊娠糖尿病的趋势,尽管在妊娠糖尿病方面没有统计学意义.
- 对于其他结果,如近乎失误,低出生体重和早产,发现了相互矛盾的结果或非显著的聚合估计.
结论:
- 对SGMs的健康结果受到结构因素,同文化化和持久不平等的影响.
- 迟到的产前护理准入表明,尽管SGM在东道国出生和接受教育,但对SGM的医疗保健存在持续的障碍.
- 加强数据收集,包括父母背景,并关注社会决定因素,对于理解和解决SGM健康需求至关重要.
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