根据南卡罗来纳州的个人种族,种族和农村地区,产后再接收的变化
Curisa M Tucker1, Yunqing Ma2, Jiajia Zhang2
1Department of Biobehavioral Health & Nursing Science, College of Nursing, University of South Carolina, Columbia.
JAMA network open
|December 8, 2025
概括
在产后再接收 (PPR) 中的种族差异在城市地区较高,在农村环境中较小. 这表明地理背景可能会影响分娩个体的健康不平等.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 孕产妇健康 孕产妇健康
背景情况:
- 在产后再接收 (PPR) 中,种族和民族差异仍然存在,不成比例地影响非西班牙裔黑人个人.
- 产后再接收与心理健康障碍 (MHD) 和物质使用障碍 (SUD) 有关.
- 在农村社区,获得护理是一个重大挑战.
研究的目的:
- 检查个人住宅农村和种族/种族如何交叉影响所有原因,MHD相关和SUD相关的PPR.
- 分析这些关联,直到产后的一年.
主要方法:
- 一项全州的回顾性队列研究使用了相关的出生证明和全付款医院数据.
- 包括15-50岁的个人,他们在2018年1月1日至2021年12月31日期间在南卡罗来纳州分娩.
- 考克斯的比例危险模型被用来估计为1年的随访调整的危险比率.
主要成果:
- 与非西班牙裔白人相比,城市地区的非西班牙裔黑人个人患所有原因的PPR风险更高.
- 与非西班牙裔白人相比,西班牙裔个人患所有原因的PPR风险较低.
- 农村居住与所有原因的PPR增加有关,但减轻了种族和民族差异.
结论:
- 在产后再接收的种族和民族差异在城市地区更为明显.
- 地理背景,特别是农村,似乎改变了这些差异.
- 调查结果表明,干预措施应考虑种族,种族和地理位置的相互作用.
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