与生育能力相关的种族化经济隔离在预先概念队列研究中.
Sharonda M Lovett1, Erin J Campbell2,3, Andrea S Richardson4
1Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA. slovett1@bu.edu.
Journal of urban health : bulletin of the New York Academy of Medicine
|December 20, 2025
概括
以极端度指数 (ICE) 衡量的种族化经济隔离与较低的生育能力 (受孕概率) 有关. 处境不利的社区显示,受孕率有所下降.
科学领域:
- 生殖流行病学 生殖流行病学
- 健康的社会决定因素
- 环境健康 环境健康
背景情况:
- 种族经济隔离是健康差异的一个已知的决定因素.
- 以前的研究将隔离与不良妊娠结果联系起来.
- 没有研究研究过分离与生育能力之间的关联.
研究的目的:
- 调查住宅隔离与生育能力之间的关联.
- 评估经济,种族和种族化的经济隔离对每周期受孕概率的影响.
主要方法:
- 美国10438名参与者从怀孕研究在线队列 (2013-2022) 的分析.
- 使用住宅地址计算经济,种族和种族经济隔离的极端度指数 (ICE).
- 使用比例概率回归模型来估计生育率 (FRs),调整相关变量.
主要成果:
- 在经济隔离 (ICE收入) 和种族经济隔离 (ICE收入 + 白人/黑人) 的五分位数与生育能力之间观察到单调的反向关联.
- 居住在最不利的社区 (五分位数1) 种族经济隔离与适度降低生育能力有关 (FR = 0.79).
- 在种族隔离 (ICE白色/黑色) 和生育能力之间发现的联系证据较少.
结论:
- 邻居种族化经济隔离与降低生育能力有关.
- 这些发现凸显了社会和经济环境因素对受孕的影响.
- 需要进一步的研究来了解这种关联背后的机制.
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