在美国军事卫生系统的现役服役妇女中,围产干预和结果的变化
Lynette Hamlin1, Amanda Banaag1,2, Cathaleen Madsen1,2
1Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Journal of women's health (2002)
|December 26, 2025
概括
尽管有普遍的就业和保险,但在军事医疗系统内,在现役服役的妇女中,围产期结果的种族和等级差异仍然存在. 需要进一步的研究来了解这些持续的健康不平等.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 军事医学 军事医学
背景情况:
- 周产期不良结果不成比例地影响美国的少数群体和低收入人口.
- 这些差异往往与社会经济因素如就业,保险和教育有关.
- 军事卫生系统 (MHS) 提供了一个独特的环境,以研究这些差异在雇佣,保险人口.
研究的目的:
- 调查在MHS中现役服役妇女 (ADSW) 中是否存在围产期结果的种族和社会经济差异.
- 为了确定特定的围产期干预措施和结果,这些干预措施和结果在这个人群中因种族和等级而有所不同.
主要方法:
- 使用MHS数据索赔的ADSW (17-49岁) 的横截面研究,出生时间为2016-2023.
- 使用国际疾病分类,第10次修订 (ICD-10) 代码来识别出生,结果和并发症.
- 使用描述性统计和修改的波桑回归来分析人口变化和结果风险.
主要成果:
- 对218,386例分娩的分析显示,黑人,亚洲/太平洋岛民和美洲印第安人/阿拉斯加土著妇女的早产,诱导和剖腹产风险更高.
- 亚洲/太平洋岛民和美洲印第安人/阿拉斯加土著妇女也面临着产后出血风险增加.
- 官员在老年时有较高的剖腹产,周围裂,产后出血和高风险怀孕的风险.
结论:
- 围产期结果的种族和等级差异在MHS的ADSW中很明显.
- 与全国数据相比,黑人女性的出血风险较低,但其他结果仍然存在差异.
- 需要进一步调查以阐明导致这些观察到的围产期结果变化的因素.
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