基于性取向的初级剖腹产的差异:在三个纵向队列中进行基于人口的分析
Sarah McKetta1,2,3,4, Kodiak R S Soled2,3,4, Payal Chakraborty2,3,4
1Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Lancet regional health. Americas
|December 26, 2025
概括
性少数群体的个人面临更高的剖腹产风险,特别是那些认定自己是异性恋的人,他们之前有过同性经历. 这些差异被劳动诱导加剧了.
科学领域:
- 生殖健康 生殖健康
- 卫生社会学 卫生社会学
- 流行病学 流行病学
背景情况:
- 剖腹产产率是一个重大的公共卫生问题.
- 了解不同人群中剖腹产风险的差异至关重要.
- 性取向是影响产科结果的研究不足的因素.
研究的目的:
- 根据性取向来量化剖腹产风险的差异.
- 为了确定特定的性少数群体的子群体,增加了剖腹产的风险.
- 探索缓解这些差异的因素,如劳动诱导.
主要方法:
- 来自大型前性队列研究 (护士健康研究2和3,今天成长研究) 的数据.
- 逻辑回归模型使用概括估计方程来比较初级剖腹产产生的风险.
- 将性少数群体参与者的分层划分为不同的子组 (例如,双性恋,女同性恋/同性恋,以前有同性经验的异性恋).
主要成果:
- 性少数群体的个体具有较高的初级剖腹产风险 (aOR=1.07).
- 在异性恋个体中观察到的最高风险是之前有同性经验的异性恋个体 (aOR=1.12).
- 诱导分娩显著放大了剖腹产分娩差异 (诱导分娩的aOR=1.21).
结论:
- 性取向影响剖腹产风险,子组之间有显著差异.
- 具有先前同性经验的异性恋个体代表了增加剖腹产风险的关键群体.
- 可能需要有针对性的干预措施,特别是对于经过分娩诱导的性少数群体.
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