美国的孕产妇出生率,种族和种族以及婴儿死亡率
Nicolette Christodoulakis1,2, Giulia M Muraca1,2,3
1Department of Obstetrics and Gynecology, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
JAMA network open
|January 6, 2026
概括
美国出生的个体比非美国出生的个体面临更高的婴儿死亡率,特别是在各种种族和种族群体的满期分娩中. 突然的意外婴儿死亡对这些差异有很大影响.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 美国婴儿死亡率的种族差异是众所周知的.
- 母亲出生率,种族,种族和婴儿死亡率之间的关联需要进一步研究.
研究的目的:
- 根据美国的种族和种族,研究母亲出生率和婴儿死亡率之间的关联.
- 评估这些关联是否因妊娠年龄而异.
主要方法:
- 基于人口的回顾性队列研究,使用美国相关的出生和婴儿死亡记录 (2016-2022年).
- 分析了婴儿死亡率 (在364天内死亡) 使用逻辑回归,根据母亲/婴儿特征进行调整.
- 根据出生和妊娠年龄对死亡的主要原因进行了检查,并对满期分娩的种族/种族进行了进一步分析.
主要成果:
- 美国出生的个体的婴儿死亡率高于非美国出生的个体 (5.4对每1000例出生4.0;aOR,1.34).
- 在满期分娩 (aOR,1.58) 中的差异比早产分娩更为明显.
- 在黑人,西班牙裔,白人和多种族群体中观察到美国出生的婴儿死亡率更高,突然的意外婴儿死亡是关键因素.
结论:
- 与非美国出生的个人相比,美国出生的个人对婴儿死亡率的几率明显更高.
- 这些差异特别明显在全程分娩和跨多个种族和民族群体.
- 进一步调查这些差异的根本原因,特别是突然的意外婴儿死亡,至关重要.
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