社会支持作为缓冲对抗不良出生结果在经历邻居贫困的人群中社会支持的作用
Meredith A Dixon1,2, Suchitra Chandrasekaran3, Howard H Chang4
1Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Paediatric and perinatal epidemiology
|January 11, 2026
概括
社会支持可能会防止邻里贫困对妊娠年龄 (SGA) 出生的婴儿的影响,特别是对于非西班牙裔白人个人. 然而,它并没有缓冲早产风险.
科学领域:
- 生殖健康 生殖健康
- 社会流行病学 社会流行病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 邻居环境与不利的出生结果有关,但发现各不相同.
- 社会支持在缓解这些影响方面的作用需要进一步研究.
研究的目的:
- 确定社会支持是否缓冲社区贫困对早产和怀孕年龄小 (SGA) 的不良影响.
主要方法:
- 对nuMoM2b队列研究的二次分析 (n=8377).
- 地区贫困指数 (ADI) 和社会支持的估计流行差异.
- 通过社会支持对ADI的评估效果修改,按种族/种族分层,根据母亲的年龄和教育程度进行调整.
主要成果:
- 较高的社会支持与较少的早产有关 (PD=-0.03).
- 社会支持缓冲了社区贫困对SGA的影响,主要是在非西班牙裔白人中 (ADI增加与低/中等支持的每100个怀孕中2个SGA病例的过量增加有关,而高支持的零效应).
结论:
- 社会支持可以保护SGA免受社区剥夺的影响,特别是非西班牙裔白人个人.
- 没有证据表明社会支持缓冲邻里贫困对早产的影响.
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