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在医院出生录取笔记中记录的更高体重和耻辱语言之间的关联
Sarah E Harkins1, Arielle K Hazi2, Ismael I Hulchafo2
1Columbia University Irving Medical Center, Department of Obstetrics & Gynecology, New York, NY, USA. seh2238@cumc.columbia.edu.
International journal of obesity (2005)
|January 13, 2026
概括
体重较高的孕妇更有可能在电子健康记录中遇到体重耻辱. 这项研究强调了需要公平的文档实践来改善围产期护理的必要性.
科学领域:
- 围产期健康 围产期健康
- 健康 公平 卫生 公平
- 医疗文件 医疗文件
背景情况:
- 体重耻辱在怀孕护理中很普遍,但它在体重较高的个体的电子健康记录 (EHR) 中表现的研究不足.
- 了解EHR中使用的语言对于识别和解决医疗保健环境中的体重偏差至关重要.
研究的目的:
- 调查较高的体重与在医院分娩入院期间在电子健康记录中记录的污名化语言之间的联系.
- 分析临床笔记中使用的污名化语言类型,用于体重较高的孕妇.
主要方法:
- 利用了从怀孕20周以上的妇女获得的EHR数据,这些妇女被录取到两个大型大都会医院 (2017-2019).
- 在临床笔记中使用ICD-10代码和关键字搜索识别了较高的体重.
- 采用后勤回归来评估较高的体重与污名化的语言之间的关联,包括边缘化的语言/身份.
主要成果:
- 体重较高的女性在出生住院记录中记录的任何耻辱语言的可能性明显更高 (aOR=1.10,95%CI=1.01-1.20).
- 较高的体重与来自边缘化语言/身份类别的记录语言的可能性增加有关 (aOR=1.38,95% CI=1.20-1.59).
结论:
- 调查结果证实,通过临床文档,体重较高的女性经历了耻辱感.
- 强调需要为临床医生提供公平文件的培训,并从电子健康记录中删除偏见的语言,以推进围产期健康公平.
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