社会脆弱性指数,地区贫困指数和儿童机会指数之间的关系,以及手术可干预的先天性异常婴儿的治疗过程特征
Ryan D Bigej1, Devlynne S Ondusko2, Ali Oran3
1Department of Psychiatry, Duke University, Durham, North Carolina, United States.
American journal of perinatology
|January 20, 2026
概括
社会脆弱性指数 (SVI) 并没有显著影响婴儿对先天性异常的结果. 需要进一步的研究来探索这些高风险的手术患者群体的医疗保健不平等.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 社会经济影响健康.
背景情况:
- 社会脆弱性指数 (SVI) 是一种用于根据位置评估社区风险的工具.
- 了解SVI如何影响弱势群体的健康结果对于有针对性的干预至关重要.
- 需要手术治疗的先天性异常代表了一个高风险群体,其中社会因素可能起着重要作用.
研究的目的:
- 评估社会脆弱性指数 (SVI) 对怀孕和婴儿结果的影响.
- 调查SVI四分位数与手术治疗先天异常的婴儿发病率和死亡率之间的关联.
- 探索二次结果,包括与SVI相关的产前护理和孕产妇并发症.
主要方法:
- 追溯研究295名孕妇和婴儿二叶子与手术可治疗的先天性异常 (2014-2022).
- 双被分为SVI四分位数 (低,中低,中高,高).
- 两变量分析和几率比率被用来比较SVI四分位数的结果,控制其他指数,如面积贫困指数.
主要成果:
- 在SVI四分位数和婴儿发病率或死亡率之间没有发现显著的关联.
- 最高的SVI四分位数显示了一个非显著的趋势,即增加婴儿不良结果的几率 (OR:1.57,95% CI:0.32-6.4).
- 胎儿MRI是唯一与SVI四分位数相关的产前服务,但没有明确的方向趋势.
结论:
- 社会脆弱性指数四分位数与手术治疗先天性异常的婴儿结果没有显著的关联.
- 在先天性外科病理中,与社会脆弱性相关的医疗保健不平等需要进一步调查.
- 未来的研究应该研究SVI对高风险人群中产周和产后结果的长期影响.
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