加利福尼亚州的农村,种族边缘化和严重的孕产妇发病风险,1997-2019年
Elleni M Hailu1, Rachel L Berkowitz2, Peiyi Kan1
1Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, 1701 Page Mill Road, Palo Alto, CA 94304, USA.
Preventive medicine
|January 31, 2026
概括
农村居住增加了所有种族/族群的严重孕产妇发病 (SMM) 风险,特别是太平洋岛民. 需要有针对性的干预措施来解决这些农村和城市的健康差异.
科学领域:
- 孕产妇健康 孕产妇健康
- 健康差异 在健康上的差异
- 农村卫生 农村卫生
背景情况:
- 在严重孕产妇发病率 (SMM) 风险中,种族化和农村性的交叉是不充分研究的.
- 了解社区农村如何影响跨种族/族群的SMM风险至关重要.
研究的目的:
- 考察生活在农村社区如何影响严重孕产妇发病率 (SMM) 风险,考虑到种族边缘化.
- 量化不同种族/族群的农村与城市居住相关的SMM风险差异.
主要方法:
- 在加利福尼亚州 (1997-2019) 分析了超过1000万个活产婴儿.
- 使用农村-城市通勤区代码定义社区农村.
- 种族/种族分层的概括估计方程模型,调整为社会人口统计学,临床和社区贫困因素.
主要成果:
- 农村居住与所有种族/民族群体的SMM风险增加有关.
- 在太平洋岛民中观察到最强的关联 (RR=1.63).
- 在美国印第安人/阿拉斯加原住民 (6.30%) 和太平洋岛民 (1.84%) 个人中发现了农村居住的最高人口归因分数.
结论:
- 农村和城市在孕产妇健康方面的差异在种族边缘化人口中仍然存在.
- 有针对性的干预措施是必要的,以减轻SMM农村和种族化的复合风险.
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