跨产周连续的严重孕产妇发病率的交叉差异:基于人口的分析
Ilhom Akobirshoev1, Willi Horner-Johnson2, Tiffany A Moore Simas3
1Brandeis University, 415 South Street, Waltham, MA 02453, USA.
概括
身体残疾的黑人和西班牙裔分娩个体在产前,分娩和产后期间面临严重孕产妇发病率 (SMM) 的最高风险. 这些复杂的差异凸显了对可访问,文化敏感的孕产妇医疗保健的需求.
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
- 公共卫生 公共卫生
背景情况:
- 严重的孕产妇发病率 (SMM) 对分娩个体构成重大风险.
- 现有的研究经常独立地检查种族/种族和残疾状况.
- 跨界方法对于理解复合风险至关重要.
研究的目的:
- 通过交叉框架估计严重孕产妇发病率 (SMM) 的风险.
- 根据种族/种族和身体残疾状况分析SMM风险,跨越产周连续.
- 为了确定产妇医疗保健中的复杂差异.
主要方法:
- 在马萨诸塞州 (1999-2019) 的1,327,862个单独出生者的回顾性队列研究.
- 使用了怀孕到早期生命纵向数据系统 (PELL).
- 修改Poisson回归模型评估了SMM风险,并进行了相互作用分析.
主要成果:
- 在产前,分娩和产后期间,SMM的发病率各不相同.
- 身体残疾的黑人和西班牙裔分娩个体表现出最高调整的SMM风险.
- 显著的超添加性相互作用表明了种族/种族和残疾的复合效应.
结论:
- 多重边缘化的分娩个体经历了复杂的健康差异.
- 即使调整了社会人口统计学和临床因素,这些差异仍然存在.
- 可访问,符合残疾人,文化敏感的孕产妇保健是必不可少的.
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