地区的贫困,社会脆弱性,以及怀孕后的血压
medRxiv : the preprint server for health sciences
|February 23, 2026
概括
怀孕期间的邻居剥夺与高产后血压 (BP) 有关,长达7年. 这凸显了结构因素,而不仅仅是个人经验,如何影响母亲的心血管健康.
科学领域:
- 生殖健康 生殖健康
- 心血管健康 心血管健康
- 健康的社会决定因素
背景情况:
- 怀孕是女性心血管健康的关键压力测试.
- 结构因素,如邻里特征,可能会显著影响长期的心血管健康.
- 了解社区贫困和个人社会脆弱性之间的相互作用对于评估产后心血管风险至关重要.
研究的目的:
- 检查怀孕期间社区层面的贫困和个人层面的社会脆弱性与产后血压 (BP) 之间的关联.
- 确定社区贫困和社会脆弱性是否预测长期心血管健康指标,直到产后7年.
主要方法:
- 一项前性队列研究的二次分析,涉及3728名未婚妇女.
- 利用区域贫困指数 (ADI) 来衡量邻里贫困情况和个人社会脆弱性 (SV) 的综合测量.
- 采用多变量回归模型来评估ADI,SV和分娩后心血压 (SBP),腹血压 (DBP) 和发生性高血压之间的关系,调整共变量.
主要成果:
- 未经调整的模型显示了ADI和SV与SBP和DBP之间的积极关联.
- 在调整后,较高的ADI仍然与增加的SBP和DBP显著相关 (例如,10个单位的ADI增加与1.0mmHg更高的SBP相关).
- 在调整后,个人社会脆弱性 (SV) 与产后高血压没有显著关联;无论是ADI还是SV都与事件高血压有关.
结论:
- 怀孕期间的邻居剥夺独立地与产后血压升高有关,持续长达七年.
- 怀孕期间的结构性邻居环境可能代表着早期母亲心血管风险的重要,独立的贡献者.
- 调查结果强调了在评估母亲健康和心血管风险时考虑更广泛的社会和环境因素的重要性.
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