Lane Sandra D, Terán Silvia, Morrow Cynthia B, Novick Lloyd F
SUNY-Upstate Medical University, Syracuse, New York 13210, USA.
Am J Prev Med. 2003 May;24(4 Suppl):128-32. doi: 10.1016/s0749-3797(03)00036-9.
This case-racial and ethnic disparity in low birth weight-is one of a series of teaching cases in the Case-Based Series in Population-Oriented Prevention (C-POP). It has been developed for use in medical school and residency prevention curricula. The complete set of cases is presented in this supplement to the American Journal of Preventive Medicine. Low birth weight is a leading cause of infant mortality. Unfortunately, despite declining rates of infant mortality, racial and ethnic disparities in both low birth weight and infant mortality rates persist. In this teaching case, a clinical vignette is used to draw attention to this public health priority in Syracuse, New York. Students learn essential epidemiology skills such as identifying limitations of sources of data and calculating relative risks, using the example of low birth weight. In performing these skills, students also identify etiologies for such disparity. Finally, students discuss interventions that, when implemented, may decrease infant mortality rates.
本案例——低出生体重方面的种族和民族差异——是面向人群预防案例系列(C-POP)中的一系列教学案例之一。它是为医学院校和住院医师预防课程而编写的。整套案例刊载于《美国预防医学杂志》的这一增刊中。低出生体重是婴儿死亡的主要原因。不幸的是,尽管婴儿死亡率在下降,但低出生体重和婴儿死亡率方面的种族和民族差异依然存在。在本教学案例中,通过一个临床案例来引起人们对纽约州锡拉丘兹市这一公共卫生重点问题的关注。学生们以低出生体重为例,学习诸如识别数据来源的局限性和计算相对风险等基本流行病学技能。在运用这些技能的过程中,学生们还找出了造成这种差异的病因。最后,学生们讨论了实施后可能降低婴儿死亡率的干预措施。