Price Sarah Kye
Washington University in St. Louis, George Warren Brown School of Social Work, One Brookings Drive, Box 1196, St. Louis, MO 63130, USA.
Matern Child Health J. 2006 Nov;10(6):489-500. doi: 10.1007/s10995-006-0123-x.
Public health prevalence data has consistently illustrated disparities in fetal mortality prevalence on a yearly basis, yet few studies have examined the prevalence and correlates of pregnancy loss history during the reproductive life span. Using nationally representative data from the Early Childhood Longitudinal Study, Birth Cohort, approximately 25% of childbearing women in the United States were found to have experienced one or more fetal deaths prior to the current live birth. An examination of the demographic correlates of singular and multiple loss history in age-controlled models reveals that a history of multiple loss was significantly related to African-American race, lower socioeconomic status, income below poverty, and lower maternal education. Singular loss history risk was relatively consistent across social and demographic groups with some increased risk noted only for African-American women. Predictive correlates of fetal mortality varied by racial-ethnic subpopulation in multivariate analysis. Findings from this study are discussed for their contribution to existing public health knowledge and the potential for future research focused on the experience of multiple loss and demographic groups at elevated risk.
公共卫生患病率数据每年都持续显示出胎儿死亡率方面的差异，但很少有研究考察过生殖寿命期间流产史的患病率及其相关因素。利用来自《儿童早期纵向研究：出生队列》的全国代表性数据，发现美国约25%的育龄妇女在当前活产之前经历过一次或多次胎儿死亡。在年龄控制模型中对单次和多次流产史的人口统计学相关因素进行的一项研究表明，多次流产史与非裔美国人种族、较低的社会经济地位、贫困线以下收入以及较低的母亲教育程度显著相关。单次流产史风险在社会和人口群体中相对一致，仅非裔美国妇女的风险有所增加。在多变量分析中，胎儿死亡率的预测相关因素因种族-族裔亚群体而异。本研究的结果将因其对现有公共卫生知识的贡献以及未来针对多次流产经历和高风险人口群体的研究潜力而进行讨论。
