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种族/民族在产科结局和护理方面的差异:流行情况和决定因素。

Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants.

机构信息

Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, CA 94143-0132, USA.

出版信息

Am J Obstet Gynecol. 2010 Apr;202(4):335-43. doi: 10.1016/j.ajog.2009.10.864. Epub 2010 Jan 12.

Abstract

Wide disparities in obstetric outcomes exist between women of different race/ethnicities. The prevalence of preterm birth, fetal growth restriction, fetal demise, maternal mortality, and inadequate receipt of prenatal care all vary by maternal race/ethnicity. These disparities have their roots in maternal health behaviors, genetics, the physical and social environments, and access to and quality of health care. Elimination of the health inequities because of sociocultural differences or access to or quality of health care will require a multidisciplinary approach. We aim to describe these obstetric disparities, with an eye toward potential etiologies, thereby improving our ability to target appropriate solutions.

摘要

不同种族/族裔的女性在产科结局方面存在显著差异。早产、胎儿生长受限、胎儿死亡、孕产妇死亡率以及产前保健不足的发生率均因产妇的种族/族裔而异。这些差异的根源在于孕产妇的健康行为、遗传因素、物理和社会环境以及获得和医疗保健的质量。消除由于社会文化差异或获得和医疗保健的质量而导致的健康不平等,需要采取多学科的方法。我们旨在描述这些产科差异,并着眼于潜在的病因,从而提高我们针对适当解决方案的能力。

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