城市围产期健康不平等现象。
Urban perinatal health inequalities.
作者信息
Poeran Jashvant, Denktas Semiha, Birnie Erwin, Bonsel Gouke J, Steegers Eric A P
机构信息
Erasmus University Rotterdam, Institute of Health Policy & Management, PO Box 1738, Rotterdam 3000 DR, The Netherlands.
出版信息
J Matern Fetal Neonatal Med. 2011 Apr;24(4):643-6. doi: 10.3109/14767058.2010.511341. Epub 2010 Sep 14.
OBJECTIVE
Large urban areas have higher perinatal mortality rates. In attaining a better understanding, we conducted an analysis on a neighborhood level in Rotterdam, the second largest city of The Netherlands.
METHODS
Perinatal outcome of all single pregnancies (50,000) was analyzed for the period of 2000-2006. The prevalences of perinatal mortality and perinatal morbidity were determined for every neighborhood.
RESULTS
Large perinatal health inequalities exist between neighborhoods in the city of Rotterdam with perinatal mortality rates as high as 37 per 1000 births. The highest risks were observed in deprived neighborhoods.
CONCLUSION
We observed high levels of perinatal health inequalities in the city of Rotterdam which have not been previously described in the Western world. Accumulation of medical risk factors as well as socioeconomic and urban risk factors seems to be a likely contributor.
目的
大城市地区围产期死亡率较高。为了更好地理解这一情况，我们在荷兰第二大城市鹿特丹的社区层面进行了一项分析。
方法
对2000年至2006年期间所有单胎妊娠（50000例）的围产期结局进行分析。确定每个社区的围产期死亡率和围产期发病率。
结果
鹿特丹市各社区之间存在很大的围产期健康不平等，围产期死亡率高达每1000例出生37例。在贫困社区观察到最高风险。
结论
我们观察到鹿特丹市存在高水平的围产期健康不平等，这在西方世界此前未曾有过描述。医学风险因素以及社会经济和城市风险因素的累积似乎是一个可能的原因。
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