Department of Epidemiology and International Public Health, School of Public Health, Bielefeld University, Universitätsstraße 25, 33615, Bielefeld, Germany,
Arch Gynecol Obstet. 2014 Mar;289(3):505-12. doi: 10.1007/s00404-013-2986-6. Epub 2013 Aug 10.
Publications based on data from perinatal health registries reported worse perinatal health outcomes among women of Turkish origin. The aim of this study was to compare the perinatal outcomes of women of German and Turkish origin in Berlin in two time periods and to analyze if the situation among the women of Turkish origin has improved over time.
Datasets of all singleton deliveries from Berlin hospitals for the time periods 1993-1997 (n = 144,600) and 2003-2007 (n = 147,559) were used. Incidence rates resp. prevalences of perinatal health outcomes were computed for women of German and a group of immigrant women mostly of Turkish origin stratified for 'parity' and 'having a partner'. Logistic regression models were computed to test for a change in the odds for adverse perinatal outcomes over time.
The chances for adverse perinatal outcomes were decreasing in the later time period for most measures. For stillbirth, preterm birth and congenital malformations, no differences between women of Turkish and German origin could be found. Differences exist in the utilization of perinatal health care and in the risk for anemia. Among women of Turkish origin, the chance for being anemic is even higher in 2003-2007 compared to 1993-1997.
The perinatal health measures of women of Turkish origin have improved over time. The lower utilization rates of antenatal health care could be the expression of barriers to access the health care for pregnant women with migration background as offered in Germany. A risk group which needs a special focus by health care providers are women without a partner, irrespective of their origin.
基于围产健康登记数据的出版物报告称，土耳其裔女性的围产健康结局较差。本研究的目的是比较柏林德国和土耳其裔女性在两个时期的围产结局，并分析土耳其裔女性的情况是否随着时间的推移而有所改善。
使用了 1993-1997 年（n=144600）和 2003-2007 年（n=147559）柏林医院所有单胎分娩的数据集。按“产次”和“有伴侣”对德国女性和主要为土耳其裔移民女性的围产健康结局发生率/患病率进行分层。计算逻辑回归模型，以检验不良围产结局的几率随时间的变化。
对于大多数指标，在较晚的时期，不良围产结局的几率在下降。对于死产、早产和先天性畸形，土耳其裔和德国裔女性之间没有差异。在围产期保健的利用和贫血风险方面存在差异。在土耳其裔女性中，2003-2007 年贫血的几率甚至高于 1993-1997 年。
土耳其裔女性的围产健康指标随着时间的推移而有所改善。围产期保健利用率较低可能反映了具有移民背景的孕妇获得德国提供的保健服务的障碍。一个需要医疗保健提供者特别关注的风险群体是没有伴侣的女性，无论其原籍国如何。
