Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA.
Bureau of Vital Statistics, Division of Epidemiology, New York City Department of Health and Mental Hygiene, New York City, New York, USA.
J Epidemiol Community Health. 2018 Dec;72(12):1147-1152. doi: 10.1136/jech-2018-211077. Epub 2018 Oct 16.
Severe stressors can induce preterm birth (PTB; gestation <37 weeks), with such stressors including social and economic threats, interpersonal violence, hate crimes and severe sociopolitical stressors (ie, arising from political leaders' threatening rhetoric or from political legislation). We analysed temporal changes in risk of PTB among immigrant, Hispanic and Muslim populations targeted in the US 2016 presidential election and its aftermath.
Trend analysis of all singleton births in New York City from 1 September 2015 to 31 August 2017 (n=230 105).
Comparing the period before the US presidential nomination (1 September 2015 to 31 July 2016) to the post-inauguration period (1 January 2017 to 31 August 2017), the overall PTB rate increased from 7.0% to 7.3% (relative risk (RR): 1.04; 95% CI 1.00 to 1.07). Among Hispanic women, the highest post-inauguration versus pre-inauguration increase occurred among foreign-born Hispanic women with Mexican or Central American ancestry (RR: 1.15; 95% CI 1.01 to 1.31). The post-inauguration versus pre-inauguration PTB rate also was higher for women from the Middle East/North Africa and from the travel ban countries, although non-significant due to the small number of events.
Severe sociopolitical stressors may contribute to increases in the risk of PTB among targeted populations.
严重的压力源可诱发早产（PTB；妊娠<37 周），此类压力源包括社会和经济威胁、人际暴力、仇恨犯罪和严重的社会政治压力源（即源于政治领导人的威胁言论或政治立法）。我们分析了在美国 2016 年总统选举及其后果中，针对移民、西班牙裔和穆斯林人群的严重社会政治压力源与 PTB 风险之间的时间变化关系。
对 2015 年 9 月 1 日至 2017 年 8 月 31 日期间纽约市所有单胎分娩的趋势分析（n=230105）。
与美国总统提名前（2015 年 9 月 1 日至 2016 年 7 月 31 日）相比，在就职典礼后（2017 年 1 月 1 日至 2017 年 8 月 31 日）期间，整体 PTB 率从 7.0%上升至 7.3%（相对风险（RR）：1.04；95%CI 1.00 至 1.07）。在西班牙裔女性中，墨西哥或中美洲裔的外国出生西班牙裔女性的产后 PTB 率增加幅度最大（RR：1.15；95%CI 1.01 至 1.31）。来自中东/北非和受旅行禁令影响的国家的女性，PTB 率也高于就职典礼前，但由于事件数量较少，结果无统计学意义。
严重的社会政治压力源可能导致目标人群的 PTB 风险增加。
