Berger-Polsky Alexandra, Daoud Nihaya, Sergienko Ruslan, Sheiner Eyal, Shoham-Vardi Ilana, Bilenko Natalya
Department of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Be'er Sheva, Israel.
Department of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben Gurion University of the Negev, Be'er Sheva, Israel.
Health Care Women Int. 2020 Jan;41(1):54-74. doi: 10.1080/07399332.2019.1639708. Epub 2019 Jul 24.
Polygamy has been associated with adverse health outcomes. We examined the association between polygamy and adverse birth outcomes (composite score of preterm birth, low birth weight, small for gestational age, Apgar score < 7) using survey data linked to retrospective medical data of 9,872 cohort Bedouin women who bore live singletons in a large medical center in Southern Israel between 2008 and 2014. Women in polygamous marriages (18%) were more likely to have adverse birth outcomes after considering different factors (AOR = 1.28, 95% CI = 1.09-1.51), indicating that polygamy is an independent risk factor for birth outcomes that should be considered in research and clinical practice.
一夫多妻制与不良健康后果相关。我们利用与9872名队列中的贝都因妇女回顾性医疗数据相链接的调查数据，研究了一夫多妻制与不良出生结局（早产、低出生体重、小于胎龄、阿氏评分<7的综合评分）之间的关联，这些妇女于2008年至2014年期间在以色列南部的一家大型医疗中心生育了单胎活产婴儿。在考虑了不同因素后，一夫多妻制婚姻中的女性（18%）更有可能出现不良出生结局（调整后的比值比=1.28，95%置信区间=1.09-1.51），这表明一夫多妻制是出生结局的一个独立风险因素，在研究和临床实践中应予以考虑。
