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生理和社会环境与胎盘疾病相关的不良妊娠事件之间的相互作用:范围综述。

Interactions between the Physical and Social Environments with Adverse Pregnancy Events Related to Placental Disorders-A Scoping Review.

机构信息

Department of Surveying and Geomatics, Midlands State University, P. Bag 9055, Gweru, Zimbabwe.

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, Strand, London WC2R 2LS, UK.

出版信息

Int J Environ Res Public Health. 2020 Jul 28;17(15):5421. doi: 10.3390/ijerph17155421.

Abstract

BACKGROUND

Due to different social and physical environments across Africa, understanding how these environments differ in interacting with placental disorders will play an important role in developing effective interventions.

METHODS

A scoping review was conducted, to identify current knowledge on interactions between the physical and social environment and the incidence of placental disease in Africa.

RESULTS

Heavy metals were said to be harmful when environmental concentrations are beyond critical limits. Education level, maternal age, attendance of antenatal care and parity were the most investigated social determinants.

CONCLUSIONS

More evidence is needed to determine the relationships between the environment and placental function in Africa. The results show that understanding the nature of the relationship between social determinants of health (SDH) and placental health outcomes plays a pivotal role in understanding the risk in the heterogenous communities in Africa.

摘要

背景

由于非洲各地的社会和物理环境不同,了解这些环境如何相互作用以影响胎盘疾病将在制定有效干预措施方面发挥重要作用。

方法

进行了范围综述,以确定当前关于非洲物理和社会环境与胎盘疾病发生率之间相互作用的知识。

结果

当环境浓度超过临界极限时,重金属据称是有害的。教育水平、母亲年龄、产前护理出勤率和生育次数是研究最多的社会决定因素。

结论

需要更多的证据来确定非洲环境与胎盘功能之间的关系。结果表明,了解健康社会决定因素(SDH)与胎盘健康结果之间关系的性质对于理解非洲异质社区的风险起着关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3f0/7432342/53bf8cfb11d8/ijerph-17-05421-g001.jpg

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