Department of Neonatology, the Shaare Zedek Medical Center, Jerusalem, Israel.
The Hebrew University of Jerusalem, Jerusalem, Israel.
J Perinatol. 2021 Mar;41(3):453-459. doi: 10.1038/s41372-020-0743-9. Epub 2020 Aug 4.
To compare short-term outcomes of Arabs versus Jewish infants in Israel.
We used the Israel national VLBW infant database to compare adjusted mortality and major morbidities rates of Arabs versus Jewish infants delivered between January 1995 and December 2016. Multivariable logistic regression analyses were performed to study the association of ethnicity with the odds for mortality and neonatal morbidities.
The study population comprised 22431 VLBW, very preterm (<32 weeks gestation) infants (27.7% Arabs and 72.3% Jewish) without congenital malformations. The Arab infants had significantly higher odds ratios for mortality, and most neonatal morbidities. Despite the significant decline in mortality over time in both ethnic groups, the difference in mortality rates remained unchanged over time.
We found significant ethic disparity that remained unchanged over time. Some of the disparities identified in this study may be amenable to improvement through proper policies and education.
比较以色列阿拉伯裔和犹太裔婴儿的短期结局。
我们使用以色列国家极低出生体重儿数据库，比较 1995 年 1 月至 2016 年 12 月间出生的阿拉伯裔和犹太裔婴儿的调整死亡率和主要并发症发生率。采用多变量逻辑回归分析来研究种族与死亡率和新生儿并发症发生几率的相关性。
本研究人群包括 22431 例极低出生体重儿（<32 周），无先天性畸形（27.7%为阿拉伯裔，72.3%为犹太裔）。阿拉伯裔婴儿的死亡率和大多数新生儿并发症的比值比显著更高。尽管两个种族的死亡率都随着时间的推移显著下降，但死亡率的差异在整个研究期间并未改变。
我们发现了长期存在的显著种族差异。本研究中发现的一些差异可以通过适当的政策和教育来改善。
