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加利福尼亚州奥克兰市黑人妇女早产的风险和保护因素。

Risk and Protective Factors for Preterm Birth Among Black Women in Oakland, California.

机构信息

Department of Family Health Care Nursing, UCSF School of Nursing, 2 Koret Way, N431H, San Francisco, CA, 94134, USA.

School of Public Health, UC Berkeley, 2121 Berkeley Way, #5302, Berkeley, CA, 94704, USA.

出版信息

J Racial Ethn Health Disparities. 2021 Oct;8(5):1273-1280. doi: 10.1007/s40615-020-00889-2. Epub 2020 Oct 9.

DOI:10.1007/s40615-020-00889-2
PMID:33034878
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8079235/
Abstract

This project examines risk and protective factors for preterm birth (PTB) among Black women in Oakland, California. Women with singleton births in 2011-2017 (n = 6199) were included. Risk and protective factors for PTB and independent risk groups were identified using logistic regression and recursive partitioning. Having less than 3 prenatal care visits was associated with highest PTB risk. Hypertension (preexisting, gestational), previous PTB, and unknown Women, Infant, Children (WIC) program participation were associated with a two-fold increased risk for PTB. Maternal birth outside of the USA and participation in WIC were protective. Broad differences in rates, risks, and protective factors for PTB were observed.

摘要

本项目研究了加利福尼亚州奥克兰市黑人女性早产（PTB）的风险和保护因素。纳入了 2011-2017 年间单胎分娩的女性（n=6199）。使用逻辑回归和递归分区确定了 PTB 的风险和保护因素以及独立风险组。产前护理就诊次数少于 3 次与最高的 PTB 风险相关。高血压（既往、妊娠）、既往 PTB 和未知的妇女、婴儿、儿童（WIC）计划参与与 PTB 风险增加两倍相关。母亲在美国境外分娩和参与 WIC 是保护因素。PTB 的发生率、风险和保护因素存在广泛差异。

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Using Index of Concentration at the Extremes as Indicators of Structural Racism to Evaluate the Association with Preterm Birth and Infant Mortality-California, 2011-2012.利用极端集中指数作为结构种族主义的指标来评估其与早产和婴儿死亡率的关联——加利福尼亚州，2011-2012 年。
J Urban Health. 2019 Apr;96(2):159-170. doi: 10.1007/s11524-018-0272-4.
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Natl Vital Stat Rep. 2017 Nov;66(6):1-75.
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Transgenerational Transmission of Preterm Birth Risk: The Role of Race and Generational Socio-Economic Neighborhood Context.早产风险的代际传递：种族与代际社会经济邻里环境的作用。
Matern Child Health J. 2017 Aug;21(8):1616-1626. doi: 10.1007/s10995-016-2251-2.
8
The Impact of Neighborhood Conditions and Psychological Distress on Preterm Birth in African-American Women.邻里环境与心理困扰对非裔美国女性早产的影响
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9
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Am J Obstet Gynecol. 2016 Dec;215(6):787.e1-787.e8. doi: 10.1016/j.ajog.2016.08.019. Epub 2016 Aug 20.
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Matern Child Health J. 2017 Apr;21(4):825-835. doi: 10.1007/s10995-016-2176-9.