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在哥伦比亚出生的委内瑞拉难民婴儿的健康状况。

Health of Infants Born to Venezuelan Refugees in Colombia.

机构信息

Departamento de Salud Colectiva, Facultad de Odontología, Universidad Nacional de Colombia, Bogotá, Colombia.

Department of Health Management and Policy, College of Public Health, University of Iowa, Iowa City, IA, USA.

出版信息

J Immigr Minor Health. 2021 Apr;23(2):222-231. doi: 10.1007/s10903-020-01114-2. Epub 2021 Feb 7.

Abstract

Little is known about the health of infants born Venezuelan refugee women in Colombia. Using birth certificate data, we compared birth weight, gestational age, and Apgar scores between births to Venezuelan refugee women and Colombian women in 2016-2018 using logistic regression. We also compared number of prenatal visits and health insurance coverage. Infants born to Venezuelan refugee women were more likely to be preterm (OR=1.14 [95%CI:1.07,1.23]), extremely preterm (OR=1.71 [95%CI:1.19,2.46]), low birth weight (OR=1.30 [95%CI:1.18,1.42]), and very low birth weight (OR =1.80 [95%CI:1.45,2.23]) than infants born to Colombian women. There were no differences in Apgar scores. Most Venezuelan refugee women had no health insurance, and number of prenatal visits was half that of Colombian women. Pregnant Venezuelan refugee women face health care barriers and have worse birth outcomes than Colombian women, highlighting the need to further address health care and other socioeconomic barriers for this vulnerable population.

摘要

关于在哥伦比亚出生的委内瑞拉难民女性所生育婴儿的健康状况,我们知之甚少。本研究利用出生证明数据,通过 logistic 回归比较了 2016-2018 年期间委内瑞拉难民女性和哥伦比亚女性所生育婴儿的出生体重、胎龄和阿普加评分,并比较了产前检查次数和医疗保险覆盖情况。结果显示,与哥伦比亚女性所生育的婴儿相比,委内瑞拉难民女性所生育的婴儿更有可能早产(OR=1.14 [95%CI:1.07,1.23])、极早产(OR=1.71 [95%CI:1.19,2.46])、低出生体重(OR=1.30 [95%CI:1.18,1.42])和极低出生体重(OR=1.80 [95%CI:1.45,2.23])。两组婴儿的阿普加评分无差异。大多数委内瑞拉难民女性没有医疗保险,产前检查次数也只有哥伦比亚女性的一半。委内瑞拉难民孕妇面临医疗保健障碍,其分娩结局比哥伦比亚女性更差,这突显了需要进一步解决这一脆弱人群的医疗保健和其他社会经济障碍。

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