Petersen Clara Christine Mosborg, Bilbo Rebecca Elisabeth Qwist, Damsted Rasmussen Trine, Ekstrøm Claus Thorn, Villadsen Sarah Fredsted
Section of Social Medicine, Department of Public Health, University of Copenhagen, Oester Farimagsgade 5, Post box 2099, 1014, Copenhagen K, Denmark.
Section of Epidemiology, Department of Public Health, University of Copenhagen, Oester Farimagsgade 5, Post box 2099, 1014, Copenhagen K, Denmark.
Matern Child Health J. 2022 Jun;26(6):1367-1374. doi: 10.1007/s10995-021-03298-x. Epub 2022 Jan 9.
Ethnic differences in perinatal morbidity and mortality are starting points for social inequality in health. Increased incidence and severity of some pregnancy complications are found among immigrant women compared to ethnic majority women in high-income settings. However, little is known about immigrant women's assessment and management of warning signs. We aimed to assess women's knowledge about how to manage warning signs of pregnancy complications among immigrants and their descendants compared to women of Danish origin.
A cross-sectional study including phone-based interviews with 1899 women. Women were interviewed during gestational week 30-37 in one of six languages. Maternal ethnicity was categorized as; immigrants, their descendants and ethnic Danes. The outcomes were yes or no to; do you know what to do if you experience 1) sudden swelling, redness, and heat in one leg 2) severe headache and 3) vaginal bleeding.
Immigrant women had lower levels of knowledge about how to manage all three types of warning signs of pregnancy complications compared to women of Danish origin. Adjusted OR for vaginal bleeding for women of European (4.33, 95% CI: 2.24-8.37), Asian (9.26, 95% CI: 5.10-16.83) and African (8.66, 95% CI: 3.26-23.05) origin.
Immigrant women had lower levels of knowledge about how to manage warning signs of pregnancy complications compared to women of Danish origin. Improved needs-based health education in pregnancy complications and body symptoms during antenatal care is needed to address delays in the management of complications and could potentially improve the health of women and children.
围产期发病率和死亡率的种族差异是健康领域社会不平等的起点。在高收入环境中，与多数族裔女性相比，移民女性中某些妊娠并发症的发病率和严重程度有所增加。然而，关于移民女性对警示信号的评估和处理知之甚少。我们旨在评估与丹麦裔女性相比，移民及其后代女性对妊娠并发症警示信号处理方法的了解情况。
一项横断面研究，包括对1899名女性进行电话访谈。在妊娠第30 - 37周期间，用六种语言之一对女性进行访谈。产妇种族分为移民、其后代和丹麦族裔。结果是对于以下问题回答“是”或“否”：如果你出现1) 一条腿突然肿胀、发红和发热，2) 严重头痛，3) 阴道出血，你知道该怎么做吗？
与丹麦裔女性相比，移民女性对妊娠并发症所有三种警示信号处理方法的了解程度较低。欧洲裔女性（调整后的比值比为4.33，95%置信区间：2.24 - 8.37）、亚裔女性（9.26，95%置信区间：5.10 - 16.83）和非洲裔女性（8.66，95%置信区间：3.26 - 23.05）出现阴道出血情况时的调整后比值比。
与丹麦裔女性相比，移民女性对妊娠并发症警示信号处理方法的了解程度较低。产前护理中需要加强基于需求的妊娠并发症和身体症状健康教育，以解决并发症处理延迟问题，并有可能改善妇女和儿童的健康状况。
