出生前1000天家庭未满足的基本需求与早产状况。
Household unmet basic needs in the first 1000 days and preterm birth status.
作者信息
Parker Margaret G, de Cuba Stephanie Ettinger, Rateau Lindsey J, Sandel Megan T, Frank Deborah A, Cutts Diana B, Heeren Timothy C, Lê-Scherban Félice, Black Maureen M, Ochoa Eduardo R, Garg Arvin
机构信息
Department of Pediatrics, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.
Biostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, MA, USA.
出版信息
J Perinatol. 2022 Mar;42(3):389-396. doi: 10.1038/s41372-022-01325-5. Epub 2022 Jan 31.
OBJECTIVE
To examine the relationship of individual and composite number of unmet basic needs (housing, energy, food, and healthcare hardships) in the past year with preterm birth status among children aged 0-24 months.
STUDY DESIGN
We examined cross-sectional 2011-18 data of 17,926 families with children aged 0-24 months. We examined children born <31 weeks', 31-33 weeks', and 34-36 weeks' gestation versus term (≥37 weeks) using multivariable multinomial logistic regression.
RESULTS
At least 1 unmet basic need occurred among ≥60% of families with preterm children, compared to 56% of families with term children (p = 0.007). Compared to term, children born ≤30 weeks' had increased odds of healthcare hardships (aOR 1.28 [1.04, 1.56]) and children born 34-36 weeks' had increased odds of 1 (aOR 1.19 [1.05, 1.35]) and ≥2 unmet needs (aOR 1.15 [1.01, 1.31]).
CONCLUSION
Unmet basic needs were more common among families with preterm, compared to term children.
目的
探讨过去一年中未满足的基本需求（住房、能源、食品和医疗困难）的个体数量及综合数量与0 - 24个月儿童早产状况之间的关系。
研究设计
我们研究了2011 - 2018年17,926个有0 - 24个月儿童家庭的横断面数据。我们使用多变量多项逻辑回归分析了孕周小于31周、31 - 33周、34 - 36周出生的儿童与足月儿（≥37周）的情况。
结果
早产儿童家庭中至少有一项未满足基本需求的情况在≥60%的家庭中出现，而足月儿家庭这一比例为56%（p = 0.007）。与足月儿相比，孕周≤30周出生的儿童出现医疗困难的几率增加（调整后比值比[aOR]为1.28[1.04, 1.56]），孕周34 - 36周出生的儿童出现1项（aOR为1.19[1.05, 1.35]）及≥2项未满足需求的几率增加（aOR为1.15[1.01, 1.31]）。
结论
与足月儿家庭相比，早产儿童家庭中未满足的基本需求更为常见。
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