纽约州锡拉丘兹的难民生育与移民健康效应。
Refugee Births and the Migrant Health Effect in Syracuse NY.
机构信息
Indiana University School of Medicine, Indianapolis, IN, USA.
Upstate Medical University, Syracuse, NY, USA.
出版信息
Matern Child Health J. 2023 Sep;27(9):1599-1606. doi: 10.1007/s10995-023-03694-5. Epub 2023 Jun 7.
OBJECTIVES
In Syracuse, NY among 5998 births in a 3-year period (2017-2019), 24% were to foreign-born women, among whom nearly 5% were refugees from the Democratic Republic of the Congo and Somalia. The impetus for the study was to identify potential risk factors and birth outcomes of refugee women, other foreign-born women, and US born women to inform care.
METHODS
This study reviewed 3 years of births (2017-2019) in a secondary database of births in Syracuse, New York. Data reviewed included maternal demographics, natality, behavioral risk factors (e.g., drug use, tobacco use), employment, health insurance, and education.
RESULTS
In a logistic regression model controlling for race, education, insurance status, employment status, tobacco use and illicit drug use, compared to US born mothers, refugees (OR 0.45, 95% CI 0.24-0.83) and other foreign born (OR 0.63, 95% CI 0.47-0.85) had significantly fewer low birth weight births.
CONCLUSION
The results of this study supported the "healthy migrant effect," a concept that refugees have fewer low birth weight (LBW) births, premature births, and cesarean section deliveries than US born women. This study adds to the literature on refugee births and the healthy migrant effect.
目的
在纽约州锡拉丘兹，在 3 年期间（2017-2019 年）的 5998 例分娩中，有 24%是外国出生的妇女，其中近 5%是来自刚果民主共和国和索马里的难民。进行这项研究的动力是确定难民妇女、其他外国出生妇女和美国出生妇女的潜在风险因素和分娩结果，以为她们提供更好的护理。
方法
本研究回顾了纽约锡拉丘兹市的一个出生后数据库中 3 年（2017-2019 年）的出生情况。审查的数据包括产妇人口统计学资料、出生率、行为风险因素（例如，药物使用、吸烟）、就业、健康保险和教育。
结果
在控制种族、教育、保险状况、就业状况、吸烟和非法药物使用的逻辑回归模型中，与美国出生的母亲相比，难民（OR0.45，95%CI0.24-0.83）和其他外国出生的母亲（OR0.63，95%CI0.47-0.85）的低出生体重儿明显较少。
结论
这项研究的结果支持“健康移民效应”，即难民的低出生体重儿（LBW）、早产和剖宫产分娩的比例低于美国出生的妇女。本研究增加了关于难民分娩和健康移民效应的文献。
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