社区枪击频率与早产发生之间的关联
The Association Between Neighborhood Gunshot Frequency and the Development of Preterm Birth.
作者信息
James Brian W, Fisher Rachel, Yin Chishu, Kmush Brittany L, Silverman Robert, Mastrogiannis Dimitrios
机构信息
Department of OBGYN, SUNY Upstate, Syracuse, New York, USA.
Norton College of Medicine, SUNY Upstate, Syracuse, New York, USA.
出版信息
Womens Health Rep (New Rochelle). 2025 Aug 14;6(1):763-770. doi: 10.1177/26884844251366375. eCollection 2025.
OBJECTIVE
To determine the association between stress, as objectively measured by frequency of neighborhood gunshots and preterm birth (PTB).
STUDY DESIGN
A retrospective chart review of 1675 individual births was analyzed of pregnant women who lived in the City of Syracuse, New York, United States. The frequency of gunshots was measured in the acute phase (within 1 week of delivery) and the chronic phase (sum total of all gunshots in the previous 2 years). Primary outcome includes PTB prior to 37 weeks of gestation. Secondary analysis includes delivery prior to 34, 32, and 28 weeks of gestation.
RESULT
Gunshots were significantly different between the three districts of Syracuse, which matched with differences in socioeconomic and comorbid conditions. The different districts also experienced differences in frequency of PTB (highest 18%, medium 13%, lowest 12%, = 0.018). However, those with versus without PTB at any gestational age did not differ in the frequency of gunshots in acute phase or chronic phase.
CONCLUSION
The use of acute-phase and chronic-phase gunshots as a method to simulate stress levels is not associated with the development of PTB.
目的
通过邻里枪击事件发生频率这一客观指标来确定压力与早产（PTB）之间的关联。
研究设计
对居住在美国纽约州锡拉丘兹市的孕妇的1675例单胎分娩进行回顾性病历分析。在急性期（分娩前1周内）和慢性期（过去2年所有枪击事件总数）测量枪击事件发生频率。主要结局包括妊娠37周前的早产。次要分析包括妊娠34、32和28周前的分娩情况。
结果
锡拉丘兹市三个区的枪击事件存在显著差异，这与社会经济和合并症情况的差异相符。不同区域的早产频率也存在差异（最高18%，中等13%，最低12%，P = 0.018）。然而，在任何孕周有早产和无早产的孕妇在急性期或慢性期的枪击事件发生频率并无差异。
结论
使用急性期和慢性期枪击事件作为模拟压力水平的方法与早产的发生无关。
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