Sullivan J R, Shepherd S J
Faculty of Health, University of Western Sydney, Macarthur, NSW.
Aust N Z J Public Health. 1997 Apr;21(2):159-62. doi: 10.1111/j.1467-842x.1997.tb01676.x.
The southwestern Sydney area has the highest population of Vietnamese immigrants in New South Wales. The purpose of this study was to identify differences in obstetric outcomes and birthweights of infants of Vietnamese-born women and Australian-born women in southwestern Sydney during 1991. There was a higher incidence of gestational diabetes and a lower incidence of pre-eclampsia in Vietnamese-born women. The rate of induction of labour for Australian-born women (23.7 per cent) was almost double the rate for Vietnamese-born women (12.9 per cent). Birthweights of infants of vietnamese-born women were significantly lower at the 10th, 50th and 90th percentile. The use of racially appropriate growth charts will reduce overdiagnosis of growth-restricted infants and therefore unnecessary treatment. These findings highlight the need to take ethnic differences into account when planning health care.
悉尼西南部地区是新南威尔士州越南移民人口最多的地区。本研究的目的是确定1991年悉尼西南部越南出生妇女和澳大利亚出生妇女的产科结局及婴儿出生体重的差异。越南出生妇女妊娠期糖尿病的发病率较高,先兆子痫的发病率较低。澳大利亚出生妇女的引产率(23.7%)几乎是越南出生妇女(12.9%)的两倍。越南出生妇女所生婴儿在第10、第50和第90百分位数的出生体重显著较低。使用适合种族的生长图表将减少对生长受限婴儿的过度诊断,从而避免不必要的治疗。这些发现凸显了在规划医疗保健时考虑种族差异的必要性。