Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants.

Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants.
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DOI:
10.1016/j.ajog.2009.10.864
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发表时间:
2010-04
影响因子:
9.8
通讯作者:
Washington AE
Washington AE
中科院分区:
医学1区
文献类型:
--
作者:
Bryant AS;Worjoloh A;Caughey AB;Washington AE

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不同种族/民族的妇女之间在产科结果方面存在很大差异。早产、胎儿生长受限、胎儿死亡、孕产妇死亡和产前护理不足的发生率均因孕产妇种族/族裔而异。这些差异的根源在于产妇保健行为、遗传、物质和社会环境以及获得保健的机会和保健质量。消除由于社会文化差异或获得保健的机会或保健质量而造成的保健不平等现象,需要采取多学科办法。我们的目标是描述这些产科差异,着眼于潜在的病因,从而提高我们的能力,针对适当的解决方案。
Wide disparities in obstetrical outcomes exist between women of different race/ethnicities. The prevalence of preterm birth, fetal growth restriction, fetal demise, maternal mortality and inadequate receipt of prenatal care all vary by maternal race/ethnicity. These disparities have their roots in maternal health behaviors, genetics, the physical and social environments, and access to and quality of health care. Elimination of the health inequities due to sociocultural differences or access to or quality of health care will require a multidisciplinary approach. We aim to describe these obstetrical disparities, with an eye towards potential etiologies, thereby improving our ability to target appropriate solutions.
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