Preconception health among migrant women in England: a cross-sectional analysis of maternity services data 2018-2019
Preconception health among migrant women in England: a cross-sectional analysis of maternity services data 2018-2019
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英国移民妇女的孕前健康状况：2018-2019 年孕产服务数据的横断面分析
DOI：
10.1101/2023.01.26.23284338
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
McGranahan M
中科院分区：
文献类型：
--
作者：
McGranahan M
背景：处境脆弱的移民妇女围产期结局较差，但对她们的健康先入之见知之甚少。我们调查了弱势移民妇女和非移民妇女之间的孕前健康不平等。方法：这项全国性的横断面研究使用的数据来自NHS产妇服务数据集（MSDS） 1.5版，纳入了英格兰的NHS产妇服务。所有在2018年4月1日至2019年3月31日期间进行产前预约的652880名妇女都被纳入其中。66.2% （n= 432,022）的迁移类别数据可用。比较弱势情境下的可能移民（英语不是母语，有复杂社会因素（CSF））、非弱势情境下的可能移民（英语不是母语，没有CSF）、弱势情境下的可能非移民（英语是母语，有CSF）和非弱势情境下的可能非移民（英语是母语，没有CSF）的先兆指标，计算比值比。CSF包括最近的移民，寻求庇护者，难民，阅读/说英语困难；滥用酒精和/或药物；20岁以下；和/或遭受家庭暴力。研究结果：我们确定3.8%（25,070名女性）的研究人群可能是处于弱势的移民，10.2%（66,783名女性）可能是处于非弱势的移民，5.6%（36,433名女性）可能是处于弱势的非移民，46.5%（303,737名女性）可能是处于非弱势的非移民，33.8%的人可能缺少移民类别数据。处境脆弱的可能移民（n= 25,070）怀孕前不服用叶酸的几率是处境脆弱的可能非移民的两倍多（优势比2.15,95%置信区间2.06-2.25）。她们以前患产科并发症和体重过轻的几率较高，但出现身体和精神健康状况（除糖尿病和乙型肝炎外）、吸烟、超重或肥胖的几率较低。许多孕前指标都存在不平等现象，这凸显了改善这一人群孕前健康、减少健康不平等并改善围产期和新生儿结局的机会。资助医学研究委员会。
BackgroundPerinatal outcomes are poor among migrant women in vulnerable situations, but little is known about their health preconception. We investigated preconception health inequalities between migrant women in vulnerable situations and non-migrant women.MethodsThis national cross-sectional study used data from the NHS Maternity Services Data Set (MSDS) version 1.5, incorporating NHS maternity services in England. All 652,880 women with an antenatal booking appointment between 1/4/2018 and 31/3/2019 were included. Migration category data were available for 66.2 % (n= 432,022). Odds ratios were calculated comparing preconception indicators among probable migrants in vulnerable situations (English not their first language with complex social factors (CSF)), probable migrants not in vulnerable situations (English not their first language without CSF), probable non-migrants in vulnerable situations (English their first language with CSF) and probable non-migrants not in vulnerable situations (English their first language without CSF). CSF include recent migrants, asylum seekers, refugees, difficulty reading/speaking English; alcohol and/or drugs misuse; aged under 20; and/or experiencing domestic abuse.FindingsWe identified 3.8 % (25,070 women) of the study population as probable migrants in vulnerable situations, 10.2 % (66,783 women) as probable migrants not in vulnerable situations, 5.6 % (36,433 women) as probable non-migrants in vulnerable situations, 46.5 % (303,737 women) as probable non-migrants not in vulnerable situations, and 33.8 % as having missing migration category data. Probable migrants in vulnerable situations (n= 25,070) had over twice the odds of not taking folic acid preconception compared to probable non-migrants not in vulnerable situations (odds ratio 2.15, 95 % confidence interval 2.06–2.25). They had increased odds of previous obstetric complications and being underweight, but lower odds of physical and mental health conditions (apart from diabetes and hepatitis b), smoking and overweight or obesity.InterpretationInequalities exist across many preconception indicators, highlighting opportunities to improve preconception health in this population to reduce health inequalities and improve perinatal and neonatal outcomes.FundingMedical Research Council.
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DOI：
10.1017/s2040174421000258
发表时间：
2022-04
影响因子：
1.7
作者：
Schoenaker DAJM;Stephenson J;Connolly A;Shillaker S;Fishburn S;Barker M;Godfrey KM;Alwan NA;UK Preconception Partnership
通讯作者：
UK Preconception Partnership
影响因子：
3.7
作者：
Henriksson P;Sandborg J;Blomberg M;Nowicka P;Petersson K;Bendtsen M;Rosell M;Löf M
通讯作者：
Löf M
两次怀孕期间母亲体重增加是否与大于胎龄分娩的风险相关？
DOI：
--
发表时间：
2018
期刊：
The Lancet
影响因子：
--
作者：
N. Ziauddeen;Sam Wilding;P. Roderick;N. Macklon;N. Alwan
通讯作者：
N. Alwan
P74 英国妇女孕前计划的障碍和促进因素：快速回顾
影响因子：
6.3
作者：
A. Ayorinde;F. Boardman;B. Alzouebi;L. Porter;A. Hadley;M. Ludeke;A. Sallis;S. Mann;O. Oyebode
通讯作者：
O. Oyebode
影响因子：
8.8
作者：
Murphy M;Robertson W;Oyebode O
通讯作者：
Oyebode O