The risk of preterm delivery in women from different ethnic groups
The risk of preterm delivery in women from different ethnic groups
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DOI：
10.1111/j.1471-0528.2002.01197.x
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发表时间：
2002-08-01
影响因子：
5.8
通讯作者：
Gardosi, J
中科院分区：
文献类型：
--
作者：
Aveyard, P;Cheng, KK;Gardosi, J
目的探讨是否常规测量变量解释早产风险增加，在英国的一些ethnics.Design横断面研究记录在儿童健康记录系统的交付。设置北伯明翰，英国。人口所有北伯明翰妇女提供单胎，1994-1997 inclusive。方法Logistic回归。主要结果测量早产的比值比（OR）和95%置信区间（CI），定义为小于37周，小于34周和小于28周，未校正和校正母亲年龄。基于地区的社会经济地位衡量标准，以及婚姻状况、出生年份。结果非洲裔加勒比妇女分娩时间小于37周的OR值（95% CI）为：未校正OR值1.44（1.26-1.64），校正OR值1.22（1.07-1.41）; 1.55（1.25-1.92）未调整和1.29（1.02-1.61）调整;对于分娩少于28周，1.66（1.08-2.55）未调整和1.32（0.84-2.06）调整。对于非洲妇女，分娩少于37周的风险没有显著增加;分娩少于34周的风险OR（95%CI）为1.88（0.99-3.58）未调整和1.78（0.93-3.40），未校正OR（95% CI）为4.02（1.60-10.12），校正OR（95% CI）为4.10（1.66-10.16）。在非裔加勒比人中，贫困和婚姻状况解释了未经调整和调整的OR之间的差异。有剥夺和早产之间的线性关系，所有的种族群体，除了Asians.Conclusions剥夺和婚姻状况相关的因素解释了大约一半的过剩的早产在非洲-加勒比，但不是非洲人。早产的风险可能与亚洲人的贫困无关。
Objective To examine whether routinely measured variables explained the increased risk of preterm delivery in some UK ethnic groups.Design Cross sectional study of deliveries recorded in the Child Health Record System.Setting North Birmingham, UK.Population All North Birmingham women delivering singletons, 1994-1997 inclusive.Method Logistic regression. Main outcome measures Odds ratio (OR) and 95% confidence interval (CI) for preterm delivery, defined as less than 37 weeks, less than 34 weeks and less than 28 weeks, unadjusted and adjusted for maternal age. an area-based socio-economic status measure, and marital status, year of birth. fetal sex rind past obstetric history.Results For Afro-Caribbean women, the ORs (95% CIs) were: for delivery less than 37 weeks, 1.44 (1.26-1.64) unadjusted and 1.22 (1.07-1.41) adjusted; for delivery less than 34 weeks. 1.55 (1.25-1.92) unadjusted and 1.29 (1.02-1.61) adjusted; for delivery less than 28 weeks, 1.66 (1.08-2.55) unadjusted and 1.32 (0.84-2.06) adjusted. For African women, the risk of delivery less than 37 weeks was not significantly raised; fur delivery less than 34 weeks, the OR (95% CI) was 1.88 (0.99-3.58) unadjusted and 1,78 (0.93-3.40) adjusted; fur delivery less than 28 weeks, the OR (95% CI) was 4.02 (1.60-10.12) unadjusted arid 4.10 (1.66-10.16) adjusted. In Afro-Caribbeans, deprivation and marital status explained the differences between the unadjusted and adjusted ORs. There was a linear relation between deprivation and preterm delivery for all ethnic groups, except for Asians.Conclusions Factors associated with deprivation and marital status explain about half of the excess of preterm births in Afro-Caribbeans, but not Africans. The risk of preterm delivery might not be related to deprivation in Asians.