Increased perinatal mortality among sub-Saharan immigrants in a city-population in Sweden
Increased perinatal mortality among sub-Saharan immigrants in a city-population in Sweden
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DOI：
10.1034/j.1600-0412.2000.079009737.x
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发表时间：
2000-09-01
影响因子：
4.3
通讯作者：
Gudmundsson, S
中科院分区：
文献类型：
--
作者：
Essén, B;Hanson, BS;Gudmundsson, S
背景：本研究的目的是调查母体原籍国是否影响围产儿死亡的风险，并确定其与危险因素的关系。一项对瑞典马尔默15,639次分娩的研究。从马尔莫数据库和瑞典医学出生登记处获得有关人口因素、生活方式和围产期风险因素的数据，以及与结局有关的数据。与瑞典血统的妇女相比，外国血统的妇女所生婴儿的围产期死亡率更高(OR 1.5，CI 1.0-2.2)。即使在对母亲背景和风险因素(糖尿病、贫血、先兆子痫、胎盘早剥和小于胎龄)进行调整后，外籍妇女围产期死亡风险的增加在统计上仍然显著。来自撒哈拉以南非洲的妇女占所有移民的7.3%，与所有其他外籍妇女亚群不同，她们有更高的不良结局风险(小于胎龄OR 1.9，CI 1.0-3.6，新生儿窘迫OR 2.7，CI 5.1-4.8，围产儿死亡率OR 4.3，CI 2.1-8.6)。外国血统的妇女，特别是来自撒哈拉以南非洲的妇女，围产期死亡率比瑞典本土妇女高。死亡率的差异不能用危险因素来解释。这一结果表明，撒哈拉以南非洲的妇女和新生儿应该在所有级别的围产期护理中得到更严格的监测，以降低围产期死亡率。
Background The aim of the study was to investigate whether the maternal country of origin affected the risk for perinatal mortality and to determine its relationship to risk factors.Methods. A study of 15,639 deliveries in Malmo, Sweden. Data regarding demographic factors, life-style and perinatal risk factors, together with data pertaining to outcome was obtained from the Malmo database and the Swedish Medical Birth Register.Results. Perinatal mortality was increased among infants to women of Foreign origin as compared to those delivered by women of Swedish origin (OR 1.5, CI 1.0-2.2). Even after adjustments for maternal background and risk factors (diabetes, anemia, pre-eclampsia, placental abruption and small-for-gestational age), the increased risk of perinatal mortality among women of Foreign origin remained statistically significant. Women from sub-Saharan Africa, comprising 7.3% of all immigrants, differed from all other subgroups of women of foreign origin by having a higher risk of adverse outcome (small-for-gestational age OR 1.9, CI 1.0-3.6, neonatal distress OR 2.7, CI 5.1-4.8 and perinatal mortality OR 4.3, CI 2.1-8.6).Conclusions. Women of foreign origin, especially from sub-Saharan Africa, have a higher risk of perinatal mortality than native Swedish women. The differences in mortality could not be explained by risk factors. The results suggest that women and newborns from sub-Saharan Africa should be given more intense surveillance on all levels of perinatal care in order to reduce perinatal mortality.