Gestational exposure to fatal police violence and pregnancy loss in US core based statistical areas, 2013-2015.
Gestational exposure to fatal police violence and pregnancy loss in US core based statistical areas, 2013-2015.
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DOI：
10.1016/j.eclinm.2021.100901
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发表时间：
2021-06
影响因子：
15.1
通讯作者：
Chen JT
中科院分区：
文献类型：
--
作者：
Jahn JL;Krieger N;Agénor M;Leung M;Davis BA;Weisskopf MG;Chen JT
致命的警察暴力在美国不成比例地影响黑人，美洲原住民和西班牙裔人，对于这些群体来说，这是一个种族压迫的人口水平的压力源，我们假设增加了流产的风险。重点关注围绕小型和大型城市中心的核心静态区域（CBSA），我们相应地测试了妊娠期暴露于致命的警察暴力是否会降低活产数量，这反映了流产的增加。我们的观察性研究将2013-2015年至少发生一起致命警察暴力事件的520个CBSA中所有出生（N = 7，709，300）的微数据与致命遭遇（Fatal Encounters）联系起来，该数据库使用在线媒体报道和公共记录前瞻性地确定了2594起与警察有关的死亡事件。我们估计每月致命的警察暴力和概念之间的关联，导致活产使用分布滞后准泊松模型与CBSA水平的固定效应，调整季节性和分层的母亲种族/民族。对于每一个额外的警察相关的死亡，发生在第一至第六个月的妊娠，我们观察到一个下降0.14%（95%置信区间：0.05%，0.23%）的活产总数内CBSA，并减少0.29%的出生黑人妇女（95% CI：0.11%，0.48%）。这种关联对于白色妇女的生育是无效的。我们的研究结果表明，致命的警察暴力可能会对人口水平的怀孕损失产生影响，并增加了有关预防这些死亡的重要性的证据。
Fatal police violence in the United States disproportionately affects Black, Native American, and Hispanic people, and for these groups it is a racially oppressive population-level stressor that we hypothesize increases the risk of pregnancy loss. Focusing on core based statical areas (CBSAs) surrounding small and large urban centers, we accordingly tested whether gestational exposure to fatal police violence decreased the number of live births, which is reflective of a rise in lost pregnancies. Our observational study linked microdata for all births (N = 7,709,300) in 520 CBSAs with at least one incident of fatal police violence in 2013–2015 to Fatal Encounters, a database that prospectively identified 2594 police-related fatalities using online media reports and public records. We estimated the association between month-to-month fatal police violence and conceptions resulting in live births using distributed lag quasi-Poisson models with CBSA-level fixed effects, adjusted for seasonality and stratified by maternal race/ethnicity. For each additional police-related fatality that occurred in the first through sixth months of gestation, we observed a 0.14% decrease (95% confidence interval: 0.05%, 0.23%) in the total number of live births within CBSAs, and a 0.29% decrease in births to Black women (95% CI: 0.11%, 0.48%). The association was null for births to White women. Our findings suggest fatal police violence may have population-level consequences for pregnancy loss and adds to the evidence regarding the importance of preventing these fatalities.
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影响因子：
4.5
作者：
Bruckner, Tim A.;Catalano, Ralph;Ahern, Jennifer
通讯作者：
Ahern, Jennifer
DOI：
10.1007/s11524-017-0136-3
发表时间：
2017-04-01
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DOI：
10.1073/pnas.1821204116
发表时间：
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影响因子：
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作者：
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通讯作者：
Esposito, Michael
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影响因子：
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作者：
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