Racial Disparity in Pregnancy Risks and Complications in the US: Temporal Changes during 2007-2018
Racial Disparity in Pregnancy Risks and Complications in the US: Temporal Changes during 2007-2018
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DOI：
10.3390/jcm9051414
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发表时间：
2020-05-01
影响因子：
3.9
通讯作者：
Grunebaum, Amos
中科院分区：
文献类型：
--
作者：
Bornstein, Eran;Eliner, Yael;Grunebaum, Amos
母亲的种族和民族与妊娠相关的发病率和死亡率的差异有关。我们的目的是评估2007年至2018年期间美国不同产妇种族/族裔群体中几种妊娠风险因素/并发症的趋势。具体而言，我们使用疾病控制和预防中心（CDC）的出生率文件，这些年来评估的趋势，妊娠期高血压疾病（HDP），慢性高血压（CH），糖尿病（DM），高龄产妇（AMA）和大多产（GM）之间的非西班牙裔白人，非西班牙裔黑人和西班牙裔。我们发现，从2007年到2018年，所有这些风险因素/并发症的患病率在所有种族/族裔群体中均显着增加。特别是，西班牙裔妇女表现出最高的增长，其次是非西班牙裔黑人妇女，在HDP，CH，DM和AMA的患病率。然而，在整个期间，非西班牙裔黑人中HDP、CH和GM的总体患病率最高，西班牙裔DM的患病率最高，非西班牙裔白人AMA的患病率最高。我们的研究结果指出，在2007-2018年期间，这些妊娠风险因素/并发症的总体患病率以及患病率的时间变化存在显著的种族/民族差异。这些发现可能有助于我们理解所观察到的孕产妇发病率和死亡率的种族/民族差异。
Maternal race and ethnicity have been associated with differences in pregnancy related morbidity and mortality. We aimed to evaluate the trends of several pregnancy risk factors/complications among different maternal racial/ethnic groups in the US between 2007 and 2018. Specifically, we used the Center for Disease Control and Prevention (CDC) natality files for these years to assess the trends of hypertensive disorders of pregnancy (HDP), chronic hypertension (CH), diabetes mellitus (DM), advanced maternal age (AMA) and grand multiparity (GM) among non-Hispanic Whites, non-Hispanic Blacks and Hispanics. We find that the prevalence of all of these risk factors/complications increased significantly across all racial/ethnic groups from 2007 to 2018. In particular, Hispanic women exhibited the highest increase, followed by non-Hispanic Black women, in the prevalence of HDP, CH, DM and AMA. However, throughout the entire period, the overall prevalence remained highest among non-Hispanic Blacks for HDP, CH and GM, among Hispanics for DM, and among non-Hispanic Whites for AMA. Our results point to significant racial/ethnic differences in the overall prevalence, as well as the temporal changes in the prevalence, of these pregnancy risk factors/complications during the 2007-2018 period. These findings could potentially contribute to our understanding of the observed racial/ethnic differences in maternal morbidity and mortality.