Causes of fetal and neonatal mortality by race in a selected U.S. population.
Causes of fetal and neonatal mortality by race in a selected U.S. population.
复制标题
美国特定人群中按种族划分的胎儿和新生儿死亡率的原因。
DOI：
10.2105/ajph.69.9.857
复制
发表时间：
1979
影响因子：
12.7
通讯作者：
R. Naeye
中科院分区：
文献类型：
--
作者：
R. Naeye
在一项大型前瞻性研究（1959- 1966年）中，美国白人的围产期死亡率为每1000名总分娩34人死亡，黑人为51/1000，波多黎各人为41/1000，东方人为23/1000。许多疾病造成了这些差异。黑人胎膜过早破裂的发生率比白人高92%，胎盘发育迟缓的发生率比白人高56%，羊水感染的发生率比白人高45%，严重先天性畸形的发生率比白人高15%。大多数其他疾病在黑人中比在白人中更少见。根据孕前体重和产前医疗保健等选定因素对数据进行分层，消除或大大减少了几乎所有这些种族间差异。唯一主要的无法解释的差异是黑人过多的羊水感染和主要先天性畸形，白人过多的胎盘早剥和大的胎盘梗死。
In a large prospective study (1959--1966), the perinatal mortality rate for U.S. Whites was 34 deaths per 1000 total births, for Blacks 51/1000, for Puerto Ricans 41/1000, and for Orientals 23/1000. A number of disorders were responsible for these differences. Premature rupture of the fetal membranes occurred 92 per cent more often in Blacks than in Whites, marked placental growth retardation 56 per cent more often, amniotic fluid infections 45 per cent more often, and major congenital malformations 15 per cent more often. Most other disorders were less common in Blacks than in Whites. Stratifying the data by selected factors, such as prepregnancy body weight and antenatal medical care, eliminated or greatly reduced almost all of these interracial differences. The only major unexplained differences remaining were an excess of amniotic fluid infections and major congenital malformations in Blacks, and an excess of abruptio placentae and large placental infarcts in Whites.