Prevalence of current pregnancy among US women with and without chronic physical disabilities.
Prevalence of current pregnancy among US women with and without chronic physical disabilities.
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DOI：
10.1097/mlr.0b013e318290218d
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发表时间：
2013-06
期刊：
影响因子：
3
通讯作者：
Ecker JL
中科院分区：
文献类型：
--
作者：
Iezzoni LI;Yu J;Wint AJ;Smeltzer SC;Ecker JL
美国育龄妇女患有慢性肢体残疾(CPD)的人数正在增加。然而，人们对它们的生殖经历知之甚少。从历史上看，身体残疾的女性在怀孕问题上面临着耻辱的态度。探讨患有和不患有慢性阻塞性肺疾病的妇女目前妊娠率的全国范围；检查这两组妇女目前妊娠率的差异。2006-2011年具有全国代表性的横断面全国健康访谈调查数据的双变量和多变量分析。47,629名18-49岁的平民非住院妇女，NHIS询问18-49岁的妇女目前是否怀孕；它还询问各种行动困难。我们使用8个动作难度和其他问题的回答来识别患有CPD的女性。6,043名(12.7%)被抽样调查的妇女报告患有慢性阻塞性肺疾病。与其他女性相比，患有CPD的女性显著：年龄更大；更有可能是黑人，不太可能是亚洲人或西班牙裔；更有可能离婚或分居；更有可能受过高中教育；更不可能就业；以及收入低得多。在所有女性中，3.5%的人报告目前正在怀孕：3.8%的没有CPD的妇女和2.0%的有CPD的妇女。控制社会人口学因素，与非残疾妇女相比，慢性阻塞性肺疾病妇女当前妊娠的调整优势比(95%CI)为0.83(0.65，1.05，p=0.12)。患有慢性肢体残疾的妇女确实怀孕了，而且她们的人数可能会增加。因此，产科从业者需要对这些妇女的特殊需要进行培训。
The number of U.S. women of childbearing age who have chronic physical disabilities (CPD) is increasing. However, little is known about their reproductive experiences. Historically, women with physical disabilities have confronted stigmatized attitudes about becoming pregnant. Explore the national prevalence of current pregnancy among women with and without CPD; examine differences in current pregnancy prevalence between these two groups of women. Bivariable and multivariable analyses of cross-sectional, nationally-representative National Health Interview Survey (NHIS) data from 2006-2011. 47,629 civilian, noninstitutionalized women ages 18-49 NHIS asks women ages 18-49 if they are currently pregnant; it also asks about various movement difficulties. We used responses from 8 movement difficulty and other questions to identify women with CPD. 6,043 (12.7%) sampled women report CPD. Compared with other women, women with CPD are significantly: older; more likely to be black and less likely to be Asian or Hispanic; more likely to be divorced or separated; more likely to have less than a high school education; less likely to be employed; and have much lower incomes. Across all women, 3.5% report being currently pregnant: 3.8% of women without CPD and 2.0% with CPD. Controlling for sociodemographic factors, the adjusted odds ratio (95% CI) of current pregnancy is 0.83 (0.65, 1.05, p = 0.12) for women with CPD compared with nondisabled women. Women with chronic physical disabilities do become pregnant, and their numbers will likely grow. Obstetrical practitioners therefore require training about the special needs of these women.