Disparities in Prenatal Sexually Transmitted Infections among a Diverse Population of Foreign-Born and US-Born Women.
Disparities in Prenatal Sexually Transmitted Infections among a Diverse Population of Foreign-Born and US-Born Women.
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DOI：
10.1007/s43032-022-00891-5
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发表时间：
2022-05
影响因子：
2.9
通讯作者：
Taylor, Brandie D.
中科院分区：
文献类型：
--
作者：
Noah, Akaninyene;Hill, Ashley, V;Perez-Patron, Maria J.;Berenson, Abbey B.;Comeaux, Camilla R.;Taylor, Brandie D.
本研究在一组待产母亲中调查了外国出生（FB）身份与沙眼衣原体、淋病奈瑟菌或梅毒性传播感染（STI）诊断之间的关系，并按种族/民族分层。作为次要分析，检查了性传播感染后的不良分娩结果。我们使用来自大型围产期数据库的数据对37211例单胎新生儿进行回顾性队列研究。使用Logistic回归来确定FB状态与sti之间的关系。我们调整了产妇人口统计、既往并发症和慢性病。作为次要分析，我们检查了性传播感染与不良分娩结局之间的关系，并按FB状态分层。FB女性被诊断为性传播感染的几率较低（ORadj 0.81, 95% CI 0.71-0.93）；每次STI都观察到这一点。在西班牙裔女性中，FB状况并没有降低性传播感染的几率（ORadj 0.89, 95% CI 0.76-1.04）。然而，黑人女性患性传播感染的几率较低（ORadj 0.53, 95% CI 0.36-0.79）。二次分析显示，在美国出生的黑人妇女中，性传播感染增加了不良分娩结果的几率，而在美国出生的西班牙裔妇女中则没有。在FB黑人女性中，性传播感染增加了医学上指征的早产（ORadj 3.77, 95% CI 1.19-12.00）和先兆子痫（ORadj 2.35, 95% CI 1.02-5.42）的几率。这在FB西班牙裔女性中没有观察到。先前的研究表明，FB妇女不太可能有不良的分娩结果；我们的研究将这一观察结果扩展到产前性传播感染的风险。然而，黑人女性的性别状况并不能保护她们免受性传播感染后不良生育结果的影响。
This study examined association between foreign-born (FB) status and a sexually transmitted infection (STI) diagnosis of Chlamydia trachomatis, Neisseria gonorrhoeae, or syphilis among a cohort of expecting mothers, and stratified by race/ethnicity. As a secondary analysis, subsequent adverse birth outcomes following STIs were examined. We used data from a large perinatal database to conduct a retrospective cohort study of 37,211 singleton births. Logistic regression was used to determine the association between FB status and STIs. We adjusted for maternal demographics, prior complications, and chronic disease. As a secondary analysis, we examined the association between STIs, and adverse birth outcomes stratified by FB status. FB women had lower odds of STI diagnosis (ORadj 0.81, 95% CI 0.71–0.93); this was observed for each STI. Among Hispanic women, FB status did not reduce odds of STIs (ORadj 0.89, 95% CI 0.76–1.04). However, FB Black women had reduced odds of STIs (ORadj 0.53, 95% CI 0.36–0.79). Secondary analyses revealed that STIs increased odds of adverse birth outcomes among US-born Black women but not US-born Hispanic women. Among FB Black women, STIs increased odds of medically indicated preterm birth (ORadj 3.77, 95% CI 1.19–12.00) and preeclampsia (ORadj 2.35, 95% CI 1.02–5.42). This was not observed among FB Hispanic women. Previous studies suggest that FB women are less likely to have adverse birth outcomes; our study extends this observation to risk of prenatal STIs. However, FB status does not protect Black women against adverse birth outcomes following an STI.
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DOI：
10.1097/00001648-199001000-00010
发表时间：
1990-01-01
期刊：
Epidemiology (Cambridge, Mass.)
影响因子：
--
作者：
Rothman, K J
通讯作者：
Rothman, K J
流行病学和临床研究中缺少数据的多重归因：潜力和陷阱。
DOI：
10.1136/bmj.b2393
发表时间：
2009-06-29
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Sterne JA;White IR;Carlin JB;Spratt M;Royston P;Kenward MG;Wood AM;Carpenter JR
通讯作者：
Carpenter JR
影响因子：
3.7
作者：
Harb, Ana K.;Mohammed, Hamish;Hughes, Gwenda
通讯作者：
Hughes, Gwenda
影响因子：
3.8
作者：
Martinez, Isabel;Kershaw, Trace S.;Ickovics, Jeannette R.
通讯作者：
Ickovics, Jeannette R.
影响因子：
2.9
作者：
Helgesson, Magnus;Johansson, Bo;Svartengren, Magnus
通讯作者：
Svartengren, Magnus