Racial/ethnic disparities in the risk of preterm birth among women with systemic lupus erythematosus or rheumatoid arthritis.
Racial/ethnic disparities in the risk of preterm birth among women with systemic lupus erythematosus or rheumatoid arthritis.
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DOI：
10.1007/s10067-023-06606-8
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发表时间：
2023-09
影响因子：
3.4
通讯作者：
Singh, Namrata
中科院分区：
文献类型：
--
作者：
Strouse, Jennifer;Sabih, Lena;Bandoli, Gretchen;Baer, Rebecca;Jelliffe-Pawlowski, Laura;Chambers, Christina;Ryckman, Kelli;Singh, Namrata
在一个大型的多种族/民族妇女队列中，我们检查了按自身免疫性风湿病（ARD）类型分层的早产（PTB）风险的种族/民族差异，其中包括系统性红斑狼疮（SLE）和类风湿性关节炎（RA）。利用与2007年至2012年加州单胎分娩出院数据相关的出生记录进行回顾性队列研究，包括SLE或RA女性。在不同人种/种族组（亚洲人、西班牙裔、非西班牙裔（NH）黑人和NH白色人）之间比较PTB的相对风险（< 37与≥ 37孕周），并按ARD类型分层。使用Poisson回归对结果进行相关协变量校正。我们确定了2874例SLE女性和2309例RA女性。与NH白色女性相比，NH黑人、西班牙裔和亚洲SLE女性患PTB的可能性高1.3至1.5倍。与亚洲、西班牙裔或NH白色女性相比，NH黑人RA女性患PTB的可能性高2.0至2.4倍。与SLE或一般人群相比，RA女性中NH黑人-NH白色和NH黑人-西班牙裔PTB风险差异显著更高。我们的研究结果强调了SLE或RA女性中PTB风险的种族/民族差异，并强调了RA女性与SLE或一般人群相比的几个差异更高。这些数据可能提供重要的公共卫生信息，以解决种族/民族差异的早产风险，特别是在妇女与RA。
In a large multi-racial/ethnic cohort of women, we examined racial/ethnic disparities in preterm birth (PTB) risk stratified by autoimmune rheumatic disease (ARD) type, which included systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). Birth records linked to hospital discharge data of singleton births in California from 2007 to 2012 were leveraged for a retrospective cohort study including women with SLE or RA. The relative risk of PTB (< 37 versus ≥ 37 weeks’ gestation) was compared among different racial/ethnic groups (Asian, Hispanic, Non-Hispanic (NH) Black, and NH White) and stratified by ARD type. Results were adjusted for relevant covariates using Poisson regression. We identified 2874 women with SLE and 2309 women with RA. NH Black, Hispanic, and Asian women with SLE were 1.3 to 1.5 times more likely to have PTB compared to NH White women. NH Black women with RA were 2.0 to 2.4 times more likely to have PTB compared to Asian, Hispanic, or NH White women. The NH Black-NH White and NH Black-Hispanic disparity in PTB risk was significantly higher in women with RA compared to SLE or the general population. Our findings highlight the racial/ethnic disparities for risk of PTB among women with SLE or RA and highlight that several of the disparities are higher for women with RA compared to those with SLE or the general population. These data may provide important public health information for addressing racial/ethnic disparities in the risk of preterm birth, particularly among women with RA.
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影响因子：
4.7
作者：
Bandoli, Gretchen;Singh, Namrata;Chambers, Christina D.
通讯作者：
Chambers, Christina D.
影响因子：
3.9
作者：
Vina, Ernest R.;Hausmann, Leslie R. M.;Kwoh, C. Kent
通讯作者：
Kwoh, C. Kent
影响因子：
4.7
作者：
Urowitz, M. B.;Gladman, D. D.;Aranow, C.
通讯作者：
Aranow, C.
DOI：
10.1080/14767058.2018.1498835
发表时间：
2020-01-01
影响因子：
1.8
作者：
Aljary, Hissah;Czuzoj-Shulman, Nicholas;Abenhaim, Haim A.
通讯作者：
Abenhaim, Haim A.
影响因子：
5
作者：
Falasinnu T;Chaichian Y;Bass MB;Simard JF
通讯作者：
Simard JF