当前位置: X-MOL 学术Sustainability › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Influence of Family Income Level on Obstetric and Perinatal Outcomes in Spain
Sustainability ( IF 3.9 ) Pub Date : 2020-07-08 , DOI: 10.3390/su12145523
Ana Ballesta-Castillejos , Juan Gómez-Salgado , Julián Rodríguez-Almagro , Antonio Hernández-Martínez

For pregnant women, having a low family income status is associated with late prenatal attendance and an increased risk of adverse outcomes during pregnancy, delivery, and immediately after delivery. However, the influence of the socioeconomic level on maternal and child health may be minimal as long as the health system model is able to neutralise health inequity. For this reason, the objective of this study is to determine the relationship between the socioeconomic level assessed through monthly household income and obstetric and perinatal outcomes in the Spanish Health System, where midwives play a relevant role. To meet this objective, a cross-sectional observational study aimed at women who have been mothers between 2013 and 2018 in Spain was developed. The final study population was 5942 women. No statistically significant differences with linear trend were found between income level and obstetric and perinatal outcomes after the adjustment by confounding factors (pregnancy composite morbidity, p = 0.447; delivery composite morbidity, p = 0.590; perinatal composite morbidity, p = 0.082; postpartum composite morbidity, p = 0.407). The main conclusion is that, in the current Spanish health system, household income as an indicator of socioeconomic status is not related to perinatal outcomes after the adjustment by confounding factors. These results are likely due to the public model of our health system that serves all citizens on equal footing, although other social and individual factors may have influenced these results

中文翻译:

西班牙家庭收入水平对产科和围产期结局的影响

对于孕妇来说,家庭收入低与产前就诊晚以及在怀孕、分娩和分娩后立即出现不良后果的风险增加有关。然而,只要卫生系统模式能够消除健康不平等,社会经济水平对母婴健康的影响可能很小。出于这个原因,本研究的目的是确定通过家庭月收入评估的社会经济水平与西班牙卫生系统中的产科和围产期结果之间的关系,助产士在其中发挥相关作用。为了实现这一目标,针对 2013 年至 2018 年间在西班牙当过母亲的女性开展了一项横断面观察性研究。最终研究人群为 5942 名女性。经混杂因素(妊娠复合发病率,p = 0.447;分娩复合发病率,p = 0.590;围产期复合发病率,p = 0.082;产后复合发病率,产后复合发病率,p = 0.082)调整后,收入水平与产科和围产期结局之间未发现具有统计学意义的线性趋势差异发病率,p = 0.407)。主要结论是,在当前西班牙卫生系统中,家庭收入作为社会经济地位的指标,经混杂因素调整后与围产期结局无关。这些结果可能是由于我们卫生系统的公共模式为所有公民平等服务,尽管其他社会和个人因素可能影响了这些结果 围产期复合发病率,p = 0.082;产后复合发病率,p = 0.407)。主要结论是,在当前西班牙卫生系统中,家庭收入作为社会经济地位的指标,经混杂因素调整后与围产期结局无关。这些结果可能是由于我们卫生系统的公共模式为所有公民平等服务,尽管其他社会和个人因素可能影响了这些结果 围产期复合发病率,p = 0.082;产后复合发病率,p = 0.407)。主要结论是,在当前西班牙卫生系统中,家庭收入作为社会经济地位的指标,经混杂因素调整后与围产期结局无关。这些结果可能是由于我们卫生系统的公共模式为所有公民平等服务,尽管其他社会和个人因素可能影响了这些结果
更新日期:2020-07-08
down
wechat
bug