[柏林难民和移民妇女与非移民妇女的妊娠糖尿病产科护理比较:难民妊娠和产科护理(PROREF)研究的定量数据分析]。

IF 0.7 4区 医学 Q4 OBSTETRICS & GYNECOLOGY
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-06-01 Epub Date: 2024-02-19 DOI:10.1055/a-2238-3364
Vera Seidel, Louise Teschemacher, Jürgen Breckenkamp, Wolfgang Henrich, Theda Borde, Matthias David, Michael Abou-Dakn
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引用次数: 0

摘要

研究问题自定难民身份(SDRS)妇女、移民妇女和在德国出生的妇女患妊娠糖尿病的频率是否存在差异?患有妊娠糖尿病(GDM)的妇女的围产期数据是否因移民身份而有所不同?在 2020 年 6 月至 2022 年 4 月期间进行的难民妊娠和产科护理(ProRef)研究中,使用移民友好产妇护理问卷(MFMCQ)收集了柏林三家围产中心产后病房妇女的数据。对有关 GDM 的数据进行了统计分析:结果:接受 GDM 检测的 SDRS 妇女(3.2%,P=0.0025)明显少于移民妇女(1.4%)或在德国出生的妇女(0.6%)。移民妇女的 GDM 患病率(19.6%,p=0.001)高于德国出生的妇女(15.0%)和 SDRS 妇女(14.1%)。GDM 的发生率因原籍国而异。越南(OR 3.41)和土耳其(OR 2.18)作为原籍国,经年龄和体重指数校正后,增加了妊娠糖尿病的几率。患有妊娠期糖尿病的妇女的围产期结果数据并未因移民身份的不同而有所差异:结论:SDRS 妇女接受 GDM 检测的频率较低,这可能表明医疗保健系统中存在供应缺口。然而,SDRS 妇女的围产期结果数据并无不同。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Obstetric Care for Gestational Diabetes in Refugee and Immigrant Women in Comparison to Non-Immigrant Women in Berlin: an Analysis of Quantitative Data of the Pregnancy and Obstetric Care for Refugees (PROREF)-study].

Research question: Are there differences in the frequency of gestational diabetes between women of self-defined refugee status (SDRS), immigrant women, and women born in Germany? Does the perinatal data of women with gestational diabetes (GDM) differ depending on the migration status?

Method: For the Pregnancy and Obstetric Care for Refugees (ProRef) study between June 2020 and April 2022, data was collected with the Migrant Friendly Maternity Care Questionnaire (MFMCQ) among women on the postpartum ward in three perinatal centers in Berlin. The data concerning GDM was statistically analyzed.

Results: Women of SDRS were tested for GDM (3.2%, p=0.0025) significantly less often than immigrant women (1.4%) or women born in Germany (0.6%). The rate of GDM was higher among immigrant women (19.6%, p=0.001) than among women born in Germany (15.0%) and women of SDRS (14.1%). The rate of GDM varied depending on the country of origin. Vietnam (OR 3.41) and Turkey (OR 2.18) as countries of origin, corrected for age and body mass index, increased the chance of gestational diabetes. The perinatal outcome data among women with GDM did not differ depending on the migration status.

Conclusion: As women of SDRS are tested for GDM less frequently, this potentially suggests a supply gap in the health care system. However, the perinatal outcome data does not differ for women of SDRS.

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来源期刊
Zeitschrift fur Geburtshilfe und Neonatologie
Zeitschrift fur Geburtshilfe und Neonatologie OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
1.10
自引率
0.00%
发文量
166
审稿时长
>12 weeks
期刊介绍: Gynäkologen, Geburtshelfer, Hebammen, Neonatologen, Pädiater
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