妊娠高血压疾病和慢性高血压患病率在南卡罗来纳州2019冠状病毒病大流行期间(2015-2021年)有所上升。

IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Women & Health Pub Date : 2025-02-01 Epub Date: 2025-01-30 DOI:10.1080/03630242.2025.2457641
Angela M Malek, Chun-Che Wen, Brian Neelon, Dulaney A Wilson, Julio Mateus, John Pearce, Sarah Simpson, Kalyan Chundru, Jeffrey E Korte, Hermes Florez, Matthew Finneran, Mallory Alkis, Kelly J Hunt
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引用次数: 0

摘要

妊娠期高血压疾病(HDP)和慢性高血压(CHTN)与母婴发病率和死亡率相关。我们旨在评估南卡罗来纳州(SC)在2019冠状病毒病大流行之前(2015年1月- 2020年2月)和期间(2020年3月- 2021年12月)HDP和CHTN患病率的变化。纳入SC活产(2015-2021)(194,841名非西班牙裔白人[NHW]);108,195名非西班牙裔黑人[NHB];25560西班牙裔;16,346个其他种族/民族)。使用了关联的出生证明和住院/急诊科数据。经潜在混杂因素调整后的相对危险度(rr)和95% ci在大流行之前和期间估计了HDP和CHTN的风险。HDP风险与大流行前日历时间增加一年有关,因种族/族裔而异。相应的相对危险度(95% ci)为:NHW为1.06 (1.05-1.06),NHB为1.07 (1.06-1.07),Hispanic为1.07(1.06-1.09),其他种族为1.09(1.07-1.12)。大流行期间,rr (95% ci)略有减弱,但仍显著(NHW, 1.03 [1.01-1.04];Nhb, 1.04 [1.02-1.05];西班牙语,1.04 [1.02-1.07];其他种族/民族,1.06[1.04-1.09])。从2015年到2021年,CHTN呈上升趋势(NHW, 1.09 [1.08-1.10];Nhb, 1.09 [1.08-1.10];西班牙语,1.08 [1.05-1.12];其他种族,1.15[1.11-1.19])。从2015年到2021年,HDP和CHTN的患病率增加因种族/族裔而异,HDP受到大流行的影响,调整后两种情况均呈上升趋势。不同数据来源的筛查、诊断和报告实践和实际变化可能影响HDP和CHTN的患病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of hypertensive disorders of pregnancy and chronic hypertension increased throughout the COVID-19 pandemic in South Carolina (2015-2021).

Hypertensive disorders of pregnancy (HDP) and chronic hypertension (CHTN) are related to maternal and infant morbidity and mortality. We aimed to assess HDP and CHTN prevalence changes before (January 2015-February 2020) and during the COVID-19 pandemic (March 2020-December 2021) in South Carolina (SC). SC live births (2015-2021) were included (194,841 non-Hispanic White [NHW]); 108,195 non-Hispanic Black [NHB]; 25,560 Hispanic; 16,346 other race/ethnicity). Linked birth certificate and hospitalization/ED data was used. Relative risks (RRs) and 95 percent CIs adjusted for potential confounders estimated HDP and CHTN risk before and during the pandemic. HDP risk is associated with a one-year increase in calendar time pre-pandemic differed by race/ethnicity. Corresponding RRs (95 percent CIs) were 1.06 (1.05-1.06) in NHW, 1.07 (1.06-1.07) in NHB, 1.07 (1.06-1.09) in Hispanic and 1.09 (1.07-1.12) for other races/ethnicities. During the pandemic, RRs (95 percent CIs) attenuated slightly remaining significant (NHW, 1.03 [1.01-1.04]; NHB, 1.04 [1.02-1.05]; Hispanic, 1.04 [1.02-1.07]; other races/ethnicities, 1.06 [1.04-1.09]). Increasing race-ethnic group-specific trends from 2015 to 2021 were reported for CHTN (NHW, 1.09 [1.08-1.10]; NHB, 1.09 [1.08-1.10]; Hispanic, 1.08 [1.05-1.12]; other races/ethnicities, 1.15 [1.11-1.19]). HDP and CHTN's increasing prevalence from 2015 to 2021 differed by race/ethnicity, with HDP impacted by the pandemic and upward trends observed for both conditions after adjustment. Screening, diagnostic, and reporting practices across different data sources and actual changes may impact HDP and CHTN prevalence.

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来源期刊
Women & Health
Women & Health Multiple-
CiteScore
2.70
自引率
0.00%
发文量
73
期刊介绍: Women & Health publishes original papers and critical reviews containing highly useful information for researchers, policy planners, and all providers of health care for women. These papers cover findings from studies concerning health and illness and physical and psychological well-being of women, as well as the environmental, lifestyle and sociocultural factors that are associated with health and disease, which have implications for prevention, early detection and treatment, limitation of disability and rehabilitation.
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