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首页> 外文期刊>Annals of epidemiology >Does maternal race or ethnicity modify the association between maternal psychiatric disorders and preterm birth?
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Does maternal race or ethnicity modify the association between maternal psychiatric disorders and preterm birth?

机译：孕产妇种族或种族是否会改变母体精神疾病和早产之间的关联？

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Purpose: Preterm birth risk has been linked to maternal racial and ethnic background, particularly Af-rican American heritage; however, the association of maternal race and ethnicity with psychiatric dis -orders and preterm birth has received relatively limited attention.& nbsp; Methods: The Consortium on Safe Labor (2002-2008) is a nationwide U.S. cohort study with 223,394 singleton pregnancies. Clinical data were obtained from electronic medical records, including maternal diagnoses of psychiatric disorders. Relative risk (RR) and 95% confidence intervals (CI) were estimated for the association between maternal psychiatric disorders and preterm birth (<37 completed weeks) using log-binomial regression with generalized estimating equations. The interaction effect of maternal psy-chiatric disorders with race and ethnicity was also evaluated.& nbsp; Results: Non-Hispanic White (RR, 1.42; 95% CI, 1.35-1.49), Hispanic (RR, 1.44; 95% CI, 1.29-1.60), and non-Hispanic Black (RR, 1.21, 95% CI, 1.13-1.29) women with any psychiatric disorder were at increased risk for delivering preterm infants, compared with women without any psychiatric disorder. However, non-Hispanic Black women with any psychiatric disorder, depression, bipolar disorder, and schizo-phrenia had a significantly lower increase in preterm birth risk than non-Hispanic White women.& nbsp; Conclusions: Despite the significant association between maternal psychiatric disorders and preterm birth risk, psychiatric disorders did not appear to contribute to racial and ethnic disparities in preterm birth.& nbsp; Published by Elsevier Inc.
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