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首页> 外文期刊>Annals of epidemiology >Relative and Absolute Disparities in Preterm Birth Related to Neighborhood Education
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Relative and Absolute Disparities in Preterm Birth Related to Neighborhood Education

机译：与邻里教育有关的早产的相对和绝对差异

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Purpose: To evaluate relative and absolute relationships between preterm birth (PTB) and neighborhood education over time. Methods: Live births in Québec, Canada, were obtained for 1990-1995, 1996-2000, and 2001-2006. Mean maternal education and proportion of females with no high school diploma were expressed as continuous cumulative rank scores for 10,923 neighborhoods. We estimated the relative hazard of PTB (<37 gestational weeks) for neighborhood education in each period by using Cox proportional hazards regression, accounting for individual education, age, marital status, birthplace, language, parity, infant sex, rurality, neighborhood income, and area clustering. Adjusted absolute differences in the prevalence of PTB between the most and least educated neighborhoods were calculated. Results: PTB prevalence (6.1% overall) was greater in less-educated neighborhoods. Although PTB proportions increased over time in all neighborhoods, the increase was proportionately greater for less-educated areas. Hazards of PTB for neighborhood education were proportional over gestation. Depending on the indicator of neighborhood education and period, adjusted hazards of PTB were 10%-37% greater for the least relative to most educated neighborhoods, and prevalence percentage differences ranged from 0.6% to 1.9%. Associations persisted over time. Conclusions: Relative and absolute neighborhood educational inequalities in PTB, independent of individual education, were present and persistent over time.
机译：目的：评估一段时间内早产（PTB）和社区教育之间的相对和绝对关系。方法：获得加拿大魁北克省1990-1995年，1996-2000年和2001-2006年的活产婴儿。平均的母亲教育程度和没有高中文凭的女性比例表示为10,923个社区的连续累积等级得分。我们使用Cox比例风险回归分析，估算了各个时期邻里教育在PTB（<37孕周）的相对危害，并考虑了个人教育，年龄，婚姻状况，出生地，语言，性别，婴儿性别，农村地区，邻里收入，和区域聚类。计算受教育程度最高和受教育程度最低的社区之间的PTB患病率调整后的绝对差异。结果：受教育程度较低的社区的PTB患病率（总体为6.1％）更高。尽管在所有社区中，PTB的比例均随时间增加，但受教育程度较低的地区的比例增长更大。 PTB社区教育的危害与妊娠成正比。根据邻里教育和时期的指标，相对于受过良好教育的邻里而言，PTB的调整后危害相对于受教育程度最低的邻域而言，要高出10％-37％，患病率差异范围为0.6％至1.9％。协会随着时间的推移持续存在。结论：PTB的相对和绝对邻里教育不平等，独立于个体教育，并随着时间的推移而持续存在。

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