Ethnic differences in risk factors for adverse birth outcomes between Pakistani, Bangladeshi, and White British mothers. (20th October 2019)

• Record Type: Journal Article
• Authors: Garcia, Rebecca; Ali, Nasreen; Guppy, Andrew; Griffiths, Malcolm; Randhawa, Gurch
• Is Part Of: Journal of advanced nursing. Volume 76:Number 1(2020)
• Page Start: 174
• Page End: 182
• Publication Date: 2019-10-20
• Subjects: Bangladeshi -- health behaviour -- maternity -- nursing -- Pakistani -- risk factors -- White British; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.14209
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aim: Reducing poor maternal and infant outcomes in pregnancy is the aim of maternity care. Adverse health behaviours lead to increased risk and can adversely mediate birth outcomes. This study examines whether risk factors are similar, different, or clustered according to maternal ethnicity. Design: Retrospective analysis of routinely collected data (2008−2013). Methods: We analysed data routinely collected data from a local University Hospital Ciconia Maternity information System (CMiS), for White British, Pakistani, and Bangladeshi women ( N = 15, 211) using cross‐tabulations, ANCOVA, adjusted standardized residuals (ASR), and Pearson's chi‐squared statistics. Results: The results demonstrate distinct clusters of risk factors between White British, Pakistani, and Bangladeshi mothers. Additionally, Pakistani mothers had the highest number of statistically significant risk factors, according to maternal ethnicity, showing that 49% of women in this cohort that were diagnosed with diabetes were Pakistani, 21.5% of White British women smoked and results showed that Bangladeshi mothers delivered the lightest weight infants (adjusted mean: 3, 055.4 g). Conclusions: This study showed differences in the risk factors between White British, Pakistani, and Bangladeshi mothers. The identified risk factors were clustered by maternal ethnicity. Impact: Identification of these risk factor clusters can help policymakers and clinicians direct resources and may help reduce ethnic variation found in these populations that might be attributed to adverse health behaviours and increased risk factors. Abstract : 目的: 减少产妇和婴儿出现不良分娩结果是产科护理的目标。不良的健康行为会导致风险增加, 并且可能对分娩结果产生不利影响。此项研究调查了风险因素与产妇种族是否相似、不同或是属于同一类别。 设计: 对按常规收集的数据进行回顾性分析(2008‐2013年)。 方法: 我们使用列联分析、协方差分析(ANCOVA)、调整标准化残差(ASR)以及皮尔逊卡方检验数据, 对当地大学医院产科信息系统(CMiS)按常规收集的英国拜仁、巴基斯坦和孟加拉国女性(N = 15211)数据进行了分析。 结果: 结果表明英国白人母亲、巴基斯坦和孟加拉国母亲的危险因素明显不同。此外, 巴基斯坦母亲的统计学显著因素指数最高, 根据母亲种族, 表明在同队列中被诊断出患有糖尿病的妇女中有49%是巴基斯坦人, 21.5%的英国白人女性抽烟, 研究结果表明孟加拉国母亲所分娩的婴儿体重最轻(校平均值:3055.4克)。 结论: 此项研究表明英国白人母亲、巴基斯坦和孟加拉母亲的风险因素存在差异。所确定的风险因素可按母亲种族进行聚类。 影响: 识别这些风险因素类别有助于帮助政策制定者和临床医生调配资源, 并且能够帮助减少在这些人群中发现的种族差异, 这些种族差异可能归因于不良健康行为以及增加的风险因素。