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1.
MMWR Morb Mortal Wkly Rep ; 68(46): 1050-1056, 2019 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-31751321

RESUMO

Traumatic brain injury (TBI) affects the lives of millions of Americans each year (1). To describe the trends in TBI-related deaths among different racial/ethnic groups and by sex, CDC analyzed death data from the National Vital Statistics System (NVSS) over an 18-year period (2000-2017). Injuries were also categorized by intent, and unintentional injuries were further categorized by mechanism of injury. In 2017, TBI contributed to 61,131 deaths in the United States, representing 2.2% of approximately 2.8 million deaths that year. From 2015 to 2017, 44% of TBI-related deaths were categorized as intentional injuries (i.e., homicides or suicides). The leading category of TBI-related death varied over time and by race/ethnicity. For example, during the last 10 years of the study period, suicide surpassed unintentional motor vehicle crashes as the leading category of TBI-related death. This shift was in part driven by a 32% increase in TBI-related suicide deaths among non-Hispanic whites. Firearm injury was the underlying mechanism of injury in nearly all (97%) TBI-related suicides among all groups. An analysis of TBI-related death rates by sex and race/ethnicity found that TBI-related deaths were significantly higher among males and persons who were American Indians/Alaska Natives (AI/ANs) than among all other groups across all years. Other leading categories of TBI-related deaths included unintentional motor vehicle crashes, unintentional falls, and homicide. Understanding the leading contributors to TBI-related death and identifying groups at increased risk is important in preventing this injury. Broader implementation of evidence-based TBI prevention efforts for the leading categories of injury, such as those aimed at stemming the significant increase in TBI-related deaths from suicide, are warranted.


Assuntos
Lesões Encefálicas Traumáticas/mortalidade , Acidentes de Trânsito/estatística & dados numéricos , Lesões Encefálicas Traumáticas/etnologia , Lesões Encefálicas Traumáticas/etiologia , Grupos de Populações Continentais/estatística & dados numéricos , Grupos Étnicos/estatística & dados numéricos , Feminino , Armas de Fogo/estatística & dados numéricos , Humanos , Intenção , Masculino , Fatores de Risco , Distribuição por Sexo , Suicídio/etnologia , Suicídio/estatística & dados numéricos , Estados Unidos/epidemiologia
3.
Medicine (Baltimore) ; 98(47): e17993, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31764812

RESUMO

This study aims to establish the range of exophthalmometry values (EV) in the adult Hong Kong (HK) Chinese population, its relationship with various anthropometric parameters, and to compare it with the EV in different ethnic groups.About 1485 adult HK Chinese were drawn from a random sample from the community-based FAMILY Cohort. Participants were interviewed, and comprehensive ophthalmological assessments were conducted. EV was measured using the Hertel's exophthalmometer.EV of both eyes from 630 male (42.4%) and 855 female (57.6%) participants, mean age 54 ±â€Š17.2 and 52 ±â€Š16 respectively were analyzed. The mean EV were found to be 15.3 ±â€Š2.8 mm in the right eye, 15.2 ±â€Š2.9 mm in the left eye for men and 14.4 ±â€Š2.7 mm in the right eye, 14.3 ±â€Š2.7 mm in the left eye for women. There were no differences in the EV between right and left eyes (P > .05). Men had significantly higher EV than women (P < .05) and age was found to be negatively correlated to EV (P < .05). Body height (r = 0.20), weight (r = 0.25), waist (r = 0.11), hip circumference (r = 0.15), body mass index (r = 0.17), interpupillary distance (r = 0.54), and axial length (AL) (r = 0.20) were all found to have statistically significant positive correlations with EV (P < .01). Spherical equivalent was found to have statistically significant negative correlation with EV (P < .01).Our study provides normative data on EV in the HK Chinese population. Height, weight, interpupillary distance, waist, hip circumference, and AL had positive correlations with EV. Spherical equivalent had negative correlation with EV. There was no significant difference in EV between the right and left eye. Age and gender had significant effect on EV.


Assuntos
Exoftalmia/patologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Grupo com Ancestrais do Continente Asiático , Técnicas de Diagnóstico Oftalmológico , Grupos Étnicos , Feminino , Hong Kong , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
4.
Anticancer Res ; 39(11): 6359-6363, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31704868

RESUMO

BACKGROUND/AIM: To analyze whether demographic and facility type characteristics cause inequality in the type of biopsy performed in patients with cutaneous melanoma. PATIENTS AND METHODS: The skin cancer National Cancer Database was assessed. Men and women of all ages with cutaneous melanoma in situ and malignant melanoma at any stage of the disease were included. Patients were selected who underwent one of the following biopsy types: excisional, punch, shave, or incisional. Bivariate and multivariate analyses were performed. RESULTS: We found that the likelihood of undergoing an excisional biopsy decreased in patients who were: Hispanic [odds ratio (OR)=0.63, confidence interval (CI)=0.55-0.71], non-White (OR=0.66, CI=0.58-0.76), older than 80 years (OR=0.77, CI=0.72-0.87), or in Comprehensive Community Cancer Programs (OR=0.33, CI=0.31-0.36), Community Cancer Programs (OR=0.52, CI=0.50-0.54) and Integrated Network Cancer Programs (OR=0.58, CI=0.55-0.61). CONCLUSION: Our study results demonstrate disparities in biopsy type in the treatment of melanoma.


Assuntos
Biópsia/métodos , Disparidades em Assistência à Saúde , Melanoma/patologia , Neoplasias Cutâneas/patologia , Padrão de Cuidado , Fatores Etários , Biópsia/normas , Grupos de Populações Continentais , Grupos Étnicos , Feminino , Disparidades em Assistência à Saúde/etnologia , Hispano-Americanos , Humanos , Cobertura do Seguro/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Análise de Regressão , Características de Residência , Fatores Sexuais , Fatores Socioeconômicos
6.
MMWR Morb Mortal Wkly Rep ; 68(43): 967-973, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31671083

RESUMO

Among the 47,600 opioid-involved overdose deaths in the United States in 2017, 59.8% (28,466) involved synthetic opioids (1). Since 2013, synthetic opioids, particularly illicitly manufactured fentanyl (IMF), including fentanyl analogs, have been fueling the U.S. overdose epidemic (1,2). Although initially mixed with heroin, IMF is increasingly being found in supplies of cocaine, methamphetamine, and counterfeit prescription pills, which increases the number of populations at risk for an opioid-involved overdose (3,4). With the proliferation of IMF, opioid-involved overdose deaths have increased among minority populations including non-Hispanic blacks (blacks) and Hispanics, groups that have historically had low opioid-involved overdose death rates (5). In addition, metropolitan areas have experienced sharp increases in drug and opioid-involved overdose deaths since 2013 (6,7). This study analyzed changes in overdose death rates involving any opioid and synthetic opioids among persons aged ≥18 years during 2015-2017, by age and race/ethnicity across metropolitan areas. Nearly all racial/ethnic groups and age groups experienced increases in opioid-involved and synthetic opioid-involved overdose death rates, particularly blacks aged 45-54 years (from 19.3 to 41.9 per 100,000) and 55-64 years (from 21.8 to 42.7) in large central metro areas and non-Hispanic whites (whites) aged 25-34 years (from 36.9 to 58.3) in large fringe metro areas. Comprehensive and culturally tailored interventions are needed to address the rise in drug overdose deaths in all populations, including prevention strategies that address the risk factors for substance use across each racial/ethnic group, public health messaging to increase awareness about synthetic opioids in the drug supply, expansion of naloxone distribution for overdose reversal, and increased access to medication-assisted treatment.


Assuntos
Analgésicos Opioides/envenenamento , Grupos de Populações Continentais/estatística & dados numéricos , Overdose de Drogas/etnologia , Overdose de Drogas/mortalidade , Grupos Étnicos/estatística & dados numéricos , Medicamentos Sintéticos/envenenamento , População Urbana/estatística & dados numéricos , Adolescente , Adulto , Afro-Americanos/estatística & dados numéricos , Distribuição por Idade , Idoso , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Hispano-Americanos/estatística & dados numéricos , Humanos , Pessoa de Meia-Idade , Estados Unidos/epidemiologia , Adulto Jovem
7.
Stomatologiia (Mosk) ; 98(5): 108-112, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31701939

RESUMO

Personalized medicine is the choice of treatment based on the individual characteristics of the patient due to genetic and environmental factors. The latter are to a certain degree determined by an ethnic group. This article discusses ethnic aspects in the structure of the maxillofacial area, the prevalence, development, treatment and prevention of dental diseases.


Assuntos
Grupos Étnicos , Medicina de Precisão , Odontologia , Humanos
8.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi ; 36(10): 1035-1038, 2019 Oct 10.
Artigo em Chinês | MEDLINE | ID: mdl-31598955

RESUMO

OBJECTIVE: To explore the role of inhibitory KIR (iKIR) and its cognate HLA ligand in the occurrence and development of cervical cancer among ethnic Han Chinese and its potential mechanism. METHODS: Peripheral blood samples from 265 Han Chinese patients with cervical intraepithelial neoplasia (CIN)/cervical cancer and 200 ethnically matched healthy controls were collected. The results of KIR PCR-SSP, HLA PCR-rSSO and KIR3DL1 PCR-SBT, together with cervical cancer data from the TCGA database, were used to assess the association of iKIR genes, receptor-ligand gene combinations, iKIR transcription level in the tumor tissue and the KIR3DL1 alleles with the occurrence and development of cervical cancer. RESULTS: Among the four iKIR genes (KIR2DL1, 2DL2/3, 3DL1 and 3DL2), the frequencies of KIR3DL1 and KIR3DL1-HLA-Bw4 genes among controls were significantly higher than those of the cervical cancer group (96.5% vs. 87.0%, P = 0.018; 81.5% vs. 64.8%, P=0.009). The survival rate of cervical cancer patients with a high transcription level of KIR3DL1 in tumor tissues was significantly higher than those with a low/medium transcription level (P=0.028). The frequency of strong-inhibitory and high-expression KIR3DL1*01502 allele among the healthy population was significantly higher than that of the cervical cancer group (76.0% vs. 59.3%, P =0.015). CONCLUSION: Combined KIR3DL1 and KIR3DL1-HLA-Bw4 can confer a protective effect against the development of cervical cancer, which may be attributed to the strong-inhibitory and high-expression allele of KIR3DL1*01502.


Assuntos
Antígenos HLA-B/genética , Receptores KIR3DL1/genética , Neoplasias do Colo do Útero/genética , Alelos , Grupo com Ancestrais do Continente Asiático , China , Grupos Étnicos , Feminino , Humanos , Fatores de Proteção , Receptores KIR
9.
Medicine (Baltimore) ; 98(39): e17376, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574887

RESUMO

This study aimed to compare the catastrophic health expenditure (CHE) and impoverishment of type 2 diabetes mellitus (T2DM) patients between 2 ethnic groups and explore the contribution of associated factors to ethnic differences in CHE and impoverishment in Ningxia Hui Autonomous Region, China.A cross-sectional study was conducted in 2 public hospitals from October 2016 to June 2017. Data were collected by interviewing eligible Hui and Han T2DM inpatients and reviewing the hospital electronic records. Both CHE and impoverishment were measured by headcount and gap. The contributions of associated factors to ethnic differences were analyzed by the Blinder-Oaxaca decomposition technique.Both the CHE and impoverishment of Hui patients before and after reimbursement were significantly higher than those of Han patients. The ethnic differences in CHE and impoverishment headcount after reimbursement were 11.9% and 9.8%, respectively. The different distributions of associated factors between Hui and Han patients contributed to 60.5% and 35.7% of ethnic differences in CHE and impoverishment, respectively. Household income, occupation, and region were significant contributing factors.Hui T2DM patients suffered greater CHE and impoverishment than Han patients regardless of reimbursements from health insurance. Differences in socioeconomic status between Hui and Han patients were the main factors behind the ethnic differences.


Assuntos
Doença Catastrófica/economia , Diabetes Mellitus Tipo 2/economia , Gastos em Saúde/estatística & dados numéricos , Seguro Saúde/economia , Pobreza/economia , Idoso , China , Estudos Transversais , Diabetes Mellitus Tipo 2/etnologia , Grupos Étnicos/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos
10.
Pediatr Dent ; 41(5): 358-363, 2019 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-31648666

RESUMO

Purpose: The purpose of this study was to examine the relationships between perceived stress, daily stress, racial discrimination, and perceived oral health (POH) in African American youth. Methods: Data are from a cross section convenience sample of 273 adolescents (mean age: 14.4±0.15 years old; 51.7 percent female) in Southeast Michigan. A subset of 156 African American adolescents (mean age: 14.0±0.2 years old; 55 percent female) were included in this analysis. Validated surveys were used to measure stress, discrimination, and POH. Results: Greater exposure to racial discrimination predicted lower POH (ß= -0.02±0.01, P=0.03). This relationship remained significant after accounting for the confounding effects of added sugar intake, toothbrushing frequency, dental visit frequency, age, and sex (ß= -0.01±0.007, P=0.048). No significant relationships were observed between perceived stress, daily stress, and POH (P>0.05). Conclusions: Experiences of racial discrimination may play a unique and important role in shaping POH in African American youth. Qualitative studies are needed to better understand how experiences of racial discrimination may impact POH in this ethnic minority group. (Pediatr Dent 2019;41(5):358-63).


Assuntos
Afro-Americanos , Saúde Bucal , Adolescente , Grupos Étnicos , Feminino , Humanos , Masculino , Michigan , Grupos Minoritários , Estresse Psicológico
11.
Medicine (Baltimore) ; 98(40): e17366, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31577735

RESUMO

This study is designed to clarify the incidence of epidural morphine induced pruritus (EMIP) in Chinese Han and Tibetan parturients after cesarean section (CS) and to identify the correlated risk factors.This is a prospective multicenter observational study. Follow-up evaluations were performed at 3 hours, 6 hours, 12 hours, 24 hours, and 48 hours after morphine administration. The primary outcome was EMIP incidence. Other details were also recorded for risk factor screening.Totally 284 parturients receiving CS were enrolled and 247 completed the study. The overall incidence of EMIP was 18.6% (46 in 247). The onset of pruritus was 5.6 ±â€Š4.8 hours (mean ±â€ŠSD) after morphine administration and the duration of pruritus was 14.0 ±â€Š8.8 hours. Logistic regression models was built with 5 variables, history of allergy, serotonin receptor antagonist administration, I.V. fentanyl administration, epidural morphine volume and VAS pain score. Results of showed that 2 of the variables, history of allergy (P < .001) and serotonin receptor antagonist (P < .05), were significantly correlated with incidence of EMIP.In conclusion, EMIP incidence in our study was 18.6%. Positive medical history of allergy and not using serotonin receptor antagonist were potential risk factors of EMIP development.Trial registration: ChiCTR-OPC-17012345.


Assuntos
Analgésicos Opioides/efeitos adversos , Anestesia Epidural/efeitos adversos , Cesárea/métodos , Morfina/efeitos adversos , Prurido/induzido quimicamente , Adulto , Analgésicos Opioides/uso terapêutico , Grupo com Ancestrais do Continente Asiático , Grupos Étnicos , Feminino , Humanos , Incidência , Morfina/uso terapêutico , Estudos Prospectivos , Fatores de Risco , Fatores de Tempo
12.
Zhongguo Zhong Yao Za Zhi ; 44(15): 3162-3169, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31602868

RESUMO

This paper investigates and counts the ethnic medicines of the Ewenki,Daur and Oroqen ethnic groups,which are known as the " Three Minorities" in Inner Mongolia. Through the methods of literature collection,interview investigation,and resource investigation,different ethnic medicines were collected on the main diseases,drug varieties,drug-injection sites,and drug administration methods. Through data statistics and SPSS analysis,the similarities and individual differences between the three ethnic groups were clarified. The results indicated the predicament of the current national medicine,which is helpful for the protection and inheritance of ethnic medicine.


Assuntos
Grupos Étnicos , Etnofarmacologia , China , Humanos , Mongólia
15.
MMWR Morb Mortal Wkly Rep ; 68(35): 762-765, 2019 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-31487273

RESUMO

Approximately 700 women die in the United States each year as a result of pregnancy or its complications, and significant racial/ethnic disparities in pregnancy-related mortality exist (1). Data from CDC's Pregnancy Mortality Surveillance System (PMSS) for 2007-2016 were analyzed. Pregnancy-related mortality ratios (PRMRs) (i.e., pregnancy-related deaths per 100,000 live births) were analyzed by demographic characteristics and state PRMR tertiles (i.e., states with lowest, middle, and highest PRMR); cause-specific proportionate mortality by race/ethnicity also was calculated. Over the period analyzed, the U.S. overall PRMR was 16.7 pregnancy-related deaths per 100,000 births. Non-Hispanic black (black) and non-Hispanic American Indian/Alaska Native (AI/AN) women experienced higher PRMRs (40.8 and 29.7, respectively) than did all other racial/ethnic groups. This disparity persisted over time and across age groups. The PRMR for black and AI/AN women aged ≥30 years was approximately four to five times that for their white counterparts. PRMRs for black and AI/AN women with at least some college education were higher than those for all other racial/ethnic groups with less than a high school diploma. Among state PRMR tertiles, the PRMRs for black and AI/AN women were 2.8-3.3 and 1.7-3.3 times as high, respectively, as those for non-Hispanic white (white) women. Significant differences in cause-specific proportionate mortality were observed among racial/ethnic populations. Strategies to address racial/ethnic disparities in pregnancy-related deaths, including improving women's health and access to quality care in the preconception, pregnancy, and postpartum periods, can be implemented through coordination at the community, health facility, patient, provider, and system levels.


Assuntos
Grupos de Populações Continentais/estatística & dados numéricos , Grupos Étnicos/estatística & dados numéricos , Disparidades nos Níveis de Saúde , Complicações na Gravidez/etnologia , Complicações na Gravidez/mortalidade , Adulto , Feminino , Humanos , Gravidez , Fatores de Risco , Estados Unidos/epidemiologia , Adulto Jovem
16.
Fa Yi Xue Za Zhi ; 35(4): 406-410, 2019 Aug.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-31532147

RESUMO

Abstract: Objective To apply Demirjian's and Cameriere's method for dental age estimation of adolescents from Hunan Han nationality, and compare the accuracy of the two methods. Methods A total of 480 orthopantomograms of?8-16 year?old adolescents from Hunan Han nationality?with no special diseases and good nutritional status were collected?by Xiangya Stomatological Hospital of Central South University from January, 2016 to July, 2017, among them 236 males and 244 females. The dental age of each adolescent was determined by Demirjian's method and Cameriere's method, respectively, and the paired t-test of the estimated dental age and the chronological age determined by the two methods was conducted by SPSS 20.0 software to compare the difference between estimated dental age and chronological age. Results Mean chronological age of males and females was 11.91 and 11.88 years, respectively. The estimated dental age determined by Demirjian's method showed an underestimate of chronological age by an average of 0.11 years (males) and 0.15 years (females), while the estimated dental age determined by Cameriere's method showed an underestimate of chronological age by an average of 0.83 years (males) and 0.72 years (females). Conclusion Demirjian's method is more accurate than Cameriere's method in dental age estimation of adolescents from Hunan Han nationality, therefore more suitable for dental age estimation of adolescents in this region.


Assuntos
Determinação da Idade pelos Dentes , Odontologia Legal , Adolescente , Grupo com Ancestrais do Continente Asiático , Criança , China , Grupos Étnicos , Feminino , Humanos , Masculino , Radiografia Panorâmica , Reprodutibilidade dos Testes
18.
Metas enferm ; 22(7): 49-55, sept. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-ET2-2573

RESUMO

Objetivo: analizar las costumbres y prácticas ancestrales en el cuidado de la mujer tseltal embarazada de tres comunidades de Chilón (Chiapas, México). Método: estudio cualitativo, etnográfico, descriptivo. Esta investigación se realizó en el sureste de México, en el estado de Chiapas, con un grupo de mujeres embarazadas tseltales, pertenecientes a tres comunidades de la región (Tulijá, Tseltal y Chol). Son comunidades indígenas en donde aún se rigen por usos y costumbres, por ello la figura de las matronas fue fundamental, ya que a través del consentimiento y aprobación de ellas como líderes de las comunidades se logró el acercamiento a las mujeres embarazadas. La técnica utilizada para la recogida de información fue la entrevista semiestructurada. El análisis del discurso permitió señalar conceptos y asignar códigos para generar categorías y subcategorías. Resultados: se reclutaron siete mujeres embarazadas entre las 20 y 38 semanas de gestación. Edad entre 17-42 años. El 100% pertenecía a la etnia tseltal. En el análisis del discurso emergieron dos categorías: "Creencias y prácticas durante el embarazo" y "La matrona, mujer sabia en el cuidado de la embarazada". Conclusiones: las mujeres gestantes tseltales tienen sus propias prácticas ancestrales de cuidado, no solo cuidan el cuerpo físico, sino tratan de guardar un equilibrio con la naturaleza, las emociones y el espíritu. El cuidado se basa en prácticas preventivas. De acuerdo a su cosmovisión, el estudio de estos saberes y prácticas integradas en la mujer embarazada tseltal, sensibiliza sobre la actuación enfermera para mejorar las competencias culturales


Objective: to analyze the ancient customs and practices regarding the care of tseltal pregnant women, from three Chilon communities (Chiapas, Mexico). Method: a qualitative, ethnographic, descriptive study. This research was conducted in South East Mexico, in the state of Chiapas, with a group of pregnant tseltal women, from three communities in the Tulija, Tseltal and Chol regions. These are native communities still ruled by uses and practices; therefore, the profile of midwives was essential, because an approach to pregnant women was possible through their consent and approval as community leaders. The technique used for collecting information was semi-structured interviews. Discourse analysis allowed to highlight concepts and assign codes in order to generate categories and subcategories. Results: seven pregnant women were recruited, within the 17-to-42 age range and on their 20th to 38th week of pregnancy; 100% of them belonged to the tseltal ethnic group. Two categories emerged within the discourse analysis: "Beliefs and practices during pregnancy", and "The midwife, a wise woman in pregnancy care". Conclusions: pregnant tseltal women have their own ancient practices of care: they won't only look after the physical body, but also try to keep in balance with nature, emotions and spirit. Care is based upon preventive practices. According to their worldview, the study of this knowledge and practices integrated in the pregnant tseltal woman creates awareness about the action of the nursing staff in order to improve cultural skills


Assuntos
Humanos , Feminino , Gravidez , Adulto , Cultura , Gravidez/etnologia , Enfermeiras Obstétricas , Competência Cultural , México , Gestantes , Análise Qualitativa , Tocologia/ética , Enfermagem Transcultural , Grupos Étnicos , Natureza
20.
Matern Child Health J ; 23(12): 1648-1657, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31535257

RESUMO

OBJECTIVES: Intimate partner violence (IPV) around the time of pregnancy is a risk factor for adverse pregnancy and birth outcomes. The supplemental nutrition program for women, infants, and children (WIC), available to low income pregnant women, may provide an opportunity to identify victims of IPV and refer them to services. This cross-sectional study aims to determine whether WIC participants are more likely than non-WIC participants to have reported IPV before or during pregnancy in the United States. METHODS: The 2004-2011 National Pregnancy Risk Assessment Monitoring System (PRAMS) survey (n = 319,689) was analyzed in 2015. Self-reported WIC participation, pre-pregnancy IPV, and IPV during pregnancy were examined. The associations between IPV and WIC participation were analyzed using multiple logistic regression and adjusted odds ratios with corresponding 95% confidence intervals were calculated. Subpopulation analysis was conducted, stratified by race/ethnicity. RESULTS: Nearly half of the study sample received WIC (48.1%), approximately 4% of women reported physical abuse 12 months before their most recent pregnancy, and 3% reported abuse during pregnancy. After adjusting for confounders, women who reported IPV before and during pregnancy had significantly higher odds of WIC utilization compared to women who did not report IPV. However, when stratified by race, the association was only significant for non-Hispanic White women (pre-pregnancy AOR 1.47, 95% CI [1.17, 1.85]; during pregnancy AOR 1.47, 95% CI [1.14, 1.88]). CONCLUSIONS FOR PRACTICE: There is an association between IPV before and during pregnancy and utilization of WIC. Public health professionals and policy makers should be aware of this association and use this opportunity to screen and address the needs of WIC recipients.


Assuntos
Grupos Étnicos/estatística & dados numéricos , Assistência Alimentar/estatística & dados numéricos , Violência por Parceiro Íntimo/estatística & dados numéricos , Gestantes/psicologia , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Lactente , Violência por Parceiro Íntimo/etnologia , Gravidez , Cuidado Pré-Natal , Fatores de Risco , Fatores Socioeconômicos , Estados Unidos , Adulto Jovem
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