Pregnancy assistance for foreign women in Trentino Region (Northern Italy): retrospective cohort epidemiological study.

IF 1.2 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Epidemiologia & Prevenzione Pub Date : 2024-07-01 DOI:10.19191/EP24.4-5.A733.095

Riccardo Pertile, Stefania Poggianella, Fabrizio Taddei, William Mantovani

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Abstract

Objectives: to identify any differences between Italian and foreign women in the access to prenatal care, including the number and appropriate scheduling of visits, the execution of diagnostic, blood, and microbiological tests and the use of specific healthcare services.

Design: retrospective cohort epidemiological study, based on the monitoring of current information flows.

Setting and participants: data extrapolated from the Birth Attendance Certificate information flow of the Autonomous Province of Trento (Northern Italy) between 2012 and 2016. A total of 23,165 women with data regarding citizenship were included in the analysis.

Main outcomes measures: outcome variables used to assess appropriateness of antenatal care were medically assisted procreation techniques, use of invasive prenatal diagnosis, gestational age at the first appointment, total number of appointments and ultrasounds during pregnancy, blood and microbiological tests taken, and participation in antenatal classes.

Results: data indicates a significant difference in the use of chorionic villus sampling, testing for Cytomegalovirus, and vaginal-rectal swab for the detection of group B streptococcus, which are lower in the foreign population. Furthermore, there is a statistically significant difference in the gestational age at which the first appointment is attended, in the total number of visits, and in the number of ultrasounds performed during pregnancy as well as in participation in antenatal classes.

Conclusions: this study reveals significant differences in access and use of pregnancy assistance between foreign and Italian women. There are also differences in terms of social determinants of health, with a concentration of unemployment and low education in the foreign population. It is therefore necessary to identify the factors that can potentially create health inequalities, considering the socioeconomic determinants and the specific needs of migrant women.

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特伦蒂诺大区（意大利北部）为外国妇女提供的怀孕援助：回顾性队列流行病学研究。

目标：确定意大利妇女和外国妇女在获得产前护理方面的任何差异，包括就诊次数和适当的就诊时间安排、诊断、血液和微生物检验的执行情况以及特定医疗服务的使用情况。设计：基于对当前信息流的监测进行的回顾性队列流行病学研究。研究地点和参与者：从2012年至2016年期间特伦托自治省（意大利北部）的出生证明信息流中推断出的数据。主要结果测量指标：用于评估产前护理适当性的结果变量包括：医学辅助生育技术、侵入性产前诊断的使用、首次就诊时的胎龄、孕期就诊和超声波检查的总次数、血液和微生物检查以及产前课程的参与情况。结果：数据显示，在使用绒毛取样、巨细胞病毒检测和阴道直肠拭子检测 B 组链球菌方面，外籍人口的使用率较低，存在明显差异。此外，在首次就诊的孕龄、就诊总次数、孕期超声波检查次数以及参加产前课程方面，也存在着显著的统计学差异。在健康的社会决定因素方面也存在差异，外国人口中失业和受教育程度低的情况比较集中。因此，考虑到社会经济决定因素和移民妇女的特殊需要，有必要确定可能造成健康不平等的因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Epidemiologia & Prevenzione 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.60

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： Epidemiologia & Prevenzione, oggi organo della Associazione italiana di epidemiologia, raccoglie buona parte delle migliori e originali esperienze italiane di ricerca epidemiologica e di studio degli interventi per la prevenzione e la sanità pubblica. La rivista – indicizzata su Medline e dotata di Impact Factor – è un canale importante anche per la segnalazione al pubblico internazionale di contributi che altrimenti circolerebbero soltanto in Italia. E&P in questi decenni ha svolto una funzione di riferimento per la sanità pubblica ma anche per i cittadini e le loro diverse forme di aggregazione. Il principio che l’ha ispirata era, e rimane, che l’epidemiologia ha senso se è funzionale alla prevenzione e alla sanità pubblica e che la prevenzione ha ben poche possibilità di realizzarsi se non si fonda su valide basi scientifiche e se non c’è la partecipazione di tutti i soggetti interessati. Modalità di comunicazione aggiornate, metodologia statistica ed epidemiologica rigorosa, validità degli studi e solidità delle interpretazioni dei risultati sono la solida matrice su cui E&P è costruita. A questa si accompagna una forte responsabilità etica verso la salute pubblica, che oggi ha ampliato in forma irreversibile il suo orizzonte, e include in forma sempre più consapevole non solo gli esseri umani, ma l’intero pianeta e le modificazioni che l’uomo apporta all’universo in cui vive. L’ambizione è che l’offerta di nuovi strumenti di comunicazione, informazione e formazione, soprattutto attraverso l''uso di internet, renda la rivista non solo un tradizionale veicolo di contenuti e analisi scientifiche, ma anche un potente strumento a disposizione di una comunità di interessi e di valori che ha a cuore la salute pubblica.