کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2757502 1567519 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Preferred spoken language mediates differences in neuraxial labor analgesia utilization among racial and ethnic groups
ترجمه فارسی عنوان
زبان گفتاری ترجیح می دهد تفاوت در استفاده از درد زایمان نواحی روانی را در میان گروه های نژادی و قومی در میان بگذارد
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
چکیده انگلیسی

IntroductionThe aims of this study were to assess racial/ethnic disparities for neuraxial labor analgesia utilization and to determine if preferred spoken language mediates the association between race/ethnicity and neuraxial labor analgesia utilization.MethodsWe performed a retrospective cohort study of 3129 obstetric patients who underwent vaginal delivery at a tertiary care obstetric center. Bivariate analyses and multivariate logistic regression models were used to assess the relationships between race/ethnicity, preferred spoken language and neuraxial labor analgesia.ResultsHispanic ethnicity (adjusted OR 0.77, 95% CI 0.61–0.98) and multiparity (adjusted OR 0.59, 95% CI 0.51–0.69) were independently associated with a reduced likelihood of neuraxial labor analgesia utilization. When preferred spoken language was controlled for, the effect of Hispanic ethnicity was no longer significant (adjusted OR 0.84, 95% CI 0.66–1.08) and only non-English preferred spoken language (adjusted OR 0.82, 95% CI 0.67–0.99) and multiparity (adjusted OR 0.59, 95% CI 0.51–0.69) were associated with a reduced likelihood of neuraxial labor analgesia utilization.ConclusionsThis study provides evidence that preferred spoken language mediates the relationship between Hispanic ethnicity and neuraxial labor analgesia utilization.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Obstetric Anesthesia - Volume 23, Issue 2, May 2014, Pages 161–167
نویسندگان
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