[Study on risk factors of nonsyndromic cleft lip and palate in Chinese Guangdong population]

Shenyou Shu1, Shijie Tang, Shenrong Wu

  • 1Cleft Lip & Palate Treatment Centre, Second Affiliated Hospital of Medical College, Shantou University, Shantou Guangdong 515041, PR China. shengyoushu2004@163.com

Insights

Genetic family history, abnormal maternal reproductive history, early pregnancy medication, and maternal stress are key risk factors for nonsyndromic cleft lip and palate (NSCLP) in Guangdong, China. Environmental interventions targeting these factors may help reduce NSCLP incidence.

Area of Science:

  • Public Health
  • Genetics
  • Environmental Medicine

Background:

  • Nonsyndromic cleft lip and palate (NSCLP) is a common congenital anomaly with multifactorial causes.
  • Understanding the interplay of genetic and environmental factors is crucial for effective prevention strategies.

Purpose of the Study:

  • To investigate environmental risk factors associated with NSCLP in the Chinese Guangdong population.
  • To explore potential interactions among identified risk factors for NSCLP.

Main Methods:

  • A hospital-based case-control study was conducted involving 105 NSCLP cases and 110 controls.
  • Data on risk factors were collected via physician-administered questionnaires and analyzed using chi-square tests and multivariate unconditional logistic regression.

Main Results:

  • Genetic family history (OR=4.210), abnormal maternal reproductive history (OR=2.494), early pregnancy medication (OR=3.488), and maternal stress (OR=3.416) were significant risk factors for NSCLP.
  • Positive interactions were observed between genetic family history and abnormal maternal reproductive history, and between genetic family history and early pregnancy medication.

Conclusions:

  • Specific environmental and genetic factors are significantly associated with NSCLP in the Guangdong population.
  • Interventions targeting identified risk factors, such as maternal health and medication use during pregnancy, could potentially lower NSCLP incidence.
Abstract