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Population-based birth defects data in the United States, 2011-2015: A focus on eye and ear defects
Erin B Stallings1,2, Jennifer L Isenburg1, Cara T Mai1
1National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.
Insights
This study reports on major eye and ear anomalies, including anophthalmia/microphthalmia, congenital cataract, and anotia/microtia, in a large US birth cohort. Prevalence varied by maternal age and ascertainment methods, highlighting the need for robust surveillance.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Major eye and ear anomalies are significant birth defects.
- Anophthalmia/microphthalmia, anotia/microtia, and congenital cataract are key conditions studied.
- Population-based surveillance data is crucial for understanding birth defect prevalence.
Purpose of the Study:
- To examine the prevalence of major eye and ear anomalies in a recent US birth cohort.
- To analyze prevalence variations by maternal age, race/ethnicity, infant sex, and other factors.
- To address data gaps in the surveillance of these specific birth defects.
Main Methods:
- Utilized data from 30 population-based birth defects surveillance programs in the US.
- Analyzed a 5-year birth cohort (2011-2015) covering approximately 12.4 million births.
- Calculated prevalence and 95% confidence intervals, stratified by demographic and ascertainment factors.
Main Results:
- Overall prevalence per 10,000 live births: anophthalmia/microphthalmia (1.5), congenital cataract (1.5), and anotia/microtia (1.8).
- Prevalence varied by maternal age (higher in mothers 40+), infant sex, and laterality.
- Active ascertainment programs reported higher prevalence for anophthalmia/microphthalmia and anotia/microtia compared to passive programs.
Conclusions:
- Provides recent prevalence estimates for key eye and ear anomalies, filling a critical data gap.
- Highlights the impact of maternal age and surveillance methodology on reported prevalence.
- Emphasizes the importance of comprehensive birth defect surveillance systems for public health monitoring.
Background/Objectives:
In this data brief, we examine major eye and ear anomalies (anophthalmia/microphthalmia, anotia/microtia, and congenital cataract) for a recent 5-year birth cohort using data from 30 population-based birth defects surveillance programs in the United States.
Methods:
As a special call for data for the 2018 NBDPN Annual Report, state programs reported expanded data on eye/ear anomalies for birth years 2011-2015. We calculated the combined overall prevalence (per 10,000 live births) and 95% confidence intervals (CI), for the three anomalies as well as by maternal age, maternal race/ethnicity, infant sex, laterality, presence/absence of other major birth defects, and case ascertainment methodology utilized by the program (active vs. passive).
Results:
The overall prevalence estimate (per 10,000 live births) was 1.5 (95% CI: 1.4-1.5) for anophthalmia/microphthalmia, 1.5 (95% CI: 1.4-1.6) for congenital cataract, and 1.8 (95% CI: 1.7-1.8) for anotia/microtia. Congenital cataract prevalence varied little by maternal race/ethnicity, infant sex, or case ascertainment methodology; prevalence differences were more apparent across strata for anophthalmia/microphthalmia and anotia/microtia. Prevalence among active vs. passive ascertainment programs was 50% higher for anophthalmia/microphthalmia (1.9 vs. 1.2) and two-fold higher for anotia/microtia (2.6 vs. 1.2). Anophthalmia/microphthalmia was more likely than other conditions to co-occur with other birth defects. All conditions were more frequent among older mothers (40+ years).
Conclusions:
This data brief provides recent prevalence estimates for anophthalmia/microphthalmia, congenital cataract, and anotia/microtia that address a data gap by examining pooled data from 30 population-based surveillance systems, covering a five-year birth cohort of about 12.4 million births.
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