メディケイドおよび/またはメディケアに登録された知的および発達障害のある女性の生育率,2011年-2022年
Josue Antonio G Estrada1, Nina Cesare2, Katherine Barger2
1Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA.
Paediatric and perinatal epidemiology
|February 19, 2026
まとめ
知的および発達障害 (IDD) の女性の生育率は安定したままで,自閉症の女性ではわずかな増加が観察されました. これらの発見は,IDDの女性のケアアクセスと品質を調査する必要性を強調しています.
科学分野:
- 生殖器保健は,生殖器の健康についてです.
- 障害に関する研究 障害に関する研究
- 公衆衛生は公衆衛生である.
背景:
- 歴史的に見て,知的および発達障害 (IDD) の女性は,不妊化や制度化によって生殖権の制限に直面しました.
- 法的保護は進歩しているが,IDDと生殖健康をめぐる社会的汚名を残している.
研究 の 目的:
- 10年以上にわたるメディケイドとメディケアデータを用いて,IDD (知的障害または自閉症) と特定された女性の生育率を分析する.
- IDDの女性における一般的な生育率 (GFR),年齢特有の生育率 (ASFR),および総生育率 (TFR) の傾向を記述する.
主な方法:
- 2011年から2022年までメディケイド/メディケアに登録したIDDを持つ18〜45歳の女性のコホートが特定されました.
- 国際疾病分類 (ICD) のコードは,IDDの診断と妊娠を決定するために使用されました.
- GFR,ASFR,TFRは95%信頼区間で毎年計算されました.
主要な成果:
- 2011年から2022年の間にIDDの女性3万3千人以上で5万件以上の生産が記録されました.
- 一般的な生育率は安定しており,1000人当たり9.3~9.9だった.
- 生育率は21~25歳の女性でピークに達し,自閉症のみの総生育率は知的障害のみの総生育率よりもわずかに高い.
結論:
- IDDの女性の生育傾向は,研究期間中に一貫性を示しました.
- 生育率のわずかな上昇は,特に自閉症の女性で観察されました.
- 医療のアクセス,質,継続性に関するさらなる調査は,IDDの女性にとって極めて重要です.
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