过早分娩和青春期多病风险:一个基于多个登记的队列研究
Katriina Heikkilä1, Johanna Metsälä2, Anna Pulakka3
1Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland; Department of Public Health, University of Turku, Turku, Finland; Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland.
The Lancet. Public health
|August 26, 2023
概括
过早分娩与在青春期患上多种健康问题的风险更高有关. 出生时更早的妊娠年龄与更复杂的多种疾病相关,突出了对这些人的警医疗护理的需要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 流行病学 流行病学
背景情况:
- 多种疾病影响所有年龄段,但青少年的危险因素仍然不清楚.
- 过早分娩是多种青少年健康结果的潜在共同风险因素.
研究的目的:
- 调查早产是青少年多病症的风险因素.
- 检查妊娠年龄在青春期 (10-18岁) 多病症复杂性中的作用.
主要方法:
- 利用来自芬兰和挪威的全人口数据,包括超过170万名青少年.
- 孕期年龄被分类,健康结果通过专门的医疗保健和死亡率登记处进行跟踪.
- 计算了危险比率和人口归因分数,以评估与早产相关的风险.
主要成果:
- 过早分娩与20种不同的医院治疗健康结果的风险增加有关.
- 与早产的同龄人相比,早产的青少年患两种 (HR 2.29) 和四种 (HR 4.22) 的健康结果的风险明显更高.
- 观察到一种剂量与反应的关系:较早的妊娠年龄与复杂多病症的更高风险相关.
结论:
- 过早分娩是青少年多种多重疾病模式的重要风险因素.
- 有早产背景的青少年需要专注的诊断警和多学科的医疗保健来管理潜在的多病症.
相关概念视频
Attention-Deficit/Hyperactivity Disorder
109
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
109
Bulimia Nervosa
156
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
156
Prevalence and Incidence
623
In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
623
Ethnic Identity within a Larger Culture
59
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
59
Psychological and Sociocultural Causes of Schizophrenia
125
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
125
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K


