2020年全国,地区和全球早产估计,与2010年的趋势:系统分析
Eric O Ohuma1, Ann-Beth Moller2, Ellen Bradley1
1Maternal, Adolescent, Reproductive and Child Health (MARCH) Centre, London School of Hygiene & Tropical Medicine, London, UK.
Lancet (London, England)
|October 7, 2023
概括
全球早产率在2010年至2020年期间保持不变,每年有数百万婴儿早产. 改善南亚和撒哈拉以南非洲等地区的数据质量对于有针对性的干预和问责制至关重要.
科学领域:
- 新生儿健康
- 全球公共卫生
- 流行病学
背景情况:
- 这是新生儿死亡的主要原因.
- 它与长期的身体,神经发育和社会经济后果有关.
- 准确的,最新的早产率对于全球卫生倡议至关重要.
研究的目的:
- 更新2020年全球,区域和国家特定的早产估计.
- 分析2010年至2020年的早产率趋势.
- 根据妊娠年龄分组提供新的估计.
主要方法:
- 基于人口的系统搜索,国家代表性数据 (2010-2020年).
- 包括来自103个国家和地区的679个数据点.
- 贝叶斯分层回归用于估计国家一级的利率,包括共变量和偏差调整.
主要成果:
- 2020年全球估计有1340万名早产儿 (占所有出生人数的9.9%).
- 从2010年到2020年,全球每年减少的速度是最小的 (-0.14%).
- 2020年,南亚和撒哈拉以南非洲占全球早产婴儿的65%,数据质量存在重大差距.
结论:
- 在过去的十年中,全球早产率没有显著变化.
- 特别是在数据稀缺的地区, 存在大量错失的机会来改善早产数据.
- 优先考虑计划性投资和数据质量改进对于预防和护理至关重要.
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