潜入美国疾病预防控制中心的怀孕数据:纵向研究和交互应用
Andrea O Clark-Sevilla1, Yun C Lin1, Arnav Saxena2
1Department of Computer Science, Columbia University, New York, NY 10027, United States.
JAMIA open
|March 22, 2024
概括
过早出生率 (PTB) 正在上升,特别是晚期的PTB,种族差异很大. 短暂的妊娠间隔和增加的母亲年龄是确定的危险因素. 这项研究强调了1968-2021年的趋势.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生殖健康 生殖健康
背景情况:
- 过早分娩 (PTB) 是新生儿死亡率和发病率的主要原因.
- 了解PTB的长期趋势和风险因素对于公共卫生干预至关重要.
- 疾病预防控制中心的出生率数据为分析几十年来PTB趋势提供了宝贵的资源.
研究的目的:
- 通过1968年至2021年CDC的出生数据对PTB风险因素进行纵向分析.
- 确定PTB结果的趋势及其与人口和临床因素的关联.
- 为研究人员和临床医生开发一个可访问的工具来探索PTB数据.
主要方法:
- 美国疾病预防控制中心出生数据 (1968-2021) 的纵向分析.
- 检查跨种族,孕产妇年龄,教育和妊娠间隔 (IPI) 的PTB趋势.
- 开发一个交互式RShiny网络应用程序 (CDC NatView) 用于数据探索.
主要成果:
- 观察到晚期PTB的上升趋势.
- 在非洲裔美国人和白人人口之间,PTB发病率仍然存在显著的种族差异.
- 增加母亲年龄和短暂的妊娠间隔被证实是PTB风险因素.
结论:
- 该研究强调了晚期PTB的趋势和持续的种族差异.
- 增加的孕产妇年龄和短IPI是PTB的重要风险因素.
- 疾病预防控制中心的NatView工具为进一步研究PTB和孕产妇疾病提供了宝贵的资源.
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