北卡罗来纳州出生缺陷的时空空间趋势,2003-2015年
Haidong Lu1, Andrew F Olshan2, Marc L Serre3
1Department of Internal Medicine, Yale School of Medicine, CT, USA.
medRxiv : the preprint server for health sciences
|August 26, 2024
概括
出生缺陷是一个重大问题,非染色体出生缺陷的患病率正在下降,但北卡罗来纳州的空间差异显著. 这项研究绘制了这些趋势的地图,以指导未来对原因的研究.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 生物统计学 生物统计学
背景情况:
- 出生缺陷是婴儿死亡的主要原因,但其病因在很大程度上仍未知.
- 确定出生缺陷的地理热点对于调查潜在的环境和时间因素至关重要.
研究的目的:
- 分析2003年至2015年北卡罗来纳州出生缺陷患病率的空间和时间趋势.
- 为了确定高患非染色体和染色体出生缺陷的地理区域.
主要方法:
- 利用来自北卡罗来纳州出生缺陷监测计划 (2003-2015) 的数据.
- 采用贝叶斯的时空波桑模型来估计流行趋势.
- 在人口普查地带层面分析了出生缺陷的患病率.
主要成果:
- 分析了150多万活产婴儿,其中3.3%的婴儿有出生缺陷.
- 非染色体出生缺陷的患病率从2003年的3.8%下降到2015年的2.9%.
- 观察到显著的空间异质性,在北卡罗来纳州东南部的非染色体出生缺陷患病率最高.
结论:
- 该研究确定了北卡罗来纳州高非染色体出生缺陷患病率的地理区域.
- 发现突出显著的空间变化,这需要进一步调查病因因素.
- 这种空间异质性可以为针对性流行病学研究提供先天缺陷原因的信息.
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