美国短间怀孕间隔分娩的趋势,2016-2022年
Lindsay K Admon1, Colleen MacCallum-Bridges, Jamie R Daw
1Department of Obstetrics and Gynecology and Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan; and Department of Health Policy and Management, Columbia University Mailman School of Public Health, New York, New York.
Obstetrics and gynecology
|November 7, 2024
概括
在美国,从2016年到2022年,短间怀孕间隔 (IPI) 的患病率保持稳定. 虽然IPI低于6个月的出生率略有下降,但较长的短IPI没有显著的趋势.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生监督 公共卫生监督
背景情况:
- 短暂的妊娠间隔 (IPI),定义为分娩之间不到18个月,与母亲和婴儿的不良结果有关.
- 了解短IPI的当前趋势对于公共卫生干预和资源分配至关重要.
研究的目的:
- 测量2016年至2022年期间美国短间怀孕间隔 (IPI) 出生率的当代趋势.
- 检查短IPI的具体持续时间及其在不同的人口和地理群体中的流行率.
主要方法:
- 从2016-2022年国家生命统计系统数据中对14770411个独生子活产的重复横截面分析.
- 线性概率模型用于评估IPI<18个月 (特别是<6,6-11个月和12-17个月) 的趋势.
- 根据母亲的种族/种族,社会经济因素和美国人口普查地区进一步分析了患病率.
主要成果:
- 大约29.8%的分娩有IPI<18个月 (5.0%<6个月,11.0%6-11个月,13.8%12-17个月).
- 在IPI<6个月 (调整后的年变化-0.02个百分点) 中观察到轻微,统计学上显著的下降.
- 经过调整后,6至11个月和12至17个月的IPI的趋势在统计学上并不显著,最初的未经调整的增幅扭转了方向.
结论:
- 在美国,从2016年到2022年,短跨怀孕间隔的总体患病率保持稳定.
- 在最短的IPI (<6个月) 中,现有的种族和民族差异仍然存在.
- 可能需要进一步的研究来了解影响这些稳定,但分布不均的短IPI趋势的因素.
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