西班牙裔美国人脊柱裂的流行病学和发病率:一个系统的审查
Sunny Abdelmageed1,2, Megan Votoupal2, Sandi K Lam1,2
1Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
BMJ public health
|February 28, 2025
概括
脊柱状脊柱影响西班牙裔美国人不成比例,与健康差异相关的更高的患病率和发病率. 风险因素包括产前暴露和较低的社会经济地位,需要进一步的研究和标准化的报告.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 遗传学 遗传学 是一个
背景情况:
- 脊椎裂是一种复杂的出生缺陷,对健康有重大影响.
- 了解它在不同人群中的流行病学对于有针对性的干预至关重要.
研究的目的:
- 描述西班牙裔美国人脊柱裂的流行病学和发病率.
- 确定导致该人口群体中脊柱裂患病率增加的风险因素.
主要方法:
- 使用系统审查和元分析 (PRISMA) 准则的首选报告项目进行了系统审查.
- 在MEDLINE,Embase和Scopus数据库中搜索到2023年6月之前发表的符合条件的研究.
- 包括观察和实验分析研究报告西班牙裔美国人或拉丁美洲人脊柱裂.
主要成果:
- 32项研究 (50,382名患者) 符合纳入标准,其中26.2%被确定为西班牙裔美国人.
- 五项研究表明,与非西班牙裔白人相比,西班牙裔美国人在出生时患脊柱裂的患病率更高.
- 确定的风险因素包括产前暴露,社会人口统计因素 (母亲教育水平较低,年龄,收入) 和母亲临床特征. 报告指出,高发病率带来了重大的财务,身体和社会经济影响.
结论:
- 在西班牙裔美国人中,脊柱裂的患病率和发病率增加与健康差异有关.
- 研究之间的高度异质性凸显了未来研究和标准化报告准则的需要.
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