2018-2022年意大利早产和母亲风险因素的趋势 - - 基于注册表的研究
Franca Rusconi1, Martina Pacifici2, Anna Maria Nannavecchia3
1Department of Mother and Child Health, Azienda USL Toscana Nord Ovest, 56121 Pisa, Italy.
Children (Basel, Switzerland)
|March 28, 2025
概括
在意大利,COVID-19大流行降低了早产 (PTB) 率,打断了之前的下降. 虽然社会经济因素发挥了作用,但它们只是适度地解释了观察到的PTB趋势的变化.
科学领域:
- 生殖健康 生殖健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在COVID-19大流行期间早产 (PTB) 的减少在各个研究中各不相同.
- 关于PTB长期趋势的数据有限,包括流行后时期和社会差异影响.
研究的目的:
- 分析意大利从2018年到2022年的PTB率趋势.
- 评估孕产妇风险因素对PTB发病率的影响.
- 在五年时间内研究PTB率和相关风险因素的趋势.
主要方法:
- 使用中断时间序列分析进行PTB趋势调查.
- 使用波桑回归来评估与PTB的风险因素关联.
- 为风险因素计算的人口影响分数 (PIF).
主要成果:
- 研究了1,762,422个出生,其中7.25%是PTBs.
- 从2020年7月起,观察到PTB比率平均每月下降5%.从2020年7月起,观察到PTB比率平均每月下降5%.
- 社会经济因素 (低教育程度,失业率) 和外国国籍在流行后呈现下降趋势,对PTB减少的影响不大.
结论:
- COVID-19大流行改变了意大利的PTB发病率模式,平均发病频率下降.
- 在PTB率下降的流行前趋势被打断了.
- 社会经济母亲风险因素的变化极小地解释了观察到的PTB模式转变.
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