在中国广西的胎儿出生缺陷的空间流行病学分析
Zhenren Peng1,2,3,4,5, Xiuning Huang4,5, Jie Wei4,5
1Birth Defects Research Laboratory, Guangxi Clinical Research Center for Birth Defects, Nanning, 530002, People's Republic of China.
International journal of general medicine
|June 19, 2025
概括
出生缺陷 (BDs) 在中国广西显示出明显的空间趋势和集群. 孕妇的高等教育,收入和糖尿病与增加的BD患病率有关.
科学领域:
- 流行病学 流行病学
- 空间分析 空间分析
- 公共卫生 公共卫生
背景情况:
- 出生缺陷 (BDs) 是一个重要的全球健康问题.
- 了解BD的地理分布和风险因素对于有针对性的干预至关重要.
研究的目的:
- 分析空间趋势并确定中国广西出生缺陷患病率的地理集群.
- 调查该地区与出生缺陷相关的潜在风险因素.
主要方法:
- 利用了空间流行病学方法,包括 kriging 插值,空间自相关和空间回归.
- 分析了广西出生缺陷监测网络 (GXBDMN) 的数据,涵盖了2016年至2022年的457万胎儿.
主要成果:
- 在县级的BD患病率中确定了显著的空间自相关性.
- 揭示了高高低低的集群模式,高高的集群转向南宁.
- 发现BD患病率与高等教育水平,家庭收入增加和母亲妊娠前或妊娠期糖尿病之间存在统计学意义上的关联.
结论:
- 在广西展示了明显的空间趋势和出生缺陷的集群.
- 突出了与社会经济因素和母婴糖尿病相关的BD患病率的增加.
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