全面无助妊娠率的变化作为人类生育能力下降的可能标志物
Rune Lindahl-Jacobsen1,2,3, Astrid Linnea Beck4,5, Lærke Priskorn4,5
1Department of Epidemiology, Institute of Public Health, University of Southern Denmark, Odense, Denmark. rjacobsen@health.sdu.dk.
Scientific reports
|July 4, 2025
概括
总生育率 (TFR) 掩盖了无助妊娠率和生育率的下降. 一项新的全方位无助怀孕率 (CUPR) 显示了丹麦妇女的趋势,强调了需要更好的生殖健康措施.
科学领域:
- 生殖流行病学 生殖流行病学
- 人口统计学 人口统计学
- 公共卫生 公共卫生
背景情况:
- 全球总生育率 (TFR) 正在下降,辅助生殖技术 (ART) 的使用正在增加.
- 目前的TFR指标可能不会准确地反映出人口的生育能力,因为包括ART和排除堕胎.
研究的目的:
- 检查丹麦队列总生育率 (cTFR),诱导性堕胎和ART使用的趋势.
- 引入和评估综合无助妊娠率 (CUPR) 作为生育能力的衡量标准.
主要方法:
- 全国范围内对15-45岁的丹麦妇女 (出生于1958-1999年) 中1648971例怀孕的队列研究.
- 对cTFR,诱导堕胎,ART分娩和新开发的CUPR (无助妊娠) 的趋势进行分析.
主要成果:
- 在1961年以后出生的女性中,无助妊娠率下降,在1970年以后加速.
- cTFR最初在1958-1970年出生的女性中增加,然后在堕胎和ART趋势的影响下下降.
- 观察到cTFR和生育率之间存在差异,由CUPR下降表明.
结论:
- 无助妊娠率的下降和ART需求的增加表明,人口生育率的潜在下降.
- 综合无助怀孕率提供了比传统TFR更准确的对生殖健康趋势的评估.
- 需要进一步的跨学科研究来了解这些生殖趋势的驱动因素.
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