北卡罗来纳州出生缺陷的时空空间趋势,2003-2015年
Haidong Lu1, Andrew F Olshan2, Marc L Serre3
1Department of Internal Medicine, Yale School of Medicine, CT, USA.
Annals of epidemiology
|February 16, 2026
概括
从2003年到2015年,出生缺陷的流行率在北卡罗来纳州下降. 时空地图识别了地理差异,特别是在北卡罗来纳州东南部,有助于未来对出生缺陷原因的研究.
科学领域:
- 流行病学 流行病学
- 生物统计学 生物统计学
- 公共卫生 公共卫生
背景情况:
- 出生缺陷是美国婴儿死亡的一个重要原因.
- 了解出生缺陷的原因对于预防至关重要.
- 时空疾病映射可以确定高流行率区域进行进一步调查.
研究的目的:
- 描述北卡罗来纳州出生缺陷患病率的空间和时间趋势 (2003-2015).
- 确定出生缺陷患病率高的地理区域.
- 为未来对出生缺陷的病因学研究提供信息.
主要方法:
- 利用来自北卡罗来纳州出生缺陷监测计划 (2003-2015) 的数据.
- 采用贝叶斯的时空波桑模型来分析流行趋势.
- 检查了非染色体和染色体出生缺陷的空间和时间变化.
主要成果:
- 分析了160多万活产婴儿,其中3.3%的婴儿有出生缺陷.
- 非染色体出生缺陷的患病率从2003年的3.8%下降到2015年的2.9%.
- 观察到显著的地理差异,非染色体出生缺陷患病率最高的地区是北卡罗来纳州东南部.
结论:
- 时空分析显示出出生缺陷患病率存在显著的地理异质性.
- 北卡罗来纳州东南部的非染色体出生缺陷患病率较高.
- 确定高发病率地区可以指导未来的流行病学研究,以确定出生缺陷的原因.
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