在接受医疗补助和/或医疗保险的智力和发育残疾妇女的生育率,2011-2022年
Josue Antonio G Estrada1, Nina Cesare2, Katherine Barger2
1Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA.
Paediatric and perinatal epidemiology
|February 19, 2026
概括
智力和发育障碍 (IDD) 妇女的生育率保持稳定,自闭症妇女的生育率略有增加. 这些发现凸显了需要检查IDD妇女的护理准入和质量.
科学领域:
- 生殖健康 生殖健康
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 从历史上看,智力和发育障碍 (IDD) 的妇女通过绝育和制度化而面临生殖权利的限制.
- 虽然法律保护有所进步,但围绕IDD和生殖健康的社会耻辱仍然存在.
研究的目的:
- 利用十多年的医疗补助和医疗保险数据,分析IDD (智力障碍或自闭症) 的女性的生育率.
- 描述IDD妇女的一般生育率 (GFR),年龄特定生育率 (ASFR) 和总生育率 (TFR) 的趋势.
主要方法:
- 确定了2011-2022年在医疗补助/医疗保险中注册的18-45岁的IDD女性队列.
- 国际疾病分类 (ICD) 代码被用于确定IDD诊断和怀孕.
- 每年计算GFR,ASFR和TFR,使用95%的置信区间.
主要成果:
- 在2011年至2022年期间,在33000多名患有IDD的妇女中记录了超过5万例活产.
- 一般生育率保持稳定,从每1000名妇女中9.3到9.9不变.
- 21-25岁女性的生育率达到顶峰,只有自闭症的总生育率略高于只有智力障碍的总生育率.
结论:
- 患有IDD的女性的生育趋势在研究期间表现一致.
- 特别是在患有自闭症的女性中,人们注意到生育率的适度增加.
- 对IDD妇女来说,进一步调查医疗保健的获取,质量和连续性至关重要.
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