1. 2011—2020年河南省围产儿出生缺陷发生率及变化趋势分析.
- Author
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杜雪铭, 程志伟, 张猛, 王彭彭, 梁肖, 杜真, 胡孟彩, 乔艳华, 徐锋, and 赵冰
- Abstract
Objective To analyze the epidemiological characteristics of perinatal birth defects in Henan Province from 2011 to 2020 and to provide basis for the prevention of birth defects. Methods Perinatal birth defect surveillance data from 37 national monitoring sites in Henan Province were collected for newborns delivered from 2011 to 2020. Joinpoint regression was used to describe the trends in birth defect incidence, and Chi-square tests compared incidence rates among different groups (including region, infant sex, and maternal age). Results A total of 29 418 cases of birth defects were monitored in Henan Province from 2011 to 2020, resulting in a total incidence rate of 216.81 per 10 000 births. The annual incidence showed a significant upward trend (AAPC=20.07%, P < 0.001). Incidence rates were significantly higher in urban areas compared to rural areas, in boys compared to girls, and in mothers aged ≥ 35 years compared to those < 35 years (χ²=5 545.926, 257.052, and 403.326 respectively, all P < 0.001). The top 10 birth defects were congenital heart disease (118.47 per 10 000), other malformations (47.62 per 10 000), polydactyly (14.34 per 10 000), cleft lip and palate (10.23 per 10 000), other malformations of the external ear (9.74 per 10 000), syndactyly (5.73 per 10 000), congenital hydrocephalus (5.32 per 10 000), hypospadias (5.24 per 10 000), equinovarus (4.35 per 10 000), and limb shortening (2.69 per 10 000). Conclusion The incidence of birth defects in Henan Province demonstrated a significant upward trend from 2011 to 2020. Comprehensive measures for birth defect prevention and treatment are essential to reduce incidence rates and enhance the quality of the population. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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