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澳大利亚新南威尔士州的出生和堕胎季节性情况。

Seasonality of births and abortions in New South Wales, Australia.

作者信息

Weerasinghe Daminda P, MacIntyre Raina C

机构信息

Prince of Wales Hospital, Randwick, Australia.

出版信息

Med Sci Monit. 2003 Dec;9(12):CR534-40.

Abstract

BACKGROUND

Complex seasonal variations in abortions and seasonal trends have been reported worldwide, but there are no data from Australia.

MATERIAL/METHODS: Hospital morbidity and birth data were modelled using time series and regression techniques to describe seasonal changes in births and abortions (1989-99) in NSW, Australia. Data were also analysed to determine demographic predictors of abortions.

RESULTS

A higher proportion of births in NSW were recorded in March and September-October. Irrespective of the nuptiality the lowest seasonal indices were recorded in February and November. For married women aged 20-49 years, voluntary abortions were significantly higher in February (t=0.04) and significantly lower in April (t<0.001) and June (t=0.03) and non-voluntary abortions were significantly higher in February (t=0.002) and March (t=0.006). There was seasonality in voluntary abortions (F=4.3, p<0.001) and no seasonality in non-voluntary abortions (F=2.4, p=0.01) for never married women aged 20-49 years. As similar to married women, voluntary abortions among never married women were significantly higher in February (t<0.001) and significantly low in April (t=0.009). The lowest number of abortions were in April. Non-voluntary abortions occurred mostly in March for married women. The average number of voluntary abortions were significantly higher for never married women than for married women.

CONCLUSIONS

There was a significant seasonality of births and abortions in NSW, Australia, with a peak of conceptions in December/January. Abortions were lowest in April and non-voluntary abortions were peaked in March. These data suggest that the human reproductive behaviour has a close relationship with environmental factors.

摘要

背景

世界各地均报告了流产的复杂季节性变化和季节性趋势,但澳大利亚尚无相关数据。

材料/方法:利用时间序列和回归技术对医院发病率和出生数据进行建模,以描述澳大利亚新南威尔士州(1989 - 1999年)出生和流产的季节性变化。还对数据进行了分析,以确定流产的人口统计学预测因素。

结果

新南威尔士州3月以及9 - 10月的出生记录比例较高。无论婚姻状况如何,2月和11月的季节性指数最低。对于20 - 49岁的已婚女性,自愿流产在2月显著较高(t = 0.04),在4月(t < 0.001)和6月(t = 0.03)显著较低,非自愿流产在2月(t = 0.002)和3月(t = 0.006)显著较高。对于20 - 49岁的未婚女性,自愿流产存在季节性(F = 4.3,p < 0.001),非自愿流产不存在季节性(F = 2.4,p = 0.01)。与已婚女性相似,未婚女性中的自愿流产在2月显著较高(t < 0.001),在4月显著较低(t = 0.009)。流产数量最少的是4月。已婚女性的非自愿流产大多发生在3月。未婚女性的自愿流产平均数量显著高于已婚女性。

结论

澳大利亚新南威尔士州的出生和流产存在显著的季节性,12月/1月受孕率最高。流产在4月最低,非自愿流产在3月达到峰值。这些数据表明,人类生殖行为与环境因素密切相关。

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