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从出生到青春期早期的住院情况和生命早期危险因素:1993 年佩洛塔斯(巴西)出生队列研究的 11 年随访。

Hospital admissions from birth to early adolescence and early-life risk factors: the 11-year follow-up of the 1993 Pelotas (Brazil) birth cohort study.

机构信息

Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Rua Marechal Deodoro 1160, Pelotas, RS, Brazil.

出版信息

Cad Saude Publica. 2010 Oct;26(10):1980-9. doi: 10.1590/s0102-311x2010001000015.

DOI:10.1590/s0102-311x2010001000015
PMID:20963296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3795331/
Abstract

The aim of this prospective analysis was to describe the cumulative incidence of hospital admissions in the first year of life and between 1 and 11 years of age and to explore associated factors. Hospital admissions were collected through regular monitoring in the first year of life, and through maternal report on admissions between 1 and 11 years. Analyses were stratified by sex and adjusted for confounding factors. 18.1% of children were hospitalized in the first year of life, and 30.7% between ages 1 and 11 years. Among boys, hospital admission in the first year was associated with low family income, paternal smoking during pregnancy, preterm delivery, and low birthweight. Among girls, in addition to the variables described for boys, black/mixed skin color was also a risk factor for hospital admission. For admissions between 1 and 11 years of age, low family income and gestational age > 37 weeks were found to be significant risk factors.

摘要

本前瞻性分析旨在描述儿童在生命的第一年以及 1 至 11 岁期间住院的累积发生率,并探讨相关因素。在生命的第一年通过定期监测收集住院数据,在 1 至 11 岁期间通过母亲报告收集住院数据。分析按性别分层,并对混杂因素进行了调整。18.1%的儿童在生命的第一年住院,30.7%的儿童在 1 至 11 岁期间住院。对于男孩,生命第一年的住院与家庭收入低、父亲在怀孕期间吸烟、早产和低出生体重有关。对于女孩,除了描述男孩的变量外,黑/混合肤色也是住院的危险因素。对于 1 至 11 岁期间的住院,低家庭收入和胎龄 >37 周是显著的危险因素。

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本文引用的文献

1
The 11-year follow-up of the 1993 Pelotas (Brazil) birth cohort study: methods.1993 年佩洛塔斯(巴西)出生队列研究的 11 年随访:方法。
Cad Saude Publica. 2010 Oct;26(10):1875-86. doi: 10.1590/s0102-311x2010001000003.
2
Improved sanitation and income are associated with decreased rates of hospitalization for diarrhoea in Brazilian infants.卫生条件改善和收入增加与巴西婴儿腹泻住院率降低有关。
Trans R Soc Trop Med Hyg. 2009 May;103(5):506-11. doi: 10.1016/j.trstmh.2008.12.017. Epub 2009 Feb 11.
3
Association of environmental tobacco smoking exposure with an increased risk of hospital admissions for pneumonia in children under 5 years of age in Vietnam.越南5岁以下儿童因环境烟草烟雾暴露与肺炎住院风险增加之间的关联。
Thorax. 2009 Jun;64(6):484-9. doi: 10.1136/thx.2008.106385. Epub 2009 Jan 21.
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The use of maternal and child health services in three population-based cohorts in Southern Brazil, 1982-2004.1982年至2004年巴西南部三个基于人群的队列中母婴健康服务的使用情况。
Cad Saude Publica. 2008;24 Suppl 3:S427-36. doi: 10.1590/s0102-311x2008001500008.
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Breastfeeding and feeding patterns in three birth cohorts in Southern Brazil: trends and differentials.巴西南部三个出生队列中的母乳喂养与喂养模式:趋势与差异
Cad Saude Publica. 2008;24 Suppl 3(Suppl 3):S409-16. doi: 10.1590/s0102-311x2008001500006.
6
Preterm births, low birth weight, and intrauterine growth restriction in three birth cohorts in Southern Brazil: 1982, 1993 and 2004.巴西南部三个出生队列中的早产、低出生体重和宫内生长受限:1982年、1993年和2004年。
Cad Saude Publica. 2008;24 Suppl 3:S390-8. doi: 10.1590/s0102-311x2008001500004.
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Epidemiology and etiology of childhood pneumonia.儿童肺炎的流行病学与病因学
Bull World Health Organ. 2008 May;86(5):408-16. doi: 10.2471/blt.07.048769.
8
Hospitalizations in adolescence and early adulthood among Swedish men and women born preterm or small for gestational age.瑞典早产或小于胎龄出生的男性和女性在青春期及成年早期的住院情况。
Epidemiology. 2008 Jan;19(1):63-70. doi: 10.1097/EDE.0b013e318159074b.
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Widening ethnic disparities in infant mortality in southern Brazil: comparison of 3 birth cohorts.巴西南部婴儿死亡率方面不断扩大的种族差异:三个出生队列的比较
Am J Public Health. 2008 Apr;98(4):692-68. doi: 10.2105/AJPH.2006.093492. Epub 2007 Aug 29.
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Trajectories of socioeconomic status across children's lifetime predict health.儿童一生中社会经济地位的轨迹预示着健康状况。
Pediatrics. 2007 Aug;120(2):e297-303. doi: 10.1542/peds.2006-3098. Epub 2007 Jul 2.