Romano-Zelekha Orly, Ostrovsky Jenny, Shohat Tamy
Israel Center for Disease Control, Ministry of Health, Ramat Gan, Israel.
Public Health Genomics. 2014;17(4):183-9. doi: 10.1159/000362224. Epub 2014 May 20.
BACKGROUND/AIMS/OBJECTIVE: This study compared data on the use of prenatal tests offered to pregnant women in Israel as reported in a national survey conducted by the Israel Center for Disease Control in 2001 to data from 2010.
Mothers of newborns were interviewed 8-72 h after delivery in 29 maternity wards in Israel on May 31, 2010.
A total of 768 women were interviewed, 569 (72.3%) were Jewish and 197 (25.7%) were Arabs. Nuchal translucency screening and early ultrasound level 2 were significantly more frequently done in both Jewish and Arab women in 2010 than in 2001. The use of the biochemical triple marker test and amniocentesis did not change. The increased rate of nuchal translucency screening and early ultrasound level 2 was significantly higher among the Jewish women compared to the Arabs (21.5 and 28.0% vs. 2.9 and 13.7% in 2001; 62.0 and 65.6% vs. 30.1 and 30.9% in 2010, respectively). The rates of amniocentesis in the Jewish women aged ≥35 years were 47.6 and 47.5% in 2001 and 2010, respectively; they are significantly higher than among the Arabs (18.5 and 28.5%, respectively). The factors associated with making more use of different prenatal tests were: secularity, a higher income, and supplementary medical insurance for the Jewish women, and supplementary medical insurance and printed information on prenatal testing for the Arabs.
The prenatal testing rates have risen over the last decade in both population groups, but there are still significant gaps. We suggest that public funding of additional prenatal tests may increase their use in both population groups.
背景/目的：本研究将以色列疾病控制中心2001年进行的一项全国性调查中报告的以色列孕妇产前检查使用数据与2010年的数据进行了比较。
2010年5月31日，在以色列的29个产科病房对新生儿母亲在分娩后8 - 72小时进行了访谈。
共访谈了768名妇女，其中569名（72.3%）为犹太妇女，197名（25.7%）为阿拉伯妇女。2010年，犹太和阿拉伯妇女进行颈部透明带筛查和早期超声二级检查的频率均显著高于2001年。生化三联筛查试验和羊膜穿刺术的使用情况没有变化。与阿拉伯妇女相比，犹太妇女颈部透明带筛查和早期超声二级检查的增加率显著更高（2001年分别为21.5%和28.0%，而阿拉伯妇女为2.9%和13.7%；2010年分别为62.0%和65.6%，而阿拉伯妇女为30.1%和30.9%）。2001年和2010年，年龄≥35岁的犹太妇女羊膜穿刺术的比例分别为47.6%和47.5%；显著高于阿拉伯妇女（分别为18.5%和28.5%）。与更多使用不同产前检查相关的因素包括：犹太妇女的世俗性、较高收入和补充医疗保险，以及阿拉伯妇女的补充医疗保险和产前检查的印刷信息。
在过去十年中，两个群体的产前检查率均有所上升，但仍存在显著差距。我们建议，对额外产前检查的公共资金投入可能会增加两个群体对其的使用。
