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2003年至2009年中国深圳市出生缺陷的流行病学特征

Epidemiology characteristics of birth defects in Shenzhen city during 2003 to 2009, China.

作者信息

Yang Mei, Zhang Shaoqiang, Du Yukai

机构信息

Department of Maternal and Child Health, Tongji Medical College, Huazhong University of Science and Technology , Wuhan , China and.

出版信息

J Matern Fetal Neonatal Med. 2015 May;28(7):799-803. doi: 10.3109/14767058.2014.932767. Epub 2014 Jun 30.

Abstract

OBJECTIVES

To explore the epidemiology characteristics of birth defects (BDs) in perinatal infants in Longgang District, Shenzhen City.

METHODS

Data used in this study was obtained from birth defects surveillance network during 2003 to 2009. The prevalence with 95% confidence interval of BDs by year, gender, household registration and type were examined. Cochran-Armitage trend tests were conducted to evaluate the tendency by year.

RESULTS

The overall prevalence of BDs in Longgang District was 13.43 (12.92, 13.95) per 1000 live births and there was an increasing trend from 2003 to 2009 in migrant and permanent population. Furthermore, the migrant population and male infant had a higher prevalence, OR = 1.22(1.09, 1.37), 1.21(1.11, 1.31) respectively. Congenital heart disease was the most common birth defect.

CONCLUSIONS

Shenzhen city is confronted with severe challenges to prevent BDs. The preventive program of BDs, especially for the migrant population, should be better performed.

摘要

目的

探讨深圳市龙岗区围产儿出生缺陷的流行病学特征。

方法

本研究数据来源于2003年至2009年出生缺陷监测网络。按年份、性别、户籍和类型对出生缺陷的患病率及95%置信区间进行分析。采用Cochran-Armitage趋势检验评估年份变化趋势。

结果

龙岗区出生缺陷总体患病率为每1000例活产儿13.43(12.92,13.95)例,2003年至2009年流动人口和常住人口均呈上升趋势。此外,流动人口和男婴患病率较高,比值比分别为1.22(1.09,1.37)、1.21(1.11,1.31)。先天性心脏病是最常见的出生缺陷。

结论

深圳市在预防出生缺陷方面面临严峻挑战。应加强出生缺陷预防项目,尤其是针对流动人口。

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