斯堪的纳维亚国家早产的患病率：一项系统评价和荟萃分析。
Prevalence of preterm birth in Scandinavian countries: a systematic review and meta-analysis.
作者信息
Behboudi-Gandevani Samira, Bidhendi-Yarandi Razieh, Hossein Panahi Mohammad, Mardani Abbas, Prinds Christina, Vaismoradi Mojtaba, Glarcher Manela
机构信息
Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.
Department of Biostatistics and Epidemiology, School of Social Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
出版信息
J Int Med Res. 2023 Oct;51(10):3000605231203843. doi: 10.1177/03000605231203843.
OBJECTIVES
As welfare societies, Scandinavian countries share characteristics of equality related to healthcare access, gender, and social services. However, cultural and lifestyle variations create country-specific health differences. This meta-analysis assessed the prevalence of preterm birth (PTB) and its categories in Scandinavian countries.
METHODS
A systematic search in key databases of literature published between 1990 and 2021 identified studies of the prevalence of PTB and its categories. Following the use of the Freeman-Tukey double arcsine transformation, a meta-analysis of weighted data was performed using the random-effects model and meta-prop method.
RESULTS
We identified 109 observational studies that involved 86,420,188 live births. The overall pooled prevalence (PP) of PTB was 5.3% (PP = 5.3%, 95% confidence interval [CI] 5.1%, 5.5%). The highest prevalence was in Norway (PP = 6.2%, 95% CI 5.3%, 7.0%), followed by Sweden (PP = 5.3%, 95% CI 5.1%, 5.4%), Denmark (PP = 5.2%, 95% CI 4.9%, 5.3%), and Iceland (PP = 5.0%, 95% CI 4.4%, 5.7%). Finland had the lowest PTB rate (PP = 4.9%, 95% CI 4.7%, 5.1%).
CONCLUSIONS
The overall PP of PTB was 5.3%, with small variations among countries (4.9%-6.2%). The highest and lowest PPs of PTB were in Norway and Finland, respectively.
目的
作为福利社会，斯堪的纳维亚国家在医疗保健可及性、性别和社会服务方面具有平等的特征。然而，文化和生活方式的差异造成了各国特有的健康差异。本荟萃分析评估了斯堪的纳维亚国家早产及其分类的患病率。
方法
在1990年至2021年期间发表的文献的关键数据库中进行系统检索，以确定早产及其分类患病率的研究。在使用弗里曼-图基双反正弦变换之后，采用随机效应模型和元比例法对加权数据进行荟萃分析。
结果
我们确定了109项观察性研究，涉及86420188例活产。早产的总体合并患病率（PP）为5.3%（PP = 5.3%，95%置信区间[CI] 5.1%，5.5%）。患病率最高的是挪威（PP = 6.2%，95% CI 5.3%，7.0%），其次是瑞典（PP = 5.3%，95% CI 5.1%，5.4%）、丹麦（PP = 5.2%，95% CI 4.9%，5.3%）和冰岛（PP = 5.0%，95% CI 4.4%，5.7%）。芬兰的早产率最低（PP = 4.9%，95% CI 4.7%，5.1%）。
结论
早产的总体PP为5.3%，各国之间差异较小（4.9%-6.2%）。早产的最高和最低PP分别出现在挪威和芬兰。
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