• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

生育治疗和社会经济地位对美国新生儿及新生儿后期死亡率的影响。

The effect of fertility treatment and socioeconomic status on neonatal and post-neonatal mortality in the United States.

作者信息

Sharma Meesha, Fineman David C, Keller Roberta L, Maltepe Emin, Rinaudo Paolo F, Steurer Martina A

机构信息

Department of Pediatrics, University of California, San Francisco Benioff Children's Hospital, San Francisco, CA, USA.

Case Western Reserve University PRIME Program, School of Medicine and College of Arts and Sciences, Cleveland, OH, USA.

出版信息

J Perinatol. 2024 Feb;44(2):187-194. doi: 10.1038/s41372-024-01866-x. Epub 2024 Jan 11.

DOI:10.1038/s41372-024-01866-x
PMID:38212435
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10844066/
Abstract

OBJECTIVE

To determine the association between fertility treatment, socioeconomic status (SES), and neonatal and post-neonatal mortality.

STUDY DESIGN

Retrospective cohort study of all births (19,350,344) and infant deaths from 2014-2018 in the United States. The exposure was mode of conception-spontaneous vs fertility treatment. The outcome was neonatal (<28d), and post-neonatal (28d-1y) mortality. Multivariable logistic models were stratified by SES.

RESULT

The fertility treatment group had statistically significantly higher odds of neonatal mortality (high SES OR 1.59; CI [1.5, 1.68], low SES OR 2.11; CI [1.79, 2.48]) and lower odds of post-neonatal mortality (high SES OR 0.87, CI [0.76, 0.996], low SES OR 0.6, CI [0.38, 0.95]). SES significantly modified the effect of ART/NIFT on neonatal and post-neonatal mortality.

CONCLUSIONS

Fertility treatment is associated with higher neonatal and lower post-neonatal mortality and SES modifies this effect. Socioeconomic policies and support for vulnerable families may help reduce rates of infant mortality.

摘要

目的

确定生育治疗、社会经济地位（SES）与新生儿及新生儿后期死亡率之间的关联。

研究设计

对2014 - 2018年美国所有出生的婴儿（19350344例）及婴儿死亡情况进行回顾性队列研究。暴露因素为受孕方式——自然受孕与生育治疗。结局指标为新生儿（<28天）及新生儿后期（28天至1岁）死亡率。多变量逻辑模型按社会经济地位分层。

结果

生育治疗组新生儿死亡几率在统计学上显著更高（高社会经济地位组优势比为1.59；可信区间[1.5, 1.68]，低社会经济地位组优势比为2.11；可信区间[1.79, 2.48]），而新生儿后期死亡几率更低（高社会经济地位组优势比为0.87，可信区间[0.76, 0.996]，低社会经济地位组优势比为0.6，可信区间[0.38, 0.95]）。社会经济地位显著改变了辅助生殖技术/非侵入性产前检测对新生儿及新生儿后期死亡率的影响。

结论

生育治疗与较高的新生儿死亡率及较低的新生儿后期死亡率相关，且社会经济地位改变了这种影响。社会经济政策及对弱势家庭的支持可能有助于降低婴儿死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d55f/10844066/4237e131e2b4/41372_2024_1866_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d55f/10844066/2135fa67972b/41372_2024_1866_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d55f/10844066/4e8325ca06ad/41372_2024_1866_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d55f/10844066/4237e131e2b4/41372_2024_1866_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d55f/10844066/2135fa67972b/41372_2024_1866_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d55f/10844066/4e8325ca06ad/41372_2024_1866_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d55f/10844066/4237e131e2b4/41372_2024_1866_Fig3_HTML.jpg

相似文献

1
The effect of fertility treatment and socioeconomic status on neonatal and post-neonatal mortality in the United States.生育治疗和社会经济地位对美国新生儿及新生儿后期死亡率的影响。
J Perinatol. 2024 Feb;44(2):187-194. doi: 10.1038/s41372-024-01866-x. Epub 2024 Jan 11.
2
Birth spacing and infant and early childhood mortality in a high fertility area of Bangladesh: age-dependent and interactive effects.孟加拉国高生育率地区的生育间隔与婴幼儿死亡率：年龄依赖性及交互作用
J Biosoc Sci. 1995 Oct;27(4):393-404. doi: 10.1017/s0021932000023002.
3
How socioeconomic status affects birth and death rates in rural Kerala, India: results of a health study.社会经济地位如何影响印度喀拉拉邦农村地区的出生率和死亡率：一项健康研究的结果
Int J Health Serv. 1993;23(2):373-86. doi: 10.2190/9N4P-F1L2-13HM-CQVW.
4
Morbidity and mortality among very preterm singletons following fertility treatment in Australia and New Zealand, a population cohort study.澳大利亚和新西兰单胎极早产儿在接受生育治疗后的发病率和死亡率：一项人群队列研究
BMC Pregnancy Childbirth. 2017 Feb 2;17(1):50. doi: 10.1186/s12884-017-1235-6.
5
Socioeconomic status and infant mortality among Hispanics in a southwestern city.美国西南部某城市西班牙裔人群的社会经济地位与婴儿死亡率
Soc Biol. 1985 Spring-Summer;32(1-2):61-4. doi: 10.1080/19485565.1985.9988591.
6
Father's Lifetime Socioeconomic Status, Small for Gestational Age Infants, and Infant Mortality: A Population-Based Study.父亲终身社会经济地位、小于胎龄儿与婴儿死亡率：基于人群的研究。
Ethn Dis. 2019 Jan 17;29(1):9-16. doi: 10.18865/ed.29.1.9. eCollection 2019 Winter.
7
Social inequalities in access to care at birth and neonatal mortality: an observational study.社会不平等与出生时的医疗服务可及性和新生儿死亡率：一项观察性研究。
Arch Dis Child Fetal Neonatal Ed. 2022 Jul;107(4):380-385. doi: 10.1136/archdischild-2021-321967. Epub 2021 Oct 16.
8
Sex ratio at birth deviations in modern Venezuela: the Trivers-Willard effect.现代委内瑞拉的出生性别比偏差：特里弗斯-威拉德效应。
Soc Biol. 1996 Fall-Winter;43(3-4):257-70. doi: 10.1080/19485565.1996.9988927.
9
Demographic survey of the level and determinants of perinatal mortality in Karachi, Pakistan.巴基斯坦卡拉奇围产期死亡率水平及决定因素的人口统计学调查。
Paediatr Perinat Epidemiol. 1996 Jan;10(1):86-96. doi: 10.1111/j.1365-3016.1996.tb00029.x.
10
Socioeconomic factors and adolescent pregnancy outcomes: distinctions between neonatal and post-neonatal deaths?社会经济因素与青少年妊娠结局：新生儿死亡与新生儿期后死亡之间的差异？
BMC Public Health. 2005 Jul 25;5:79. doi: 10.1186/1471-2458-5-79.

本文引用的文献

1
Racial and Ethnic Disparities in the Perinatal Health of Infants Conceived by ART.ART 受孕婴儿围产期健康的种族和民族差异。
Pediatrics. 2022 Nov 1;150(5). doi: 10.1542/peds.2021-055855.
2
Fetal growth and gestational age improve outcome predictions in neonatal heart surgery.胎儿生长和胎龄可改善新生儿心脏手术的预后预测。
J Thorac Cardiovasc Surg. 2022 Dec;164(6):2003-2012.e1. doi: 10.1016/j.jtcvs.2022.05.022. Epub 2022 May 28.
3
Risk factors associated with preterm birth after IVF/ICSI.体外受精/卵胞浆内单精子注射后早产的相关风险因素。
Sci Rep. 2022 May 13;12(1):7944. doi: 10.1038/s41598-022-12149-w.
4
Fertility treatments and the risk of preterm birth among women with subfertility: a linked-data retrospective cohort study.生育治疗与亚生育力女性的早产风险：一项关联数据回顾性队列研究。
Reprod Health. 2022 Mar 29;19(1):83. doi: 10.1186/s12978-022-01363-4.
5
Assisted Reproductive Technology Surveillance - United States, 2018.辅助生殖技术监测报告——美国，2018 年。
MMWR Surveill Summ. 2022 Feb 18;71(4):1-19. doi: 10.15585/mmwr.ss7104a1.
6
Outcomes of Very Preterm Infants Conceived with Assisted Reproductive Technologies.辅助生殖技术受孕的极早产儿结局。
J Pediatr. 2021 Sep;236:47-53.e1. doi: 10.1016/j.jpeds.2021.05.044. Epub 2021 May 21.
7
Association between Z-score for birth weight and postoperative outcomes in neonates and infants with congenital heart disease.出生体重 Z 评分与先天性心脏病新生儿和婴儿术后结局的关系。
J Thorac Cardiovasc Surg. 2021 Dec;162(6):1838-1847.e4. doi: 10.1016/j.jtcvs.2021.01.065. Epub 2021 Jan 29.
8
Applying a Social Exclusion Framework to Explore the Relationship Between Sudden Unexpected Deaths in Infancy (SUDI) and Social Vulnerability.应用社会排斥框架探讨婴儿期意外猝死（SUDI）与社会脆弱性之间的关系。
Front Public Health. 2020 Oct 20;8:563573. doi: 10.3389/fpubh.2020.563573. eCollection 2020.
9
Maternal and infant predictors of infant mortality in California, 2007-2015.加利福尼亚州 2007-2015 年婴儿死亡率的母婴预测因素。
PLoS One. 2020 Aug 6;15(8):e0236877. doi: 10.1371/journal.pone.0236877. eCollection 2020.
10
Pregnancy registry: three-year follow-up of children conceived from letrozole, clomiphene, or gonadotropins.妊娠登记处：来曲唑、氯米酚或促性腺激素受孕的儿童三年随访。
Fertil Steril. 2020 May;113(5):1005-1013. doi: 10.1016/j.fertnstert.2019.12.023.