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中国的不孕不育趋势:基于百度指数分析时间变化、公众需求和人口差异

Infertility trends in China: analyzing temporal changes, public demand, and demographic differences based on Baidu index.

作者信息

Li Xun, Wei Mengmeng, Zou Jingrui, Wei Jin, Lai Xin, Gong Xun, Hu Hong, Wang Xuanxuan

机构信息

Reproductive Medicine Center, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

Library, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

出版信息

BMC Public Health. 2025 Jul 17;25(1):2481. doi: 10.1186/s12889-025-23655-7.

DOI:10.1186/s12889-025-23655-7
PMID:40676594
Abstract

BACKGROUND

Infertility is a critical public health issue, imposing significant psychological and financial burdens on individuals and healthcare systems. This study analyzes internet search behavior related to infertility using Baidu Index data, examining trends, demographic characteristics, and geographic patterns. The goal is to provide evidence to inform policy development and improve intervention strategies.

METHODS

Using Baidu Index data from 2015 to 2024, this study investigates search trends for "infertility" and "In vitro fertilization (IVF)" over time. It focuses on three aspects: temporal trends in search volume, demand patterns, and demographic characteristics of searchers, including age, gender, and regional differences.

RESULTS

The implementation of the two-child policy in late 2016 resulted in a short-lived baby boom. However, searches for "infertility" sharply declined from late 2017 to early 2018 before stabilizing. Searches for "IVF" followed a similar pattern, peaking in 2017 before decreasing. The main topics searched were related to IVF costs, online consultations, treatment procedures, and hospital selection. Significant regional differences were observed, with higher search volumes in economically developed areas. Additionally, women aged 20-39 were more likely to search for infertility-related information than men.

CONCLUSION

This study reveals the fluctuating public interest in infertility and the significant impact of economic factors on reproductive decisions. Despite the two-child policy, the fertility decline persists, and high IVF costs continue to pose barriers to reproductive health. Regional, age, and gender variations emphasize the need for targeted public health interventions and policy support to improve accessibility to infertility services.

摘要

背景

不孕症是一个关键的公共卫生问题,给个人和医疗系统带来了巨大的心理和经济负担。本研究利用百度指数数据分析与不孕症相关的网络搜索行为,考察其趋势、人口特征和地理模式。目的是提供证据以指导政策制定并改进干预策略。

方法

本研究使用2015年至2024年的百度指数数据,调查“不孕症”和“体外受精(IVF)”随时间的搜索趋势。它关注三个方面:搜索量的时间趋势、需求模式以及搜索者的人口特征,包括年龄、性别和地区差异。

结果

2016年末二孩政策的实施导致了短暂的生育高峰。然而,“不孕症”的搜索量从2017年末到2018年初急剧下降,之后趋于稳定。“IVF”的搜索量也呈现类似模式,在2017年达到峰值后下降。搜索的主要主题与IVF费用、在线咨询、治疗程序和医院选择有关。观察到显著的地区差异,经济发达地区的搜索量更高。此外,20至39岁的女性比男性更有可能搜索与不孕症相关的信息。

结论

本研究揭示了公众对不孕症的兴趣波动以及经济因素对生育决策的重大影响。尽管有二孩政策,但生育率下降仍在持续,高昂的IVF费用继续对生殖健康构成障碍。地区、年龄和性别差异强调了需要有针对性的公共卫生干预措施和政策支持,以提高不孕症服务的可及性。

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本文引用的文献

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Now is the time to introduce new innovative assisted reproduction methods to implement accessible, affordable, and demonstrably successful advanced infertility services in resource-poor countries.现在是时候引入新的创新辅助生殖方法,以便在资源匮乏的国家实施可及、可负担且经证实成功的先进不孕症治疗服务。
Hum Reprod Open. 2025 Jan 17;2025(1):hoaf001. doi: 10.1093/hropen/hoaf001. eCollection 2025.
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Misconduct in third-party assisted reproductive technology by participants and nonmedical professionals or entities: an Ethics Committee opinion.参与者及非医学专业人员或机构在第三方辅助生殖技术中的不当行为:伦理委员会意见
Fertil Steril. 2023 Oct;120(4):802-809. doi: 10.1016/j.fertnstert.2023.07.002. Epub 2023 Aug 31.
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Neonatal Outcomes and Long-Term Follow-Up of Children Born from Frozen Embryo, a Narrative Review of Latest Research Findings.
冻融胚胎移植新生儿结局及长期随访:最新研究结果的叙述性综述
Medicina (Kaunas). 2022 Sep 4;58(9):1218. doi: 10.3390/medicina58091218.
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[Investigation of temporal and spatial characteristics of allergic rhinitis epidemics by Baidu Index in China].基于百度指数的中国变应性鼻炎流行时空特征研究
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Dec 7;54(12):888-893. doi: 10.3760/cma.j.issn.1673-0860.2019.12.002.
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Trends of infodemiology studies: a scoping review.信息流行病学研究趋势:范围综述。
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Fertility and infertility: Definition and epidemiology.生育与不孕:定义及流行病学
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Ethical and medico-legal remarks on uterus transplantation: may it solve uterine factor infertility?关于子宫移植的伦理和医学法律评论:它能解决子宫因素不孕吗?
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