Article ; Online: Spatial-temporal distribution of preterm birth in China, 1990-2020: A systematic review and modelling analysis.
Paediatric and perinatal epidemiology
2024 Volume 38, Issue 2, Page(s) 130–141
Abstract: Background: Little is known about the long-term trends of preterm birth rates in China and their geographic variation by province.: Objectives: To estimate the annual spatial-temporal distribution of preterm birth rates in China by province from 1990 ...
Abstract | Background: Little is known about the long-term trends of preterm birth rates in China and their geographic variation by province. Objectives: To estimate the annual spatial-temporal distribution of preterm birth rates in China by province from 1990 to 2020. Data sources: We searched PubMed, EMBASE, Web of Science, CNKI, WANFANG and VIP from January 1990 to September 2023. Study selection and data extraction: Studies that provided data on preterm births in China after 1990 were included. Data were extracted following the Guidelines for Accurate and Transparent Health Estimates Reporting. Synthesis: We assessed the quality of each survey using a 9-point checklist. We estimated the annual preterm birth risk by province using Bayesian multilevel logistic regression models considering potential socioeconomic, environmental, and sanitary predictors. Results: Based on 634 survey data from 343 included studies, we found a gradual increase in the preterm birth risk in most provinces in China since 1990, with an average annual increase of 0.7% nationally. However, the preterm birth rates in Inner Mongolia, Hubei, and Fujian Province showed a decline, while those in Sichuan were quite stable since 1990. In 2020, the estimates of preterm birth rates ranged from 2.9% (95% Bayesian credible interval [BCI] 2.1, 3.8) in Inner Mongolia to 8.5% (95% BCI 6.6, 10.9) in Jiangxi, with the national estimate of 5.9% (95% BCI 4.3, 8.1). Specifically, some provinces were identified as high-risk provinces for either consistently high preterm birth rates (e.g. Jiangxi) or relatively large increases (e.g. Shanxi) since 1990. Conclusions: This study provides annual information on the preterm birth risk in China since 1990 and identifies high-risk provinces to assist in targeted control and intervention for this health issue. |
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MeSH term(s) | Female ; Infant, Newborn ; Humans ; Premature Birth/epidemiology ; Bayes Theorem ; China/epidemiology ; Birth Rate |
Language | English |
Publishing date | 2024-01-02 |
Publishing country | England |
Document type | Systematic Review ; Journal Article ; Review |
ZDB-ID | 639089-4 |
ISSN | 1365-3016 ; 0269-5022 ; 1353-663X |
ISSN (online) | 1365-3016 |
ISSN | 0269-5022 ; 1353-663X |
DOI | 10.1111/ppe.13028 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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