Relationship between historical developments in the percentages of low birthweight and fetal mortality in Spain.

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Gaceta Sanitaria Pub Date : 2024-01-01 Epub Date: 2023-01-02 DOI:10.1016/j.gaceta.2022.102268

Jesús J Sánchez-Barricarte, Amaia Sánchez-Arlegui

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引用次数: 0

Abstract

Objective: To document the differences in low birthweight in different population subgroups and to analyze its possible relationship with fetal mortality rates in Spain.

Method: We used the microdata on live births and stillbirths since 1975 to 2020 from the Spanish National Statistics Institute to examine differentials in delivering a low birthweight controlling for different sociodemographic variables and to determine the relationship between low birthweight and fetal mortality. No statistical analysis was necessary beyond the calculation of percentages and rates.

Results: The data at our disposal for Spain confirm the historical increase in the incidence of low birthweight and allow us to link trends in low birthweight with a decrease in the fetal mortality rate. When fetal mortality is high, the incidence of low birthweight is low, given that a natural selection effect takes place.

Conclusions: The surprising historical increase in the incidence of low birthweight in Spain can be explained by the improvement in mortality rates. As more fetuses of lower gestational age are born alive, cases of low birthweight also increase.

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西班牙低出生体重儿比例与胎儿死亡率之间的历史发展关系。

目的记录西班牙不同人口亚群中出生体重不足的差异，并分析其与胎儿死亡率的可能关系：我们利用西班牙国家统计局提供的 1975 年至 2020 年活产和死产的微观数据，在控制不同社会人口变量的情况下，研究了低出生体重儿的差异，并确定了低出生体重儿与胎儿死亡率之间的关系。除了计算百分比和比率外，无需进行统计分析：我们所掌握的西班牙数据证实了低出生体重发生率的历史性增长，并使我们能够将低出生体重的趋势与胎儿死亡率的下降联系起来。当胎儿死亡率较高时，出生体重不足的发生率较低，这是因为自然选择效应的作用：结论：西班牙低出生体重发生率的惊人历史性增长可以用死亡率的提高来解释。随着越来越多胎龄较低的胎儿活产，出生体重不足的病例也随之增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta Sanitaria 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.10

自引率

5.30%

发文量

审稿时长

29 days

期刊介绍： Gaceta Sanitaria (Health Gazette) is an international journal that accepts articles in Spanish and in English. It is the official scientific journal of the Sociedad Española de Salud Publica y Administración Sanitaria (Spanish Society of Public Health and Health Administration) (SESPAS). The Journal publishes 6 issues per year on different areas of Public Health and Health Administration, including: -Applied epidemiology- Health prevention and promotion- Environmental health- International health- Management and assessment of policies and services- Health technology assessments- Health economics. The editorial process is regulated by a peer review system. It publishes original works, reviews, opinion articles, field and methodology notes, protocols, letters to the editor, editorials, and debates.