COVID-19 大流行对瑞典南部出生和人工流产的影响:一项基于登记的研究。

IF 3.4 3区 医学 Q1 FAMILY STUDIES
Jesse D Thacher, Andreas Vilhelmsson, Annelise J Blomberg, Lars Rylander, Anna Jöud, Lone Schmidt, Charlotte Ørsted Hougaard, Eva Elmerstig, Ditte Vassard, Kristina Mattsson
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引用次数: 0

摘要

背景:大流行与出生率下降有关,但人们对 COVID-19 大流行如何影响生育决定知之甚少。我们旨在调查 COVID-19 大流行与生育决定之间的关联,特别是确定瑞典斯科纳地区分娩和人工流产频率的潜在变化:我们利用斯科纳省医疗保健登记册,确定了在 2013 年 1 月 1 日至 2021 年 11 月 11 日期间至少接受过一次与妊娠相关的就诊登记的 15-45 岁女性。我们对分娩和人工流产进行了识别,并采用间断时间序列设计对每周分娩和人工流产次数的变化进行了评估。根据泊松回归模型估算出相对风险 (RR) 和 95% 置信区间 (CI):在研究期间,我们确定了 129 131 例分娩和 38 591 例流产。与反事实(假设 COVID-19 没有发生的暴露区间)相比,大流行与较少的分娩相关(RR 0.93;95% CI 0.89 至 0.98)。就流产而言,接触大流行似乎与较少的流产有关(RR 0.95;95% CI 0.90 至 1.00);但也发现了与年龄有关的差异。在 25 岁及以上的妇女中,感染大流行病与流产次数减少的关系更为密切。与此相反,在 25 岁以下的妇女中,人工流产似乎有所增加:结论:COVID-19 大流行似乎导致了瑞典南部出生率的下降。在同一时期,高龄妇女的堕胎率有所下降,但年轻妇女的堕胎率却有所上升。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of the COVID-19 pandemic on births and induced abortions in Southern Sweden: a register-based study.

Background: Pandemics are linked with declining birth rates, but little is known about how the COVID-19 pandemic has influenced childbearing decisions. We aimed to investigate the associations between the COVID-19 pandemic and reproductive decisions, specifically to identify potential changes in the frequency of deliveries and induced abortions in Skåne, Sweden.

Methods: Using the Skåne Healthcare Register, we identified women aged 15-45 years who had at least one pregnancy-related care visit registered between 1 January 2013 and 11 November 11 2021. Deliveries and induced abortions were identified, and changes in weekly delivery and abortion counts were assessed using an interrupted time series design. Relative risks (RRs) and 95% confidence intervals (CIs) were estimated from a Poisson regression model.

Results: During the study period we identified 129 131 deliveries and 38 591 abortions. Compared with the counterfactual (exposed interval assuming COVID-19 had not occurred), pandemic exposure was associated with fewer deliveries (RR 0.93; 95% CI 0.89 to 0.98). For abortions, pandemic exposure appeared to be associated with fewer abortions (RR 0.95; 95% CI 0.90 to 1.00); however, age-related differences were found. Among women aged 25 years and over, pandemic exposure was more strongly associated with fewer abortions. Contrastingly, among women aged under 25 years, abortions appeared to increase.

Conclusions: The COVID-19 pandemic seemed to have contributed to a decline in births in Southern Sweden. During the same period, abortions declined in women in the older age range, but contrastingly increased among younger women.

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来源期刊
BMJ Sexual & Reproductive Health
BMJ Sexual & Reproductive Health Medicine-Reproductive Medicine
CiteScore
5.10
自引率
6.10%
发文量
38
期刊介绍: BMJ Sexual & Reproductive Health is a multiprofessional journal that promotes sexual and reproductive health and wellbeing, and best contraceptive practice, worldwide. It publishes research, debate and comment to inform policy and practice, and recognises the importance of professional-patient partnership.
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