新生儿早产的全球负担：2019年全球疾病负担研究的系统分析。

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-01-01 DOI:10.1016/j.puhe.2024.10.029

Qing Hu , Hua Liao , Haiyan Yu

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引用次数: 0

摘要

研究目的为了填补关于新生儿早产对全球影响的研究空白，本研究旨在详细分析 1990 年至 2019 年期间新生儿早产的发病率和死亡率，捕捉这一期间疾病负担的演变过程：我们分析了 204 个国家的 2019 年全球疾病负担研究数据，以评估 1990 年至 2019 年新生儿早产的年龄标准化发病率、流行率、死亡率和残疾调整寿命年数，以及 EPAC 和风险因素：1990年至2019年，0-6天新生儿死亡的EPAC为-1.75%，DALY为-1.75%。5岁以下死亡的EPAC为-2.23%，残疾调整寿命年数为-2.19%。新生儿早产残疾调整寿命年数的主要风险因素包括低出生体重、胎龄、环境空气污染和固体燃料造成的家庭污染：早产显著增加了 0-6 天和 5 岁以下新生儿的风险。我们的研究表明，这些时期的疾病负担较重。减少家庭和环境空气污染等预防策略对于减少早产至关重要。有针对性的区域干预措施至关重要。

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Global burden of neonatal preterm birth: A systematic analysis for the global burden of disease study 2019

Objectives

Addressing the research gap on neonatal preterm birth's global impact, this study aims to present a detailed analysis of its incidence and mortality rates from 1990 to 2019, capturing the disease burden's evolution during this timeframe.

Methods

We analyzed Global Burden of Disease Study 2019 data across 204 countries to assess age-standardized incidence, prevalence, mortality, and DALYs for neonatal preterm birth from 1990 to 2019, along with EPAC and risk factors.

Results

From 1990 to 2019, EPAC for neonatal death at 0–6 days was −1.75 %, and DALYs was −1.75 %. For deaths under 5 years, EPAC was −2.23 %, and DALYs was −2.19 %. Key risk factors for neonatal preterm birth DALYs included low birth weight, gestational age, ambient air pollution, and household pollution from solid fuels.

Conclusions

Preterm birth notably increases neonatal risks at 0–6 days and under 5 years. Our study shows diseased disease burdens in these periods. Preventive strategies, such as reducing household and ambient air pollution, are crucial for preterm birth reduction. Tailored regional interventions are essential.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.