婚前保健服务对出生缺陷的影响研究——以广西为例

 
投稿时间: 2015-11-04  最后修改时间: 2016-02-26  摘要点击次数: 1953  全文下载次数: 6
 
引用本文:杨婷, 王芳, 衡驰,等.婚前保健服务对出生缺陷的影响研究——以广西为例[J].中国卫生政策研究,2016,9(5):8-12
杨婷1,2, 王芳2, 衡驰1,2, 吕剑楠1,2, 宋秋霞1,2, 丁雪2, 陈永超2, 宋莉3, 刘颖3
1. 北京协和医学院 北京 100730;
2. 中国医学科学院医学信息研究所 卫生政策与管理研究中心 北京 100020;
3. 国家卫生计生委妇幼健康服务司 北京 100191
基金项目:2015年国家卫生和计划生育委员会委托重点项目
 
 摘要:目的:以广西为例探讨婚前保健服务对出生缺陷发生的影响,为推动婚检工作提供参考。方法:收集广西2000—2014年婚检率、出生缺陷发生率等相关数据,利用SPSS18.0统计软件进行描述性分析、等级相关分析和时间序列协相关分析。结果:随着婚检率的升高,出生缺陷发生率及神经管畸形、总唇裂、胎儿水肿综合征发生率降低。婚检具有后继效应,即婚检率越高,次年的先天性心脏病、神经管畸形发生率越低。结论:婚检与出生缺陷发生密切相关,对提高出生人口素质有重要作用,应重视与加强婚检工作,以改善拟婚人群健康状况,减少出生缺陷的发生。 
  关键词:婚前保健服务  出生缺陷  影响
 
Effects of premarital healthcare services on birth defects: A case study of Guangxi province
YANG Ting1,2, WANG Fang2, HENG Chi1,2, LV Jian-nan1,2, SONG Qiu-xia1,2, DING Xue2, CHEN Yong-chao2, SONG Li3, LIU Ying3
1. Peking Union Medical College, Beijing 100730, China;
2. Center for Health Policy and Management, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China;
3. Department of maternal and Child Health, National Health and Family Planning Commission, Beijing 100191, China
 
 Abstract:Objective: To discuss the effects of premarital health care services on birth defects in order to provide some references for promoting the premarital policy. Methods: The rate of premarital healthcare and the incidence of birth defects and other relevant data during the period from 2000 to 2014 were collected in Guangxi province using SPSS18.0 statistical software to carry out descriptive analysis, rank correlation analysis and time series analysis of the relevant collected data. Results: With the increase in premarital healthcare rate, the incidence of birth defects, neural tube defects, cleft lip and fetal edema syndrome decreased. Having a premarital subsequent effect, the higher the premarital healthcare rate, the lower of the incidence of the congenital heart disease and neural tube defects in the next year. Conclusion: The premarital healthcare services play an important role in reduction of birth defects and people's health quality improvement. As a suggestion, more attention should be paid to premarital healthcare services and strengthen them, intended to improve people's health and reduce birth defects incidence. 
 keywords:Premarital healthcare services  Birth defects  Effect