中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2009年
12期
1073-1076
,共4页
李月花%王艳萍%代礼%周光宣%梁娟%李琪%朱军
李月花%王豔萍%代禮%週光宣%樑娟%李琪%硃軍
리월화%왕염평%대례%주광선%량연%리기%주군
母亲年龄%人群监测%趋势分析
母親年齡%人群鑑測%趨勢分析
모친년령%인군감측%추세분석
Maternal age%Population surveillance%Trend analysis
目的 了解我国高龄产妇比率的动态变化趋势.方法 采用以医院为基础的出生缺陷监测方法收集资料,对1996-2007年高龄(≥35岁)产妇数进行回顾性分析.对全国及城乡高龄产妇比率分别进行卡方趋势检验,以了解高龄产妇比率的长期变化趋势,并对全国高龄产妇比率进行拟合模型分析.对东、中、西部地区及其城乡的高龄产妇的比率,也分别进行卡方趋势检验.结果 1996-2007年全国460余所医院共监测出生数6 308 594名,其中高龄产妇数354 511名,占5.62%.1996年和2007年高龄产妇比率分别为2.96%(12.508/422 486)和8.56%(66 351/775 333),1996-2007年呈逐年增长趋势(χ~2=45 376.16,P<0.01).城市1996年和2007年高龄产妇比率分别是2.95%(8755/296 975)和7.69%(40 197/522 596),1996-2007年呈逐年增长趋势(χ~2=24 152.86,P<0.01).农村1996年和2007年高龄产妇比率分别是2.99%(3753/125 511)和10.35%(26 154/252 737),1996-2007年呈逐年增长趋势(χ~2=20 809.79,P<0.01).城市高龄产妇比率为5.13%(221 655/4 317 533),农村高龄产妇比率为6.67%(132 856/1 991 061),城乡地区的高龄产妇比率差异有统计学意义(χ~2:1536.260,P<0.01).模型拟合分析得指数模型为ln(y)=ln(2.52)+(0.103×t).我国东部1996年和2(107年高龄产妇比率分别为3.90%和8.81%,中部分别为2.49%和8.56%,西部分别为2.11%和8.21%,东、中、西部地区高龄产妇比率均有逐年增长趋势(χ~2值分别为11 746.87、17 350.21、16 432.68,P值均<0.01).结论 我国总体高龄产妇比率都呈逐年增长趋势,城市高龄产妇比率低于农村.
目的 瞭解我國高齡產婦比率的動態變化趨勢.方法 採用以醫院為基礎的齣生缺陷鑑測方法收集資料,對1996-2007年高齡(≥35歲)產婦數進行迴顧性分析.對全國及城鄉高齡產婦比率分彆進行卡方趨勢檢驗,以瞭解高齡產婦比率的長期變化趨勢,併對全國高齡產婦比率進行擬閤模型分析.對東、中、西部地區及其城鄉的高齡產婦的比率,也分彆進行卡方趨勢檢驗.結果 1996-2007年全國460餘所醫院共鑑測齣生數6 308 594名,其中高齡產婦數354 511名,佔5.62%.1996年和2007年高齡產婦比率分彆為2.96%(12.508/422 486)和8.56%(66 351/775 333),1996-2007年呈逐年增長趨勢(χ~2=45 376.16,P<0.01).城市1996年和2007年高齡產婦比率分彆是2.95%(8755/296 975)和7.69%(40 197/522 596),1996-2007年呈逐年增長趨勢(χ~2=24 152.86,P<0.01).農村1996年和2007年高齡產婦比率分彆是2.99%(3753/125 511)和10.35%(26 154/252 737),1996-2007年呈逐年增長趨勢(χ~2=20 809.79,P<0.01).城市高齡產婦比率為5.13%(221 655/4 317 533),農村高齡產婦比率為6.67%(132 856/1 991 061),城鄉地區的高齡產婦比率差異有統計學意義(χ~2:1536.260,P<0.01).模型擬閤分析得指數模型為ln(y)=ln(2.52)+(0.103×t).我國東部1996年和2(107年高齡產婦比率分彆為3.90%和8.81%,中部分彆為2.49%和8.56%,西部分彆為2.11%和8.21%,東、中、西部地區高齡產婦比率均有逐年增長趨勢(χ~2值分彆為11 746.87、17 350.21、16 432.68,P值均<0.01).結論 我國總體高齡產婦比率都呈逐年增長趨勢,城市高齡產婦比率低于農村.
목적 료해아국고령산부비솔적동태변화추세.방법 채용이의원위기출적출생결함감측방법수집자료,대1996-2007년고령(≥35세)산부수진행회고성분석.대전국급성향고령산부비솔분별진행잡방추세검험,이료해고령산부비솔적장기변화추세,병대전국고령산부비솔진행의합모형분석.대동、중、서부지구급기성향적고령산부적비솔,야분별진행잡방추세검험.결과 1996-2007년전국460여소의원공감측출생수6 308 594명,기중고령산부수354 511명,점5.62%.1996년화2007년고령산부비솔분별위2.96%(12.508/422 486)화8.56%(66 351/775 333),1996-2007년정축년증장추세(χ~2=45 376.16,P<0.01).성시1996년화2007년고령산부비솔분별시2.95%(8755/296 975)화7.69%(40 197/522 596),1996-2007년정축년증장추세(χ~2=24 152.86,P<0.01).농촌1996년화2007년고령산부비솔분별시2.99%(3753/125 511)화10.35%(26 154/252 737),1996-2007년정축년증장추세(χ~2=20 809.79,P<0.01).성시고령산부비솔위5.13%(221 655/4 317 533),농촌고령산부비솔위6.67%(132 856/1 991 061),성향지구적고령산부비솔차이유통계학의의(χ~2:1536.260,P<0.01).모형의합분석득지수모형위ln(y)=ln(2.52)+(0.103×t).아국동부1996년화2(107년고령산부비솔분별위3.90%화8.81%,중부분별위2.49%화8.56%,서부분별위2.11%화8.21%,동、중、서부지구고령산부비솔균유축년증장추세(χ~2치분별위11 746.87、17 350.21、16 432.68,P치균<0.01).결론 아국총체고령산부비솔도정축년증장추세,성시고령산부비솔저우농촌.
Objective To investigate the secular trend of advanced maternal age woman ( ≥35 year-old) in our country. Methods Data on maternal woman at different age were collected at surveillance hospital in Chinese Birth Defects Monitoring Network from 1996 to 2007 and retrospective analysis of the trend of advanced maternal women were carried out. Trend analysis of the advanced maternal age in urban and rural areas of west, middle and east areas was also conducted. Chi-square test was applied to test the differences and the fitting model analysis was also applied. Results A total of 6 308 594 parturient woman were monitored, included 354 511 woman (5.62%) of advanced maternal age. In 1996 and 2007, the proportion of the advanced maternal woman were 2.96% (12 508/422 486) and 8.56% (66 351/775 333) , respectively. It showed an increasing trend for the national woman proportion of advanced maternal age from 1996 to 2007 (χ~2 =45 376. 16,P<0. 01). In city, the proportion of advanced maternal age woman were 2. 95% (8755/296 975) and 7. 69% (40 197/522 596) in 1996 and 2007, respectively. In rural region, the proportion of advanced maternal age woman were 2. 99% (3753/125 511) and 10. 35% (26 154/252 737)in 1996 and 2007, respectively. It showed increasing both in city and rural areas(χ_(city)~2=24 152.86,P<0.01;χ_(rural)~2=20809.79, P<0. 01). And the proportions in urban area and rural area were 5. 13% ( 221 655/4 317 533) and 6. 67% (132 856/1 991 061), the proportions difference was significant in statistics (χ~2 =1536. 260,P<0.01). An Exponential model was established, In ( Y)=ln(2.52)+(0.103×t). In east areas, the proportion were 3.90% and 8.81% in 1996 and 2007, respectively, in middle areas the respective proportions were 2. 49% and 8. 56% , in west areas were 2. 11 % and 8. 21 % . They all showed increasing trend in proportion of advanced maternal age from 1996 to 2007 year in east areas, middle areas and west areas(χ_(east)~2, = 11 746. 87 ,P<0.01;χ_(middle)~2 = 17 350. 21 ,P<0. 01;χ_(west)~2 = 16 432. 68,P <0. 01). But the proportions of city and rural were different in those areas. Conclusion The proportion of advanced maternal woman had secular increasing trend and the rates were lower in city than in rural areas.
