The mother’s risk of premature death after child loss across two centuries

The mother’s risk of premature death after child loss across two centuries
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两个世纪以来母亲因失去孩子而过早死亡的风险

DOI:
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发表时间:
2019
期刊:
影响因子:
7.7
通讯作者:
K. Stefánsson
K. Stefánsson
中科院分区:
生物学1区
文献类型:
--
作者:
U. Valdimarsdóttir;D. Lu;S. Lund;K. Fall;F. Fang;Þórður Kristjánsson;Daníel F. Guðbjartsson;A. Helgason;K. Stefánsson

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在当代富裕人群中,虽然孩子夭折这种罕见情况伴随着父母预期寿命的降低,但它在儿童死亡率较高的发展中社会的影响尚不明确。我们确定了1800年至1996年在冰岛出生的所有父母,并将47711名失去孩子的父母的死亡率与他们未失去孩子的兄弟姐妹(共126342人)的死亡率进行了比较。经历孩子夭折的父母比例从1800年至1880年出生的父母中的61.1%下降到1930年之后出生的父母中的5.2%。在所有父母出生队列中,孩子夭折一直与母亲在50岁之前死亡率的增加有关,但与父亲无关;母亲死亡率的相对增加幅度在1800年至1930年出生的母亲中为35%,在1930年之后出生的母亲中为64%。即使在婴儿死亡率较高的时期,孩子的夭折也对年轻母亲的生存构成威胁。
While the rare occurrence of child loss is accompanied by reduced life expectancy of parents in contemporary affluent populations, its impact in developing societies with high child mortality rates is unclear. We identified all parents in Iceland born 1800–1996 and compared the mortality rates of 47,711 parents who lost a child to those of their siblings (N = 126,342) who did not. The proportion of parents who experienced child loss decreased from 61.1% of those born 1800–1880 to 5.2% of those born after 1930. Child loss was consistently associated with increased rate of maternal, but not paternal, death before the age of 50 across all parent birth cohorts; the relative increase in maternal mortality rate ranged from 35% among mothers born 1800–1930 to 64% among mothers born after 1930. The loss of a child poses a threat to the survival of young mothers, even during periods of high infant mortality rates.
DOI: 10.1016/j.ahj.2013.07.031
发表时间: 2013-11
影响因子: 4.8
作者:
Edmondson D;Kronish IM;Shaffer JA;Falzon L;Burg MM
通讯作者: Burg MM