Characteristics of the childbearing population in Europe

Characteristics of the childbearing population in Europe
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DOI:
10.1016/j.ejogrb.2003.09.005
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发表时间:
2003-11-28
影响因子:
2.6
通讯作者:
Prati, S
Prati, S
中科院分区:
医学4区
文献类型:
--
作者:
Bréart, G;Barros, H;Prati, S

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目的:报告描述欧洲育龄妇女人口的指标的分布和可获得性,并评估其中两个指标(年龄和多胞胎)的分布差异对某些结果指标的影响。方法:使用来自欧洲数据提供者调查的数据计算6个Peristat人口特征指标。对于产妇年龄和多胞胎,使用间接标准化比率模拟了极端分布对健康结果的影响。结果:基本人口统计指标(年龄、产次、多胞胎)的数据可获得性较好,但社会特征指标(教育、吸烟、出生国)的数据不够完整。此外,公共定义不适用于后者。对产妇年龄对健康结果影响的模拟发现,产妇年龄分布的变化可能导致21三体比率相差近20%,产妇死亡率相差近50%。结论:并不是每个国家都定期收集人口基本特征指标。这些指标的粗略分布对于国际比较至关重要。通过按产妇特征收集健康结果和服务使用情况,将改进对比较数据的解释。(C)2003爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: To report the distribution and availability of the indicators describing the population of childbearing women in Europe and to assess the impact of the difference in the distribution of two of these indicators (age and multiple births) on some outcome indicators. Methods: The six PERISTAT indicators of population characteristics were computed using data from a survey of data providers in Europe. For maternal age and multiple births, the impact on health outcome was simulated for the extremes of the distribution using indirect standardised rates. Results: Data availability is good for basic demographic indicators (age, parity, multiple births), but less complete for indicators of social characteristics (education, smoking, country of birth). Further, common definitions are not used for the latter. Simulations of the impact of maternal age on health outcome found that variation in the maternal age distribution may cause trisomy 21 rates to differ by nearly 20% and maternal mortality ratios by nearly 50%. Conclusion: Indicators of basic population characteristics are not collected routinely in every country. The crude distribution of these indicators is essential for international comparisons. Interpretation of comparative data would be improved by collection of health outcomes and service use by maternal characteristics. (C) 2003 Elsevier Ireland Ltd. All rights reserved.