Characterising and monitoring preconception health in England: a review of national population-level indicators and core data sources.
Characterising and monitoring preconception health in England: a review of national population-level indicators and core data sources.
复制标题
DOI：
10.1017/s2040174421000258
复制
发表时间：
2022-04
影响因子：
1.7
通讯作者：
UK Preconception Partnership
中科院分区：
文献类型：
--
作者：
Schoenaker DAJM;Stephenson J;Connolly A;Shillaker S;Fishburn S;Barker M;Godfrey KM;Alwan NA;UK Preconception Partnership
随着越来越多的人认识到这可能改善育龄妇女和男子的健康和福祉，并优化其子女的健康，正在出现优化孕前健康的举措。为了通报和评价这些举措，需要就描述和监测人口一级孕前健康的指标提供指导。我们检索了相关数据库和网站（2021年3月），以确定国家和国际孕前指南、建议和政策报告。这些被审查，以确定孕前指标。指标与描述英格兰全国人口数据源中记录的指标流行程度的措施保持一致。从22个文件审查，我们确定了66个指标，在12个领域。领域包括更广泛的（社会/经济）健康决定因素;保健;生殖健康和计划生育;健康行为;环境暴露;宫颈检查;免疫接种和感染;心理健康、身体健康;药物;以及遗传风险。66项指标中有64项在至少一项国家常规健康数据集、调查或队列研究中报告。在目前的任何国家数据来源中，都没有确定关于孕前健康评估和护理以及辅助生殖技术使用的措施。三位（医疗保健）专业人士的观点描述了指标评估和监测如何影响患者护理并为宣传活动的发展提供信息。这篇综述为在英国建立一个全国性的孕前健康监测系统奠定了基础。可以利用国家数据来源评估已确定的指标，以确定人口的孕前需求，改善病人护理，通报和评价新的运动和干预措施，并加强负责机构改善孕前健康的问责制。
Initiatives to optimise preconception health are emerging following growing recognition this may improve the health and wellbeing of women and men of reproductive age, and optimise health in their children. To inform and evaluate such initiatives, guidance is required on indicators that describe and monitor population-level preconception health. We searched relevant databases and websites (March 2021) to identify national and international preconception guidelines, recommendations and policy reports. These were reviewed to identify preconception indicators. Indicators were aligned with a measure describing the prevalence of the indicator as recorded in national population-based data sources in England. From 22 documents reviewed, we identified 66 indicators across 12 domains. Domains included wider (social/economic) determinants of health; health care; reproductive health and family planning; health behaviours; environmental exposures; cervical screening; immunisation and infections; mental health, physical health; medication; and genetic risk. Sixty-four of the 66 indicators were reported in at least one national routine health dataset, survey or cohort study. Measures of preconception health assessment and care and assisted reproductive technology use were not identified in any current national data source. Perspectives from three (healthcare) professionals described how indicator assessment and monitoring may influence patient care and inform awareness campaign development. This review forms the foundation for developing a national surveillance system for preconception health in England. The identified indicators can be assessed using national data sources to determine the population’s preconception needs, improve patient care, inform and evaluate new campaigns and interventions, and enhance accountability from responsible agencies to improve preconception health.