现代妇产科进展2024，Vol.33Issue(4)：287-291,5.DOI:10.13283/j.cnki.xdfckjz.2024.04.004
1990至2019年中国宫外孕发病的年龄-时期-队列分析
Age period cohort analysis of ectopic pregnancy incidence in China from 1990 to 2019
摘要
Abstract
Objective:This study analyzed the incidence and changes of ectopic preg-nancy in China from 1990 to 2019,to provide data support for the development of relevant pre-vention and treatment.Methods:The Joinpoint regression was used to analyze the trend of ec-topic pregnancy in China from 1990 to 2019 to estimate the age-period and cohort effects of age-period-cohort model and endogenous factor method.Results:From 1990 to 2019,the incidence and standardized incidence of ectopic pregnancy in China decreased by 53.0%and 46.1%,re-spectively,and the AAPC of standardized incidence in China from 1990 to 2019 was-1.9%(95%CI:-2.8～-0.9),and the incidence trend by age group was 10～14 years old,15～19 years old,20～24 years old,25～29 years old,30～34 years old and 35～39 years old years old,and AAPC was-1.9%(95%CI:-2.3～-1.4),-3.4%(95%CI:-4.3～-2.5),-4.0%(95%CI:-4.7～-3.4),-2.0%(95%CI:-2.8～-1.2)and-1.1%(95%CI:-1.7～-0.5),45～49 years old and 50～54 years old age groups showed an upward trend,AAPC was 0.8%(95%CI:0.1～1.6)and 1.0(95%CI:0.3～1.8),respectively.The age effect showed that the risk was highest in the 25～29 years age group,and the relative risk increased from0.02 to10.96 in25～29 years and then decreased to 0.03 in 50～54 years.The period effect showed that the effect coefficient of onset decreased first and then increased between 1990 and 2019,and the relative risk decreased from 1.12 in 1990-1994 to 0.76 in 2000-2004 and then increased to 1.53 in 2015-2019.The cohort effect showed that the incidence of ectopic pregnancy increased first and then decreased with the backward year of birth,peaking between 1970 and 1979,with a relative risk of onset of 1.62.In 2019,the standardized incidence of ec-topic pregnancy in China was at a low level worldwide,and the change rate of ectopic pregnancy in China from 1990 to 2019 decreased by a high rate worldwide.Conclusion:More layers of a-nalysis of the ectopic pregnancy population can provide favorable scientific basis and data sup-port for local health authorities and relevant health practitioners,in order to reduce the risk of ectopic pregnancy.关键词
宫外孕/发病/Joinpoint回归/年龄-时期-队列模型Key words
Ectopic pregnancy/Incidence/Joinpoint regression/Age-period-cohort model分类
医药卫生引用本文复制引用
孙禹琪,王艳兰,庄忆君..1990至2019年中国宫外孕发病的年龄-时期-队列分析[J].现代妇产科进展,2024,33(4):287-291,5.基金项目
黑龙江省自然科学基金项目(No:YQ2021H021) （No:YQ2021H021）
