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上海市全人群出生队列的创建及概况

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[目的]介绍上海市全人群出生队列的基本设计思路、建设方案和建设目标,以及队列收集的主要数据和入组人群的基线特征,为未来生殖和健康相关领域研究提供重要信息参考.[方法]上海市全人群出生队列以2005年1月1日为起点,纳入每年在上海出生的新生儿及其父母,运用信息化数据链接技术,结合现场调查的方式,收集生殖健康、生殖治疗、出生特征、生长发育状况,以及疾病的发病、治疗和死亡等信息,形成全生命周期的出生队列.[结果]截至2022年10月,共纳入2 978 538名出生儿童及其父母,其中自然受孕子代2 905 135(97.54%)人,辅助生殖子代73 403(2.46%)人.辅助生殖治疗夫妇中,女性平均年龄为(32.56±4.12)岁,男性为(34.62±5.34)岁,高于自然受孕夫妇的(28.02±4.71)岁和(30.07±5.54)岁.辅助生殖治疗夫妇中≥30岁的女性和男性占比分别为77.12%和85.08%,高于自然受孕夫妇的35.28%和49.66%.大学及以上学历占比分别为73.23%和73.66%,高于自然受孕夫妇的49.98%和50.91%.辅助生殖子代多胎占比33.81%,高于自然受孕子代的1.88%.子代早产、低出生体重发生率分别为24.47%和19.08%,高于自然受孕子代的5.47%和3.73%.[结论]上海市全人群出生队列全面收集在上海出生的新生儿及其父母的生殖和健康相关信息,可为研究生命早期遗传、环境、生殖治疗等因素相互作用是否对后代健康产生影响提供重要信息参考.
Design and baseline characteristics of a population-based birth cohort in Shanghai
[Objective]To introduce the basic design,development plan and objectives of a population-based birth cohort in Shanghai,and further present the main data and baseline characteristics of enrolled participants in the cohort,and to provide key information for reproductive health-related studies.[Methods]The Shanghai population-based birth cohort initiated on January 1,2005,included newborns born in Shanghai every year and their parents,and collected information on reproductive health,reproductive treatment,birth characteristics,growth and development status,as well as the incidence,treatment and death of diseases by employing data linkage technology and investigations.This formed a birth cohort spanning the entire life cycle.[Results]As of October 2022,a total of 2 978 538 newborns and their parents were included in the cohort.Among them,2 905 135(97.54%)were naturally conceived(NC),and 73 403(2.46%)were born through assisted reproductive technologies(ART).The average age of parents was(32.56±4.12)years old for females and(34.62±5.34)years old for males in the ART group,which was higher than(28.02±4.71)years and(30.07±5.54)years for parents in the NC group.Among parents,females and males aged 30 and above accounted for 77.12%and 85.08%,respectively,which were higher than that of parents(35.28%for females and 49.66%for males)in the NC group.Furthermore,the percentage of parents with a college degree or above in the ART group was 73.23%for females and 73.66%for males,which were higher than those in the NC group(49.98%and 50.91%,respectively).The multiple births rate in the ART group was 33.81%,which was higher than that in the NC group(1.88%).The incidence of premature birth and low birth weight in the ART group were 24.47%and 19.08%,respectively,which was higher than that in the NC group(5.47%and 3.73%).[Conclusion]The comprehensive collection of reproductive health-related information in the birth cohort in Shanghai can provide essential resources to determine the influence of genetics,environment,reproductive treatment and other related factors on the health of offspring after birth.

birth cohortreproductive healthassisted reproductive technologynatural conceptioninformation technologybaseline characteristic

虞慧婷、崔欣、梁舟、蔡任之、陈岚、钱耐思、林维晓、晋珊、王春芳、付晨

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上海市疾病预防控制中心疾病预防控制信息所,上海 200336

复旦大学公共卫生学院,上海 200032

上海市卫生健康统计中心,上海 200040

上海市第九人民医院辅助生殖中心,上海 201999

上海市松江区疾病预防控制中心,上海 201620

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出生队列 生殖健康 辅助生殖技术 自然受孕 信息技术 基线特征

国家自然科学基金项目上海市"科技创新行动计划"技术标准项目上海市疾病预防控制青年骨干人才培养项目上海市卫生健康委员会卫生行业临床研究专项

8200348622DZ220600022QNGG1020214Y0492

2024

上海预防医学
上海市预防医学会

上海预防医学

CSTPCD
影响因子:0.615
ISSN:1004-9231
年,卷(期):2024.36(1)
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