Pre-pregnancy health risk analysis of rural population of childbearing age in Yunnan Province from 2010 to 2019
10.3760/cma.j.cn101441-20220829-00361
- VernacularTitle:2010—2019年云南省农村育龄人群孕前健康风险分析
- Author:
Tao WANG
1
;
Hanfeng YE
1
Author Information
1. 云南省人口和计划生育科学技术研究所 西部孕前优生重点实验室，昆明 650021
- Publication Type:Journal Article
- Keywords:
Healthy birth before pregnancy;
Health risks;
Temporal, spatial and population distribution;
Healthy Yunnan
- From:
Chinese Journal of Reproduction and Contraception
2023;43(10):1062-1067
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the disease and health status of rural population of childbearing age in Yunnan, and to obtain the temporal, spatial and population distribution data of health risks of pre-pregnancy population.Methods:The temporal, spatial and population distribution of health risk factors of 1 445 656 rural couples who participated in free pre-pregnancy health examination in Yunnan Province from 2010 to 2019 was analyzed statistically.Results:From 2010 to 2019, among the rural population of childbearing age in Yunnan Province, the risk of wife's childbearing age increased year by year (linear by linear association value 5 175.82, P<0.001). The emaciation rate was the opposite (linear by linear association value 503.43, P<0.001). The rate of overweight in husbands and wives increased gradually (husbands linear by linear association value 6 358.09, P<0.001; wives linear by linear association value 4 947.09, P<0.001). The rate of contraceptive use between births declined year by year (linear by linear association value 40 389.67, P<0.001). There were significant differences in the rates of overweight, smoking, drinking, prevalence of hypertension, anti-hepatitis B positive, syphilis positive and the risk of diabetes, thalassaemia, environmental exposure and infertility risk in 16 cities of Yunnan Province (all Chi-square test P<0.05). In terms of population distribution, the higher the number of pregnancy, the higher the health risk before pregnancy. The poorer the economy was, the higher of the risks of childbearing age, the positive rate of hepatitis B and syphilis, the risk of thalassemia and infertility. The richer the economy was, the higher of the rates of overweight, environmental exposure, and smoking and drinking in men (all linear by linear association P<0.05). Conclusion:We need to attach great importance to the development trend of overweight, obesity, and strengthen the promotion and guidance of contraception and birth control. Rural revitalization should pay attention to the spread of hepatitis B and syphilis in backward areas. The allocation of comprehensive prevention and control resources for thalassemia need to be tilted towards high-risk areas in southern Yunnan. It is necessary to accurately prevent and control reproductive health risks before pregnancy, promote the transformation of projects to timely, continuous, complete, and systematic services, and block the intergenerational transmission of diseases.
