ArticleReproductive health2018
Temporal trends of preterm birth in Shenzhen, China: a retrospective study.
Article in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Incidence and trend of preterm birth in China, 1990-2016: a systematic review and meta-analysis.BMJ open · 2020Pooled it
- Physical growth and neurodevelopmental indicators at corrected 6 months of age in preterm infants born at 22-32 weeks gestation: a single-center study.BMC pediatrics · 2025Article
- Secular trends of low birth weight, preterm birth, and small for gestational age in Shanghai from 2004 to 2020: an age-period-cohort analysis.BMC pregnancy and childbirth · 2023Article
- [Physical growth and neurodevelopment of preterm infants at the corrected age of 18-24 months].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023Article
- Secular trends and age-period-cohort effect on adverse perinatal outcomes in Hubei, China (2011-2019).Scientific reports · 2022Article
- Analysis of risk factors related to extremely and very preterm birth: a retrospective study.BMC pregnancy and childbirth · 2022Article
- Changes in the live birth profile in Henan, China: A hospital registry-based study.Birth (Berkeley, Calif.) · 2022Article
- Impact of maternal age on neonatal outcomes among very preterm infants admitted to Chinese neonatal intensive care units: a multi-center cohort study.Translational pediatrics · 2022Article
- Stillbirth trends by maternal sociodemographic characteristics among a large internal migrant population in Shenzhen, China, over a 10-year period: a retrospective study.BMC public health · 2022Article
- [A multicenter study of the birth condition of preterm infants and the causes of preterm birth in Henan Province, China].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021Article
- Risk Factors Associated With Renal and Urinary Tract Anomalies Delineated by an Ultrasound Screening Program in Infants.Frontiers in pediatrics · 2021Article
- Ten-year time trends in preterm birth during a sociodemographic transition period: a retrospective cohort study in Shenzhen, China.BMJ open · 2020Article
- Peptidome analysis of umbilical cord mesenchymal stem cell (hUC-MSC) conditioned medium from preterm and term infants.Stem cell research & therapy · 2020Article
- Impact of theOpen access Macedonian journal of medical sciences · 2019Article
- H1N1 Infection in Pregnancy; A Retrospective Study of Feto-Maternal Outcome and Impact of the Timing of Antiviral Therapy.Mediterranean journal of hematology and infectious diseases · 2019Article
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Authors and funding
11 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundPreterm birth is the leading cause of child mortality under 5 years of age. Temporal trends in preterm birth rates are highly heterogeneous among countries and little information exists for China. To address this data gap, we investigated annual changes in preterm birth incidence rate and explored potential determinants of these changes in Shenzhen, China.
methodsA total of 1.4 million live births, during 2003-2012, were included from the Shenzhen birth registry. Negative-binominal regression models were used to estimate the annual percent changes in incidence. To identify the potential determinants behind temporal trends, we estimated the contribution of each changing risk factor to changes in rate by calculating the difference in population-attributable risk fraction.
resultsAnnual preterm birth incidence rates increased by 0.94% (95% CI 0.30%, 1.58%) overall, 3.60% (95% CI 2.73%, 4.48%) for medically induced, and 3.13% (95% CI 1.01%, 5.31%) for preterm premature rupture of membranes, but decreased by 2.34% (95% CI 1.62%, 3.06%) for spontaneous preterm labor. Higher maternal educational attainment (0.20 rate increase), lower proportion of inadequate prenatal care (0.15 rate reduction), more multipara (0.08 rate reduction), decreased proportion of preeclampsia or eclampsia (0.05 rate reduction), and larger proportion of young and older pregnant women (0.04 rate increase) were significant contributors to the overall change over time. Contributions of changing risk factors were different between preterm birth subtypes.
conclusionsPreterm birth rate in Shenzhen, China increased overall during 2003-2012, although trends varied across three preterm birth subtypes. The rising rates were associated with changes in maternal education and age.
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