Gastroschisis Trends and Ecologic Link to Opioid Prescription Rates — United States, 2006–2015
| Autor: | Erin B. Stallings, Kirstan Duckett, Jennita Reefhuis, Jamie Kim, Jennifer Isenburg, Katherine Zielke, Jing Shi, Kristen St John, Sook Ja Cho, Tyiesha D Short, Carolina Clark, My-Phuong Huynh, Tri Manh Tran, Nina E Forestieri, Leslie A. O'Leary, Deborah J. Fox, Mahsa M. Yazdy, Xiaoli Chen, Emily Ferrell, Jane Fornoff, Norm Nelson, Brennan Martin, Colin Benusa, Glenda M Ramirez, Michele K. Bohm, Mary K. Ethen |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Health (social science) Epidemiology Health Toxicology and Mutagenesis Population Ecological and Environmental Phenomena Mothers Drug Prescriptions Young Adult 03 medical and health sciences Age Distribution 0302 clinical medicine Health Information Management Pregnancy Risk Factors 030225 pediatrics Ethnicity Prevalence medicine Humans Full Report 030212 general & internal medicine Medical prescription Young adult education Gastroschisis education.field_of_study Obstetrics Genitourinary system business.industry Public health Racial Groups Infant Newborn General Medicine medicine.disease United States Confidence interval Analgesics Opioid Prenatal Exposure Delayed Effects Female business |
| Zdroj: | Morbidity and Mortality Weekly Report |
| ISSN: | 1545-861X 0149-2195 |
| Popis: | Prevalence of gastroschisis, a serious birth defect of the abdominal wall resulting in some of the abdominal contents extending outside the body at birth, has been increasing worldwide (1,2). Gastroschisis requires surgical repair after birth and is associated with digestive and feeding complications during infancy, which can affect development. Recent data from 14 U.S. states indicated an increasing prevalence of gastroschisis from 1995 to 2012 (1). Young maternal age has been strongly associated with gastroschisis, but research suggests that risk factors such as smoking, genitourinary infections, and prescription opioid use also might be associated (3-5). Data from 20 population-based state surveillance programs were pooled and analyzed to assess age-specific gastroschisis prevalence during two 5-year periods, 2006-2010 and 2011-2015, and an ecologic approach was used to compare annual gastroschisis prevalence by annual opioid prescription rate categories. Gastroschisis prevalence increased only slightly (10%) from 2006-2010 to 2011-2015 (prevalence ratio = 1.1, 95% confidence interval [CI] = 1.0-1.1), with the highest prevalence among mothers aged |
| Databáze: | OpenAIRE |
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