湖北省新生儿早产空间格局及影响因素分析  

Spatial pattern and influencing factors of neonatal preterm birth in Hubei province

作　　者：王颖霜 程杨 冯玲 王少帅 杨淼 WANG Yingshuang;CHENG Yang;FENG Ling;WANG Shaoshuai;YANG Miao(Faculty of Geographical Science,Beijing Normal University,Beijing 100875,China;Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan,Hubei 430030,China)

机构地区：[1]北京师范大学地理科学学部,北京100875 [2]华中科技大学同济医学院附属同济医院妇产科,湖北武汉430030

出　　处：《中国优生与遗传杂志》2022年第11期1903-1909,共7页Chinese Journal of Birth Health & Heredity

基　　金：国家自然科学基金面上项目(41671497)。

摘　　要：目的 通过探讨湖北省新生儿早产率的空间格局及影响因素,为湖北省制定相关政策提供指导。方法 利用地区生育特征、社会经济和自然环境三方面数据,借助混合层级区划(MLR)方法,刻画湖北省早产率的空间布局,并利用普通最小二乘法回归(OLS)、地理加权回归(GWR)相结合,以及地理探测器检验早产率的影响因素。结果 湖北省武汉市及周边地区早产率较高,为该省早产率热点区;高龄产妇占比、非单胎占比在OLS与GWR以及地理探测器的分析结果中均为显著变量,且与早产率呈正相关。人均国内生产总值(GDP)、第一产业占比和空气质量指数(AQI)在OLS与GWR中为显著变量,新生儿性别比、人均医生数和归一化植被指数(NDVI)在地理探测器中为显著变量。由于湖北省的区域差异较大,这些显著变量在不同区域呈现不同影响。结论 湖北省各地应根据地方特点制定适应的卫生政策,关注孕产妇健康,促进医疗资源合理布局,提升生育服务质量。Objective The spatial pattern and influencing factors of newborn preterm birth rate are analyzed to provide evidence for policy-making in Hubei province. Methods In this study, the spatial distribution of preterm birth rate in Hubei province is characterized by using the MLR method, and the factors influencing preterm birth rate are examined by OLS,GWR and Geo-detector. Results The results show that the preterm birth rate is high in Wuhan and its surrounding areas, where is the hot spot of preterm birth rate in Hubei province. The results of influencing factors show that the proportion of advanced maternal age and non-single births are significant variables in OLS, GWR and Geo-detector, and are positively correlated with the rate of preterm birth. In addition, GDP per capita, the proportion of primary industry and AQI are significant variables in OLS and GWR, while the sex ratio of newborns, the number of doctors per capita and NDVI are significant variables in the results analyzed by Geo-detector, which have different effects on preterm birth rate in various regions. Conclusion All regions of Hubei province should develop corresponding policies according to their conditions, improve maternal health services, and promote the rational allocation of health care resources.

关 键 词：早产 空间格局 影响因素 湖北省 

分 类 号：R174[医药卫生—妇幼卫生保健]