우리나라 광역시 쌍태아 출생률에 관한 연구

박상화; 권경훈; 이시내; 김수범; 서민정; 양원창; 임달오

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자료유형: 학술저널

저자정보: 박상화 (서울대학교 의학연구원 인구의학연구소) 권경훈 (젠딕스㈜) 이시내 (젠딕스㈜) 김수범 (젠딕스㈜) 서민정 (젠딕스㈜) 양원창 (젠딕스㈜) 임달오 (공주대학교)

저널정보: 한국보건정보통계학회 보건정보통계학회지 보건정보통계학회지 제46권 제3호

발행연도: 2021.8

수록면: 362 - 368 (7page)

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Objectives: To analyze the seven metropolitan cities of twin birth rate per 100 births (TBR) from 2000 to 2019 in Korea. Methods: We used the 2000- 2019 birth certificated data (3,949,097 births) of seven metropolitan cities from Statistics Korea. The data of extra-marital birth and information missing cases (maternal and paternal age and triplet birth) were excluded. The odds ratio and 95% confidence intervals were calculated using logistic regression to describe the regional variance of TBR adjusted for maternal age, age difference between couple and maternal educational backgrounds. Results: Dur ing this period (2000-2019 years), the highest TBR by region was observed in Ulsan and Seoul metropolitan city (3.0), and the lowest TBR in Deagu met ropolitan city (2.6). The TBR increased by 275 percent from 1.74 in 2000 to 4.79 in 2019. During the period from 2000-2004 to 2015-2019, there was the highest increment of TBR in Ulsan metropolitan city (odds ratio: 1.78; 95% confidence interval: 1.64-1.92) and Busan metropolitan city (1.74; 1.65-1.83), and the lowest increment in Daegu metropolitan city (1.24; 1.17-1.31), after adjustment by logistic regression for demographic variables. During the period 2015-2019 years, there was a significant increase the odds ratio of TBR in Ulsan metropolitan city (1.39), Busan metropolitan city (1.33), Seoul metropolitan city (1.25) and Incheon metropolitan city (1.23), as compared with the TBR of Deagu metropolitan city. Conclusions: Over the past two decades, TBR have risen dramatically in metropolitan cities of Korea. Regional variance of TBR was observed among metropolitan cities in Korea. There is a need for more research to understand the socio-demographic and medical factors associated with regional differences. The national birth registration system needs to be reformed to monitor whether twin births are spontaneous or assisted pregnancy.

#Twin birth rate #Regional difference #Secular trend of twin birth

참고문헌 (23)

참고문헌 신청

Ko HS / 2018 / Multiple birth rates of Korea and fetal/neonatal/infant mortality in multiple gestation / PLoS One 13(8):e0202318

Chambers GM / 2014 / Hospital costs of multiple-birth and singleton-birth children during the first 5 years of life and the role of assisted reproductive technology / JAMA Pediatr 168(11):1045~1053

Luke B / 2004 / The rise in multiple births in the United States : who, what, when, where, and why / Clin Obstet Gynecol 47(1):118~133

Wright VC / 2007 / Assisted reproductive technology surveillance-United States, 2004 / MMWR 56(6):1~22

Martin JA / 2012 / Three decades of twin births in the United States, 1980-2009 / NCHS Data Brief 80:1~8

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박상화

소속기관 서울대학교 의학연구원 인구의학연구소

주요연구분야 의약학 > 임상의학 > 산부인과학 의약학 > 기초의학 > 예방의학·직업환경의학

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