PDF(Pubmed)
Abstract：
UNASSIGNED: Short birth interval is associated with an increased risk of adverse health outcomes for mothers and children. Despite this, there is a lack of comprehensive evidence on short birth interval in the Asia-Pacific region. Thus, this study aimed to synthesise evidence related to the definition, classification, prevalence, and predictors of short birth interval in the Asia-Pacific region.
UNASSIGNED: Five databases (MEDLINE, Scopus, Cumulative Index to Nursing and Allied Health Literature, Maternity and Infant Care, and Web of Science) were searched for studies published between September 2000 and May 2023 (the last search was conducted for all databases in May 2023). We included original studies published in English that reported on short birth interval in the Asia-Pacific region. Studies that combined birth interval with birth order, used multi-country data and were published as conference abstracts and commentaries were excluded. Three independent reviewers screened the articles for relevancy, and two reviewers performed the data extraction and quality assessment. The risk of bias was assessed using the Joanna Briggs Institute critical appraisal tool. The findings were both qualitatively and quantitatively synthesised and presented.
UNASSIGNED: A total of 140 studies met the inclusion criteria for this review. About 58% (n = 82) of the studies defined short birth interval, while 42% (n = 58) did not. Out of 82 studies, nearly half (n = 39) measured a birth-to-birth interval, 37 studies measured a birth-to-pregnancy, four measured a pregnancy-to-pregnancy, and two studies measured a pregnancy loss-to-conception. Approximately 39% (n = 55) and 6% (n = 8) of studies classified short birth intervals as <24 months and <33 months, respectively. Most of the included studies were cross-sectional, and about two-thirds had either medium or high risk of bias. The pooled prevalence of short birth interval was 33.8% (95% confidence interval (CI) = 23.0-44.6, I2 = 99.9%, P < 0.01) among the studies that used the World Health Organization definition.
UNASSIGNED: This review\'s findings highlighted significant variations in the definition, measurement, classification, and reported prevalence of short birth interval across the included studies. Future research is needed to harmonise the definition and classification of short birth interval to ensure consistency and comparability across studies and facilitate the development of targeted interventions and policies.
UNASSIGNED: PROSPERO CRD42023426975.
UNASSIGNED: Five databases (MEDLINE, Scopus, Cumulative Index to Nursing and Allied Health Literature, Maternity and Infant Care, and Web of Science) were searched for studies published between September 2000 and May 2023 (the last search was conducted for all databases in May 2023). We included original studies published in English that reported on short birth interval in the Asia-Pacific region. Studies that combined birth interval with birth order, used multi-country data and were published as conference abstracts and commentaries were excluded. Three independent reviewers screened the articles for relevancy, and two reviewers performed the data extraction and quality assessment. The risk of bias was assessed using the Joanna Briggs Institute critical appraisal tool. The findings were both qualitatively and quantitatively synthesised and presented.
UNASSIGNED: A total of 140 studies met the inclusion criteria for this review. About 58% (n = 82) of the studies defined short birth interval, while 42% (n = 58) did not. Out of 82 studies, nearly half (n = 39) measured a birth-to-birth interval, 37 studies measured a birth-to-pregnancy, four measured a pregnancy-to-pregnancy, and two studies measured a pregnancy loss-to-conception. Approximately 39% (n = 55) and 6% (n = 8) of studies classified short birth intervals as <24 months and <33 months, respectively. Most of the included studies were cross-sectional, and about two-thirds had either medium or high risk of bias. The pooled prevalence of short birth interval was 33.8% (95% confidence interval (CI) = 23.0-44.6, I2 = 99.9%, P < 0.01) among the studies that used the World Health Organization definition.
UNASSIGNED: This review\'s findings highlighted significant variations in the definition, measurement, classification, and reported prevalence of short birth interval across the included studies. Future research is needed to harmonise the definition and classification of short birth interval to ensure consistency and comparability across studies and facilitate the development of targeted interventions and policies.
UNASSIGNED: PROSPERO CRD42023426975.
摘要：
■短出生间隔与母亲和儿童不良健康结局的风险增加有关。尽管如此,亚太地区缺乏关于短出生间隔的全面证据.因此，这项研究旨在综合与定义相关的证据，分类，患病率,亚太地区出生间隔短的预测因素。
■五个数据库(MEDLINE，Scopus,护理和相关健康文献的累积指数，产妇和婴儿护理，和WebofScience）搜索了2000年9月至2023年5月之间发表的研究（最后一次搜索是在2023年5月对所有数据库进行的）。我们纳入了以英文发表的原始研究，这些研究报告了亚太地区的短出生间隔。结合出生间隔和出生顺序的研究，使用多国数据，并作为会议摘要发表，评论被排除在外。三位独立审稿人筛选了文章的相关性，和两名审查人员进行了数据提取和质量评估。使用JoannaBriggs研究所的关键评估工具评估了偏差的风险。研究结果被定性和定量地综合和呈现。
■共有140项研究符合本综述的纳入标准。大约58%(n=82)的研究定义了短出生间隔，而42%(n=58)没有。在82项研究中，近一半(n=39)测量了出生到出生间隔，37项研究测量了出生到怀孕，四个测量怀孕到怀孕，两项研究测量了怀孕失败到受孕。大约39%(n=55)和6%(n=8)的研究将短出生间隔分为<24个月和<33个月。分别。大多数纳入的研究都是横断面的，约三分之二的人有中等或高偏倚风险.短出生间隔的合并患病率为33.8％（95％置信区间（CI）=23.0-44.6，I2=99.9％，在使用世界卫生组织定义的研究中，P<0.01）。
■这篇评论的发现强调了定义的重大变化，测量,分类，并报告了纳入研究中出生间隔短的患病率。未来的研究需要协调短出生间隔的定义和分类，以确保研究之间的一致性和可比性，并促进有针对性的干预措施和政策的制定。
■PROSPEROCRD42023426975。
■五个数据库(MEDLINE，Scopus,护理和相关健康文献的累积指数，产妇和婴儿护理，和WebofScience）搜索了2000年9月至2023年5月之间发表的研究（最后一次搜索是在2023年5月对所有数据库进行的）。我们纳入了以英文发表的原始研究，这些研究报告了亚太地区的短出生间隔。结合出生间隔和出生顺序的研究，使用多国数据，并作为会议摘要发表，评论被排除在外。三位独立审稿人筛选了文章的相关性，和两名审查人员进行了数据提取和质量评估。使用JoannaBriggs研究所的关键评估工具评估了偏差的风险。研究结果被定性和定量地综合和呈现。
■共有140项研究符合本综述的纳入标准。大约58%(n=82)的研究定义了短出生间隔，而42%(n=58)没有。在82项研究中，近一半(n=39)测量了出生到出生间隔，37项研究测量了出生到怀孕，四个测量怀孕到怀孕，两项研究测量了怀孕失败到受孕。大约39%(n=55)和6%(n=8)的研究将短出生间隔分为<24个月和<33个月。分别。大多数纳入的研究都是横断面的，约三分之二的人有中等或高偏倚风险.短出生间隔的合并患病率为33.8％（95％置信区间（CI）=23.0-44.6，I2=99.9％，在使用世界卫生组织定义的研究中，P<0.01）。
■这篇评论的发现强调了定义的重大变化，测量,分类，并报告了纳入研究中出生间隔短的患病率。未来的研究需要协调短出生间隔的定义和分类，以确保研究之间的一致性和可比性，并促进有针对性的干预措施和政策的制定。
■PROSPEROCRD42023426975。
