Spatiotemporal trends and ecological determinants in maternal mortality ratios in 2,205 Chinese counties, 2010-2013: A Bayesian modelling analysis.
Junming LiJuan LiangJinfeng WangZhoupeng RenDian YangYanping WangYi MuXiaohong LiMingrong LiYuming GuoJun ZhuPublished in: PLoS medicine (2020)
Although China has accomplished a 75% reduction in the MMR, spatial heterogeneity still exists. In this study, we have identified 925 (hotspot) high-risk counties, mostly located in western and southwestern regions, and among which 332 counties are experiencing a slower pace of decrease than the national downward trend. Nationally, medical intervention is the major determinant. The major determinants for the MMR in western and southwestern regions, which are developing areas, are PCI and PPWFC, while that in China's developed areas is PCI. The interactive influence of any two of the three factors, PCI, PPWDH, and PPWFC, in western and southwestern regions was up to and in excess of 80% (p < 0.001).
Keyphrases
- percutaneous coronary intervention
- coronary artery disease
- acute myocardial infarction
- acute coronary syndrome
- south africa
- antiplatelet therapy
- st segment elevation myocardial infarction
- st elevation myocardial infarction
- atrial fibrillation
- randomized controlled trial
- cardiovascular events
- coronary artery bypass grafting
- healthcare
- single cell
- quality improvement
- climate change
- type diabetes
- risk assessment
- risk factors
- physical activity
- pregnant women
- coronary artery bypass