To investigate the association between Li ethnicity and the risk of delivering small for gestational age(SGA).
Based on data from 1 472 940 live births recorded in the Hainan Provincial Birth Certificate System between 2010 and 2021, generalized linear models were employed to analyze the associations between different combinations of Han and Li parental ethnicity and the risk of SGA and its subtypes. Statistical interactions were assessed to examine the influence of demographic characteristics and perinatal factors on these associations.
The SGA rate among Li parents was 22.99%,followed by Li father/Han mother (17.96%) and Han father/Li mother pairs (16.22%), all significantly higher than that of Han pairs (15.05%, P<0.001). The patterns for different SGA subtypes were generally consistent with the overall trend. Adjusted models showed a graded increase in SGA risk relative to Han pairs: Han father/Li mother (RR=1.041, 95% CI: 1.026-1.057), Li father/Han mother (RR=1.115, 95% CI: 1.094-1.136) and Li pairs (RR=1.385, 95% CI: 1.371-1.400). Multiplicative interaction models showed the association was significantly modified by parental age, multiplicity, residence, neonatal sex, and delivery hospital (P<0.05).
Our findings suggest that Li ethnicity may be an independent risk factor for SGA.Targeted interventions and optimized perinatal care tailored to the Li population are needed to improve maternal and infant health outcomes.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |