{"id":"https://openalex.org/W4388833596","doi":"https://doi.org/10.1038/s41598-023-47741-1","title":"Update from a cohort study for birth defects in Hunan Province, China, 2010\u20132020","display_name":"Update from a cohort study for birth defects in Hunan Province, China, 2010\u20132020","publication_year":2023,"publication_date":"2023-11-20","ids":{"openalex":"https://openalex.org/W4388833596","doi":"https://doi.org/10.1038/s41598-023-47741-1","pmid":"https://pubmed.ncbi.nlm.nih.gov/37985789","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10662386"},"language":"en","primary_location":{"id":"doi:10.1038/s41598-023-47741-1","doi":"https://doi.org/10.1038/s41598-023-47741-1","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-023-47741-1","pdf_url":"https://www.nature.com/articles/s41598-023-47741-1.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41598-023-47741-1.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101533852","display_name":"Xu Zhou","orcid":"https://orcid.org/0000-0002-0533-5382","observed_orcids":["https://orcid.org/0000-0002-0533-5382"]},"institutions":[{"id":"https://openalex.org/I4210166238","display_name":"Hunan Provincial Maternal and Child Health Hospital","ror":"https://ror.org/05szwcv45","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210166238"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Xu Zhou","raw_affiliation_strings":["Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China. chzhouxu@163.com","Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China. chzhouxu@163.com","institution_ids":["https://openalex.org/I4210166238"]},{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China","institution_ids":["https://openalex.org/I4210166238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114050122","display_name":"Shenglan Cai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210166238","display_name":"Hunan Provincial Maternal and Child Health Hospital","ror":"https://ror.org/05szwcv45","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210166238"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Shenglan Cai","raw_affiliation_strings":["Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China","institution_ids":["https://openalex.org/I4210166238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100609353","display_name":"Hua Wang","orcid":"https://orcid.org/0000-0001-6178-7108","observed_orcids":["https://orcid.org/0000-0001-6178-7108"]},"institutions":[{"id":"https://openalex.org/I4210132733","display_name":"Hunan Children's Hospital","ror":"https://ror.org/03e207173","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210132733"]},{"id":"https://openalex.org/I4210166238","display_name":"Hunan Provincial Maternal and Child Health Hospital","ror":"https://ror.org/05szwcv45","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210166238"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Hua Wang","raw_affiliation_strings":["National Health Commission Key Laboratory of Birth Defects Research, Prevention and Treatment, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China. wanghua213@aliyun.com","The Hunan Children's Hospital, Changsha, Hunan, China. wanghua213@aliyun.com","Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"National Health Commission Key Laboratory of Birth Defects Research, Prevention and Treatment, Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China. wanghua213@aliyun.com","institution_ids":["https://openalex.org/I4210166238"]},{"raw_affiliation_string":"The Hunan Children's Hospital, Changsha, Hunan, China. wanghua213@aliyun.com","institution_ids":["https://openalex.org/I4210132733"]},{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China","institution_ids":["https://openalex.org/I4210166238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013575976","display_name":"Junqun Fang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210166238","display_name":"Hunan Provincial Maternal and Child Health Hospital","ror":"https://ror.org/05szwcv45","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210166238"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Junqun Fang","raw_affiliation_strings":["Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China. 40112079@qq.com","Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China. 40112079@qq.com","institution_ids":["https://openalex.org/I4210166238"]},{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China","institution_ids":["https://openalex.org/I4210166238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019698232","display_name":"Jie Gao","orcid":"https://orcid.org/0000-0002-4648-7956","observed_orcids":["https://orcid.org/0000-0002-4648-7956"]},"institutions":[{"id":"https://openalex.org/I4210166238","display_name":"Hunan Provincial Maternal and Child Health Hospital","ror":"https://ror.org/05szwcv45","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210166238"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jie Gao","raw_affiliation_strings":["Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China. gaojie712@126.com","Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China. gaojie712@126.com","institution_ids":["https://openalex.org/I4210166238"]},{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China","institution_ids":["https://openalex.org/I4210166238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069500288","display_name":"Haiyan Kuang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210166238","display_name":"Hunan Provincial Maternal and Child Health Hospital","ror":"https://ror.org/05szwcv45","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210166238"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Haiyan Kuang","raw_affiliation_strings":["Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China","institution_ids":["https://openalex.org/I4210166238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100651225","display_name":"Donghua Xie","orcid":"https://orcid.org/0000-0002-5197-1662","observed_orcids":["https://orcid.org/0000-0002-5197-1662","https://orcid.org/0000-0001-6901-7044","https://orcid.org/0009-0006-6076-0337"]},"institutions":[{"id":"https://openalex.org/I4210166238","display_name":"Hunan Provincial Maternal and Child Health Hospital","ror":"https://ror.org/05szwcv45","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210166238"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Donghua Xie","raw_affiliation_strings":["Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China","institution_ids":["https://openalex.org/I4210166238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112889759","display_name":"Jian Mei He","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210166238","display_name":"Hunan Provincial Maternal and Child Health Hospital","ror":"https://ror.org/05szwcv45","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210166238"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jian He","raw_affiliation_strings":["Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China","institution_ids":["https://openalex.org/I4210166238"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100449553","display_name":"Aihua Wang","orcid":"https://orcid.org/0000-0003-3665-8958","observed_orcids":["https://orcid.org/0000-0003-3665-8958"]},"institutions":[{"id":"https://openalex.org/I4210166238","display_name":"Hunan Provincial Maternal and Child Health Hospital","ror":"https://ror.org/05szwcv45","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210166238"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Aihua Wang","raw_affiliation_strings":["Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hunan Provincial Maternal and Child Health Care Hospital, Changsha, Hunan, China","institution_ids":["https://openalex.org/I4210166238"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5013575976","https://openalex.org/A5019698232","https://openalex.org/A5100609353","https://openalex.org/A5101533852"],"corresponding_institution_ids":["https://openalex.org/I4210132733","https://openalex.org/I4210166238"],"apc_list":{"value":2390,"currency":"USD","value_usd":2390},"apc_paid":{"value":2390,"currency":"USD","value_usd":2390},"fwci":2.3501,"has_fulltext":true,"cited_by_count":11,"citation_normalized_percentile":{"value":0.88235348,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":98},"biblio":{"volume":"13","issue":"1","first_page":"20257","last_page":"20257"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12716","display_name":"Congenital Anomalies and Fetal Surgery","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12716","display_name":"Congenital Anomalies and Fetal Surgery","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.011500000022351742,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11833","display_name":"Spinal Dysraphism and Malformations","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/congenital-malformations","display_name":"congenital malformations","score":0.9959999918937683},{"id":"https://openalex.org/keywords/birth-defect-prevalence","display_name":"birth defect prevalence","score":0.9070000052452087},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.8320000171661377},{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.9369999766349792},{"id":"https://openalex.org/keywords/maternal-age","display_name":"maternal age","score":0.996999979019165},{"id":"https://openalex.org/keywords/maternal-characteristics","display_name":"maternal characteristics","score":0.6790000200271606},{"id":"https://openalex.org/keywords/birth-defect-surveillance","display_name":"birth defects surveillance","score":0.5559999942779541},{"id":"https://openalex.org/keywords/hunan-province","display_name":"Hunan Province","score":0.9129999876022339},{"id":"https://openalex.org/keywords/fetal-outcomes","display_name":"fetal outcomes","score":0.3160000145435333},{"id":"https://openalex.org/keywords/sex-ratio-at-birth","display_name":"sex ratio at birth","score":0.5260000228881836},{"id":"https://openalex.org/keywords/urbanization","display_name":"urbanization","score":0.3109999895095825},{"id":"https://openalex.org/keywords/maternal-age-at-delivery","display_name":"maternal age at birth","score":0.328000009059906}],"concepts":[{"id":"https://openalex.org/C2776269092","wikidata":"https://www.wikidata.org/wiki/Q1611074","display_name":"Residence","level":2,"score":0.6708900928497314},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.670535147190094},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6686362624168396},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6657268404960632},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.6251116394996643},{"id":"https://openalex.org/C2776352029","wikidata":"https://www.wikidata.org/wiki/Q4686351","display_name":"Advanced maternal age","level":4,"score":0.4811059832572937},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.45154353976249695},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.4493114650249481},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.446468323469162},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.4464013874530792},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4400272071361542},{"id":"https://openalex.org/C57520943","wikidata":"https://www.wikidata.org/wiki/Q1068155","display_name":"Sex ratio","level":3,"score":0.42786192893981934},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.40842193365097046},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.27443358302116394},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.14417999982833862},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.12089258432388306},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.07298216223716736},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002681","descriptor_name":"China","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008423","descriptor_name":"Maternal Age","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009035","descriptor_name":"Mothers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015995","descriptor_name":"Prevalence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1038/s41598-023-47741-1","doi":"https://doi.org/10.1038/s41598-023-47741-1","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-023-47741-1","pdf_url":"https://www.nature.com/articles/s41598-023-47741-1.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},{"id":"doi:10.21203/rs.3.rs-2901376/v1","doi":"https://doi.org/10.21203/rs.3.rs-2901376/v1","is_oa":true,"landing_page_url":"http://dx.doi.org/10.21203/rs.3.rs-2901376/v1","pdf_url":"https://www.researchsquare.com/article/rs-2901376/latest.pdf","source":{"id":"https://openalex.org/S4306525896","display_name":"Research Square","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Research Square","raw_type":"posted-content"},{"id":"pmh:oai:pubmedcentral.nih.gov:10662386","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10662386","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10662386/pdf/41598_2023_Article_47741.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Sci Rep","raw_type":"Text"},{"id":"pmid:37985789","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37985789","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific reports","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:aad1e15103f542dbbac7179ad5250a1b","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/aad1e15103f542dbbac7179ad5250a1b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Scientific Reports, Vol 13, Iss 1, Pp 1-12 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41598-023-47741-1","doi":"https://doi.org/10.1038/s41598-023-47741-1","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41598-023-47741-1","pdf_url":"https://www.nature.com/articles/s41598-023-47741-1.pdf","source":{"id":"https://openalex.org/S196734849","display_name":"Scientific Reports","issn_l":"2045-2322","issn":["2045-2322"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Scientific Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9922999739646912,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.7307999730110168,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4388833596.pdf","grobid_xml":"https://content.openalex.org/works/W4388833596.grobid-xml"},"referenced_works_count":92,"referenced_works":["https://openalex.org/W36186264","https://openalex.org/W57764193","https://openalex.org/W1179440895","https://openalex.org/W1586919226","https://openalex.org/W1963937979","https://openalex.org/W1972304404","https://openalex.org/W1978155997","https://openalex.org/W1979790610","https://openalex.org/W1981976314","https://openalex.org/W1982188252","https://openalex.org/W1982646609","https://openalex.org/W1983430347","https://openalex.org/W1987044962","https://openalex.org/W2004939791","https://openalex.org/W2012517517","https://openalex.org/W2022735304","https://openalex.org/W2026206241","https://openalex.org/W2042496376","https://openalex.org/W2050248001","https://openalex.org/W2066443028","https://openalex.org/W2069690229","https://openalex.org/W2072962121","https://openalex.org/W2082804521","https://openalex.org/W2083741261","https://openalex.org/W2084701860","https://openalex.org/W2095676497","https://openalex.org/W2116018445","https://openalex.org/W2129976884","https://openalex.org/W2130451476","https://openalex.org/W2131794018","https://openalex.org/W2138615882","https://openalex.org/W2139365533","https://openalex.org/W2145047800","https://openalex.org/W2149911665","https://openalex.org/W2150920161","https://openalex.org/W2153190087","https://openalex.org/W2164191677","https://openalex.org/W2174473925","https://openalex.org/W2195127127","https://openalex.org/W2199208757","https://openalex.org/W2257383410","https://openalex.org/W2466534684","https://openalex.org/W2562759091","https://openalex.org/W2587944265","https://openalex.org/W2589962102","https://openalex.org/W2616884513","https://openalex.org/W2749035741","https://openalex.org/W2788647481","https://openalex.org/W2791559304","https://openalex.org/W2799275489","https://openalex.org/W2800922354","https://openalex.org/W2806846104","https://openalex.org/W2884237615","https://openalex.org/W2885908182","https://openalex.org/W2892485997","https://openalex.org/W2913403767","https://openalex.org/W2918094628","https://openalex.org/W2946065036","https://openalex.org/W2953875223","https://openalex.org/W2955700672","https://openalex.org/W2963543474","https://openalex.org/W2978354941","https://openalex.org/W2981906089","https://openalex.org/W2991982339","https://openalex.org/W2996504080","https://openalex.org/W2999658737","https://openalex.org/W3007133856","https://openalex.org/W3007583982","https://openalex.org/W3008088566","https://openalex.org/W3025012371","https://openalex.org/W3107050274","https://openalex.org/W3112123584","https://openalex.org/W3112273744","https://openalex.org/W3116533883","https://openalex.org/W3119720986","https://openalex.org/W3120853632","https://openalex.org/W3135133116","https://openalex.org/W3152655018","https://openalex.org/W3154142098","https://openalex.org/W3164990598","https://openalex.org/W3193994626","https://openalex.org/W3194979106","https://openalex.org/W4205522883","https://openalex.org/W4210997835","https://openalex.org/W4221123564","https://openalex.org/W4237828627","https://openalex.org/W4247316011","https://openalex.org/W4253570409","https://openalex.org/W4292879138","https://openalex.org/W4306403343","https://openalex.org/W4312680351","https://openalex.org/W6603735893"],"related_works":["https://openalex.org/W2257383410","https://openalex.org/W2360010696","https://openalex.org/W4400010613","https://openalex.org/W4400246662","https://openalex.org/W4394813367","https://openalex.org/W3154142098","https://openalex.org/W4386634180","https://openalex.org/W4403993152","https://openalex.org/W4388630913","https://openalex.org/W2370451886"],"abstract_inverted_index":{"To":[0],"define":[1],"the":[2,29,94,178,195,223,336,363,367,372,393,416,441],"relationship":[3],"between":[4,199,226,376,396],"sex,":[5,67,78,329],"residence,":[6,68,79,330],"maternal":[7,69,81,98,207,235,332,384,405],"age,":[8,70],"and":[9,50,57,72,80,85,108,158,201,222,228,256,274,314,331,341,378,398,437],"a":[10,18],"broad":[11],"range":[12],"of":[13,40,44,55,77,96,105,116,180,338,354,369,419],"birth":[14,41,101,110,117,181,339,355,370,445],"defects":[15,42,111,118,125,182,259,267,288,298,307,317,340,344,356,422],"by":[16,66],"conducting":[17],"comprehensive":[19],"cross-analysis":[20],"based":[21],"on":[22,440],"up-to-date":[23],"data.":[24],"Data":[25],"were":[26,64,90,112,126,251,260,268,276,289,299,308,318],"obtained":[27],"from":[28,423],"Birth":[30,124],"Defects":[31],"Surveillance":[32],"System":[33],"in":[34,129,142,146,159,185,189,197,254,263,271,279,292,302,311,321,335,374,415],"Hunan":[35],"Province,":[36],"China,":[37],"2010-2020.":[38],"Prevalences":[39],"(number":[43],"cases":[45],"per":[46],"10,000":[47],"fetuses":[48,107],"(births":[49],"deaths":[51],"at":[52],"28":[53],"weeks":[54],"gestation":[56],"beyond))":[58],"with":[59,100],"95%":[60,139,155,172,219,246],"confidence":[61],"intervals":[62],"(CI)":[63],"calculated":[65,91],"year,":[71],"23":[73],"specific":[74,258,266,287,297,306,316,343,421],"defects.":[75,102,446],"Cross-analysis":[76,175],"age":[82,208,214,236,241,333,385,391,406,411],"was":[83,119,183,203,380],"conducted,":[84],"crude":[86],"odds":[87],"ratios":[88],"(ORs)":[89],"to":[92,212,239,283,389,409,434],"examine":[93,429],"association":[95],"each":[97],"characteristic":[99],"A":[103],"total":[104],"1,619,376":[106],"30,596":[109],"identified.":[113],"The":[114],"prevalence":[115,179,198,224,368,375,394],"188.94/10,000":[120],"(95%":[121],"CI":[122,140,156,173,220,247],"186.82-191.05).":[123],"more":[127,204,232,252,261,269,277,290,300,309,319,381,402],"frequent":[128,253,262,270,278,291,301,310,320],"males":[130,191,200,377],"than":[131,145,163,188],"females":[132,187,202,379],"(210.46":[133],"vs.":[134,150,167,193],"163.03/10,000,":[135],"OR":[136,152,169],"=":[137,153,170,217,244],"1.30,":[138],"1.27-1.33),":[141],"urban":[143,186,227,280,397],"areas":[144,148,230,400],"rural":[147,190,229,272,399],"(223.61":[149],"162.90/10,000,":[151],"1.38,":[154],"1.35-1.41),":[157],"mothers":[160,164,284,293,303,312,322],"\u2265":[161,323],"35":[162],"25-29":[165],"(206.35":[166],"187.79/10,000,":[168],"1.10,":[171],"1.06-1.14).":[174],"showed":[176],"that":[177,328],"higher":[184],"(194.53":[192],"182.25/10,000),":[194],"difference":[196,225,373,395],"significant":[205,233,382,403],"for":[206,234,366,383,404,444],"<":[209,294,386],"20":[210,387],"compared":[211,238,388,408],"other":[213,240,390,410],"groups":[215,242],"(OR":[216,243],"1.64,":[218],"1.37-1.95),":[221],"is":[231,362,401],"25-34":[237,407],"1.49,":[245],"1.43-1.57).":[248],"Cleft":[249],"palates":[250],"males,":[255],"nine":[257],"females.":[264],"Five":[265],"areas,":[273],"eight":[275],"areas.":[281],"Compared":[282],"25-29,":[285],"five":[286],"20,":[295],"seven":[296],"20-24,":[304],"two":[305],"30-34,":[313],"ten":[315],"35.":[324],"Our":[325,431],"data":[326],"indicate":[327],"differences":[334,414],"prevalences":[337],"most":[342],"are":[345],"common.":[346],"We":[347],"have":[348],"found":[349],"some":[350,420],"new":[351],"epidemiological":[352,417],"characteristics":[353,418],"using":[357],"cross-analysis,":[358],"such":[359],"as":[360],"residence":[361],"determining":[364],"factor":[365],"defects,":[371],"groups,":[392],"groups.":[412],"And":[413],"previous":[424],"studies.":[425],"Future":[426],"studies":[427],"should":[428],"mechanisms.":[430],"findings":[432],"contributed":[433],"clinical":[435],"counseling":[436],"advancing":[438],"research":[439],"risk":[442],"factors":[443]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":7}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2023-11-21T00:00:00"}
