{"id":"https://openalex.org/W7225271106","doi":"https://doi.org/10.1128/spectrum.01265-26","title":"Global, regional, and national burden of syphilis in children under 5 years from 1990 to 2021","display_name":"Global, regional, and national burden of syphilis in children under 5 years from 1990 to 2021","publication_year":2026,"publication_date":"2026-11-04","ids":{"openalex":"https://openalex.org/W7225271106","doi":"https://doi.org/10.1128/spectrum.01265-26","pmid":"https://pubmed.ncbi.nlm.nih.gov/42980161"},"language":"en","primary_location":{"id":"doi:10.1128/spectrum.01265-26","doi":"https://doi.org/10.1128/spectrum.01265-26","is_oa":true,"landing_page_url":"https://doi.org/10.1128/spectrum.01265-26","pdf_url":null,"source":{"id":"https://openalex.org/S2764766708","display_name":"Microbiology Spectrum","issn_l":"2165-0497","issn":["2165-0497"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320263","host_organization_name":"American Society for Microbiology","host_organization_lineage":["https://openalex.org/P4310320263"],"host_organization_lineage_names":["American Society for Microbiology"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Microbiology Spectrum","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://doi.org/10.1128/spectrum.01265-26","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160683049","display_name":"Xin Feng","orcid":"https://orcid.org/0000-0003-1478-5067","observed_orcids":["https://orcid.org/0000-0003-1478-5067"]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I4210156460","display_name":"Shanghai Skin Disease Hospital","ror":"https://ror.org/05v6r7450","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xin Feng","raw_affiliation_strings":["STD Institute, Shanghai Skin Disease Hospital, School of Medicine, Tongji University"],"raw_orcid":"https://orcid.org/0000-0003-1478-5067","affiliations":[{"raw_affiliation_string":"STD Institute, Shanghai Skin Disease Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210156460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036541556","display_name":"\u5362\u5955","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I905225518","display_name":"Shanghai University of International Business and Economics","ror":"https://ror.org/031t68441","country_code":"CN","type":"education","lineage":["https://openalex.org/I905225518"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yi Lu","raw_affiliation_strings":["Department of Mathematical Statistics, School of Statistics and Data Science, Shanghai University of International Business and Economics"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Mathematical Statistics, School of Statistics and Data Science, Shanghai University of International Business and Economics","institution_ids":["https://openalex.org/I905225518"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160603971","display_name":"Lin Zhu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I4210156460","display_name":"Shanghai Skin Disease Hospital","ror":"https://ror.org/05v6r7450","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lin Zhu","raw_affiliation_strings":["STD Institute, Shanghai Skin Disease Hospital, School of Medicine, Tongji University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"STD Institute, Shanghai Skin Disease Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210156460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022358208","display_name":"Tingli Tian","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Tingli Tian","raw_affiliation_strings":["Department of Dermatology, Shanghai Fourth People's Hospital, School of Medicine, Tongji University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, Shanghai Fourth People's Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124036137","display_name":"Nanyan Jiang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]},{"id":"https://openalex.org/I2801518579","display_name":"XinHua Hospital","ror":"https://ror.org/04dzvks42","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2801518579"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Nanyan Jiang","raw_affiliation_strings":["Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine","institution_ids":["https://openalex.org/I183067930","https://openalex.org/I2801518579"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5045067203","display_name":"Pingyu Zhou","orcid":"https://orcid.org/0000-0002-9623-4201","observed_orcids":["https://orcid.org/0000-0002-9623-4201"]},"institutions":[{"id":"https://openalex.org/I116953780","display_name":"Tongji University","ror":"https://ror.org/03rc6as71","country_code":"CN","type":"education","lineage":["https://openalex.org/I116953780"]},{"id":"https://openalex.org/I183067930","display_name":"Shanghai Jiao Tong University","ror":"https://ror.org/0220qvk04","country_code":"CN","type":"education","lineage":["https://openalex.org/I183067930"]},{"id":"https://openalex.org/I2801518579","display_name":"XinHua Hospital","ror":"https://ror.org/04dzvks42","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2801518579"]},{"id":"https://openalex.org/I4210156460","display_name":"Shanghai Skin Disease Hospital","ror":"https://ror.org/05v6r7450","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210156460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Pingyu Zhou","raw_affiliation_strings":["Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine","STD Institute, Shanghai Skin Disease Hospital, School of Medicine, Tongji University"],"raw_orcid":"https://orcid.org/0000-0002-9623-4201","affiliations":[{"raw_affiliation_string":"Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine","institution_ids":["https://openalex.org/I183067930","https://openalex.org/I2801518579"]},{"raw_affiliation_string":"STD Institute, Shanghai Skin Disease Hospital, School of Medicine, Tongji University","institution_ids":["https://openalex.org/I116953780","https://openalex.org/I4210156460"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":2500,"currency":"USD","value_usd":2500},"apc_paid":{"value":2500,"currency":"USD","value_usd":2500},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.86491658,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"e0126526","last_page":"e0126526"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11934","display_name":"Syphilis Diagnosis and Treatment","score":0.9775000214576721,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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/T11934","display_name":"Syphilis Diagnosis and Treatment","score":0.9775000214576721,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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/T13586","display_name":"HIV, TB, and STIs Epidemiology","score":0.003000000026077032,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational 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/T10296","display_name":"Vector-borne infectious diseases","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2405","display_name":"Parasitology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/syphilis","display_name":"syphilis","score":0.8320000171661377},{"id":"https://openalex.org/keywords/mother-to-child-transmission","display_name":"mother-to-child transmission","score":0.781000018119812},{"id":"https://openalex.org/keywords/children-under-five","display_name":"children under five","score":0.8579999804496765},{"id":"https://openalex.org/keywords/disease-burden","display_name":"disease burden","score":0.9169999957084656},{"id":"https://openalex.org/keywords/incidence-and-mortality-trends","display_name":"incidence and mortality trends","score":0.7289999723434448},{"id":"https://openalex.org/keywords/neonatal-mortality","display_name":"neonatal mortality","score":0.7229999899864197},{"id":"https://openalex.org/keywords/disability-adjusted-life-years","display_name":"disability-adjusted life years","score":0.8519999980926514},{"id":"https://openalex.org/keywords/socioeconomic-inequality","display_name":"socioeconomic disparities","score":0.671999990940094},{"id":"https://openalex.org/keywords/socioeconomic-development-index","display_name":"socioeconomic development index","score":0.5839999914169312},{"id":"https://openalex.org/keywords/prenatal-screening","display_name":"prenatal screening","score":0.8669999837875366},{"id":"https://openalex.org/keywords/maternal-syphilis-treatment","display_name":"maternal syphilis treatment","score":0.7300000190734863},{"id":"https://openalex.org/keywords/global-burden-of-disease","display_name":"global burden of disease","score":0.6039999723434448},{"id":"https://openalex.org/keywords/regional-disparities","display_name":"regional disparities","score":0.39500001072883606}],"concepts":[{"id":"https://openalex.org/C2776983459","wikidata":"https://www.wikidata.org/wiki/Q41083","display_name":"Syphilis","level":3,"score":0.8489999771118164},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8331999778747559},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.6751999855041504},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.5763000249862671},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.5651000142097473},{"id":"https://openalex.org/C761482","wikidata":"https://www.wikidata.org/wiki/Q118093","display_name":"Transmission (telecommunications)","level":2,"score":0.5371999740600586},{"id":"https://openalex.org/C2781232182","wikidata":"https://www.wikidata.org/wiki/Q5160454","display_name":"Congenital syphilis","level":4,"score":0.5333999991416931},{"id":"https://openalex.org/C3020448403","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Burden of disease","level":3,"score":0.5048999786376953},{"id":"https://openalex.org/C24338571","wikidata":"https://www.wikidata.org/wiki/Q2566298","display_name":"Autoregressive integrated moving average","level":3,"score":0.49549999833106995},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.46239998936653137},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.44339999556541443},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.4277999997138977},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.40779998898506165},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4020000100135803},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.39969998598098755},{"id":"https://openalex.org/C2776480101","wikidata":"https://www.wikidata.org/wiki/Q3555250","display_name":"Disease surveillance","level":3,"score":0.3619000017642975},{"id":"https://openalex.org/C112299071","wikidata":"https://www.wikidata.org/wiki/Q835884","display_name":"Infant mortality","level":3,"score":0.35839998722076416},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.31209999322891235},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.2980000078678131},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.29409998655319214},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.29249998927116394},{"id":"https://openalex.org/C186079640","wikidata":"https://www.wikidata.org/wiki/Q719602","display_name":"Prevalence","level":3,"score":0.2720000147819519},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.26660001277923584},{"id":"https://openalex.org/C2909760446","wikidata":"https://www.wikidata.org/wiki/Q12198","display_name":"Sexually transmitted disease","level":4,"score":0.26510000228881836},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.250900000333786},{"id":"https://openalex.org/C2781069245","wikidata":"https://www.wikidata.org/wiki/Q12204","display_name":"Tuberculosis","level":2,"score":0.25040000677108765}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1128/spectrum.01265-26","doi":"https://doi.org/10.1128/spectrum.01265-26","is_oa":true,"landing_page_url":"https://doi.org/10.1128/spectrum.01265-26","pdf_url":null,"source":{"id":"https://openalex.org/S2764766708","display_name":"Microbiology Spectrum","issn_l":"2165-0497","issn":["2165-0497"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320263","host_organization_name":"American Society for Microbiology","host_organization_lineage":["https://openalex.org/P4310320263"],"host_organization_lineage_names":["American Society for Microbiology"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Microbiology Spectrum","raw_type":"journal-article"},{"id":"pmid:42980161","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42980161","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":"Microbiology spectrum","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1128/spectrum.01265-26","doi":"https://doi.org/10.1128/spectrum.01265-26","is_oa":true,"landing_page_url":"https://doi.org/10.1128/spectrum.01265-26","pdf_url":null,"source":{"id":"https://openalex.org/S2764766708","display_name":"Microbiology Spectrum","issn_l":"2165-0497","issn":["2165-0497"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320263","host_organization_name":"American Society for Microbiology","host_organization_lineage":["https://openalex.org/P4310320263"],"host_organization_lineage_names":["American Society for Microbiology"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Microbiology Spectrum","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.4074000120162964,"display_name":"Reduced inequalities"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320321885","display_name":"Science and Technology Commission of Shanghai Municipality","ror":"https://ror.org/03kt66j61"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":47,"referenced_works":["https://openalex.org/W1991459122","https://openalex.org/W2072441469","https://openalex.org/W2081292496","https://openalex.org/W2266050978","https://openalex.org/W2284742317","https://openalex.org/W2490298645","https://openalex.org/W2606472194","https://openalex.org/W2780263964","https://openalex.org/W2801625406","https://openalex.org/W2981770627","https://openalex.org/W3005441455","https://openalex.org/W3039648700","https://openalex.org/W3046161946","https://openalex.org/W3093672357","https://openalex.org/W3151901462","https://openalex.org/W3172785975","https://openalex.org/W3183599151","https://openalex.org/W3185444663","https://openalex.org/W3197543219","https://openalex.org/W4200107812","https://openalex.org/W4210292028","https://openalex.org/W4221089517","https://openalex.org/W4243734696","https://openalex.org/W4283313474","https://openalex.org/W4291513307","https://openalex.org/W4312077050","https://openalex.org/W4320502706","https://openalex.org/W4324308095","https://openalex.org/W4362691970","https://openalex.org/W4387062161","https://openalex.org/W4388453776","https://openalex.org/W4389775071","https://openalex.org/W4390938749","https://openalex.org/W4394894573","https://openalex.org/W4399594417","https://openalex.org/W4399614226","https://openalex.org/W4401622345","https://openalex.org/W4406487342","https://openalex.org/W4409791247","https://openalex.org/W4409916618","https://openalex.org/W4410267851","https://openalex.org/W4412619023","https://openalex.org/W4415237421","https://openalex.org/W4417488549","https://openalex.org/W7117531966","https://openalex.org/W7117562283","https://openalex.org/W7128793259"],"related_works":["https://openalex.org/W4412619023","https://openalex.org/W4401622345","https://openalex.org/W4384283246","https://openalex.org/W6958123889","https://openalex.org/W4366829431","https://openalex.org/W7162206413","https://openalex.org/W7211995302","https://openalex.org/W7212310900","https://openalex.org/W4411221581","https://openalex.org/W4288013826"],"abstract_inverted_index":{"Mother-to-child":[0,251],"transmission":[1,252,371],"of":[2,28,47,80,87,123,146,186,223,253,279,329,375],"syphilis":[3,29,114,224,254,280,315,376],"has":[4,161,255,293],"raised":[5,256],"much":[6,257],"concern":[7,258],"for":[8,234,259],"the":[9,21,43,55,68,78,232,260,272,326,353,369],"dramatically":[10,261],"increasing":[11,262],"incidence":[12,121,158,263],"in":[13,30,156,225,267,281,299,302,314,377],"recent":[14,268,303],"years.":[15,269,304,381],"This":[16],"study":[17,292],"aims":[18],"to":[19,37,64,76,107,128,141,151,192,288,309,367],"assess":[20],"global,":[22,273],"regional,":[23,274],"and":[24,67,83,89,94,159,172,176,195,212,215,230,238,242,246,264,275,290,312,346,349,355,358,364,372],"national":[25,276],"disease":[26,81,198,300,332],"burden":[27,82,199,301,333,374],"children":[31,226,282,317,378],"under":[32,115,227,283,318,379],"5":[33,116,228,284,319,380],"years":[34,229,285],"from":[35,42,181,286],"1990":[36,287],"2021.":[38],"Data":[39],"were":[40,52,92,111,136],"extracted":[41],"2021":[44],"Global":[45],"Burden":[46],"Disease":[48],"study.":[49],"Temporal":[50],"trends":[51,354],"evaluated":[53],"using":[54],"average":[56],"annual":[57],"percentage":[58],"change.":[59],"Segmented":[60],"regression":[61],"was":[62,74,97,325],"applied":[63],"estimate":[65],"breakpoints":[66],"corresponding":[69],"slopes.":[70],"Spearman":[71],"correlation":[72,79],"analysis":[73],"performed":[75],"analyze":[77],"SDI.":[84],"Slope":[85],"index":[86,91],"inequality":[88],"concentration":[90],"calculated,":[93],"ARIMA":[95],"model":[96],"performed.":[98],"In":[99],"2021,":[100,289],"an":[101,119,144,184],"estimated":[102],"384,121":[103],"(95%":[104,125,138,148],"UI:":[105,126,139,149],"314,943":[106],"460,835)":[108],"new":[109],"cases":[110,135],"reported":[112],"among":[113,316],"years,":[117,320],"with":[118,143,166,183,203,207,337,341],"age-standardized":[120],"rate":[122],"58.36":[124],"47.85":[127],"70.02)":[129],"per":[130],"100,000":[131],"population.":[132],"Reported":[133],"death":[134,307],"72,148":[137],"27,130":[140],"144,529)":[142],"ASR":[145],"10.96":[147],"4.12":[150],"21.96).":[152],"A":[153],"sharp":[154,296],"increase":[155],"both":[157],"prevalence":[160],"been":[162],"observed":[163],"since":[164],"2016,":[165],"APCs":[167],"as":[168,170],"high":[169],"7.06%":[171],"8.11%.":[173],"The":[174,188,197,305,331],"mortality":[175,324],"DALY":[177],"rates":[178],"have":[179],"increased":[180],"2019":[182],"APC":[185],"7.92%.":[187],"neonatal":[189,248,306],"period":[190],"contributed":[191,308],"97.7%":[193,310],"deaths":[194,311],"DALYs.":[196,330],"is":[200,334],"inversely":[201,335],"associated":[202,336],"overall":[204,338,373],"socioeconomic":[205,339],"development,":[206,340],"disparities":[208,342],"persisting":[209,343],"between":[210,344],"higher-":[211,345],"lower-resource":[213,347],"regions":[214,348],"countries.":[216,350],"These":[217],"data":[218],"suggest":[219],"a":[220,295],"global":[221],"re-emergence":[222],"highlight":[231],"priority":[233],"enhancing":[235],"prenatal":[236],"screening":[237],"interventions,":[239],"providing":[240],"timely":[241],"adequate":[243],"maternal":[244],"treatment,":[245],"preventing":[247],"mortality.":[249],"IMPORTANCE:":[250],"societal":[265],"well-being":[266],"We":[270],"depict":[271],"temporal":[277],"trend":[278,298],"our":[291],"demonstrated":[294],"upward":[297],"DALYs":[313],"indicating":[321],"that":[322],"premature":[323],"overwhelming":[327],"driver":[328],"By":[351],"understanding":[352],"patterns,":[356],"policymakers":[357],"healthcare":[359],"providers":[360],"can":[361],"develop":[362],"targeted":[363],"evidence-based":[365],"strategies":[366],"reduce":[368],"mother-to-child":[370]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-11-05T00:00:00"}
