Population-Based Study of Birth Prevalence and Factors Associated with Cleft Lip and/or Palate in Taiwan 2002-2009

Ruoh Lih Lei, Huey Shys Chen, Bao Yuan Huang, Yueh Chih Chen, Philip Kuo Ting Chen, Huei Ying Lee, Chi Wen Chang, Chih Lung Wu

Research output: Contribution to journalArticle

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Abstract

Background: Facial cleft deformities, including cleft lip with or without cleft palate (CL/P) and cleft palate (CP), are common congenital birth anomalies, especially in Asia. This study aimed to analyze the prevalence of CL/P and CP and to identify associated factors in Taiwan. Methods: This population-based epidemiological study retrospectively analyzed birth data obtained from the Department of Health in Taiwan for years 2002-2009. Frequency distribution, percentages and related predictors were investigated, and findings were presented by types of cleft deformities. Logistic regression analysis was performed to identify factors associated with cleft deformities. Results: Overall prevalence of cleft deformities among 1,705,192 births was 0.1% for CL/P and 0.04% for CP over the 8-year study period. Higher prevalence of CL/P or CP was observed with multiple pregnancies, being male for CL/P, being female for CP, gestational age ≤37 weeks and lower birth weight (<1.5 kg). Both CL/P and CP were significantly associated with gestational age <37 weeks and birth weight<1.5 kg (all P <0.0001). CL/P was significantly associated with multiple parities (P = 0.0004-0.002). Male newborns and female newborns were significantly associated with CL/P and CP, respectively (both P<0.0001). Conclusions: Overall prevalence for congenital cleft deformities in study subjects was 0.1%, in keeping with high rates in Asia. Results suggest the need for awareness and early identification of those at high risk for cleft deformities, including newborns with gestational age <37 weeks, weighing <1.5 kg at birth and women with multiple parities, as a potential strategy to counter long-term adverse effects on speech and language in this population.

Original languageEnglish
Article numbere58690
JournalPLoS One
Volume8
Issue number3
DOIs
Publication statusPublished - Mar 26 2013
Externally publishedYes

Fingerprint

cleft palate
palate
Cleft Lip
Cleft Palate
Weighing
lips
Taiwan
Regression analysis
Logistics
Cross-Sectional Studies
Health
Parturition
Population
gestational age
Gestational Age
neonates
Newborn Infant
parity (reproduction)
Parity
Birth Weight

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Population-Based Study of Birth Prevalence and Factors Associated with Cleft Lip and/or Palate in Taiwan 2002-2009. / Lei, Ruoh Lih; Chen, Huey Shys; Huang, Bao Yuan; Chen, Yueh Chih; Chen, Philip Kuo Ting; Lee, Huei Ying; Chang, Chi Wen; Wu, Chih Lung.

In: PLoS One, Vol. 8, No. 3, e58690, 26.03.2013.

Research output: Contribution to journalArticle

Lei, Ruoh Lih ; Chen, Huey Shys ; Huang, Bao Yuan ; Chen, Yueh Chih ; Chen, Philip Kuo Ting ; Lee, Huei Ying ; Chang, Chi Wen ; Wu, Chih Lung. / Population-Based Study of Birth Prevalence and Factors Associated with Cleft Lip and/or Palate in Taiwan 2002-2009. In: PLoS One. 2013 ; Vol. 8, No. 3.
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abstract = "Background: Facial cleft deformities, including cleft lip with or without cleft palate (CL/P) and cleft palate (CP), are common congenital birth anomalies, especially in Asia. This study aimed to analyze the prevalence of CL/P and CP and to identify associated factors in Taiwan. Methods: This population-based epidemiological study retrospectively analyzed birth data obtained from the Department of Health in Taiwan for years 2002-2009. Frequency distribution, percentages and related predictors were investigated, and findings were presented by types of cleft deformities. Logistic regression analysis was performed to identify factors associated with cleft deformities. Results: Overall prevalence of cleft deformities among 1,705,192 births was 0.1{\%} for CL/P and 0.04{\%} for CP over the 8-year study period. Higher prevalence of CL/P or CP was observed with multiple pregnancies, being male for CL/P, being female for CP, gestational age ≤37 weeks and lower birth weight (<1.5 kg). Both CL/P and CP were significantly associated with gestational age <37 weeks and birth weight<1.5 kg (all P <0.0001). CL/P was significantly associated with multiple parities (P = 0.0004-0.002). Male newborns and female newborns were significantly associated with CL/P and CP, respectively (both P<0.0001). Conclusions: Overall prevalence for congenital cleft deformities in study subjects was 0.1{\%}, in keeping with high rates in Asia. Results suggest the need for awareness and early identification of those at high risk for cleft deformities, including newborns with gestational age <37 weeks, weighing <1.5 kg at birth and women with multiple parities, as a potential strategy to counter long-term adverse effects on speech and language in this population.",
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AU - Chen, Philip Kuo Ting

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