Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2008, Vol. 04 ›› Issue (06): 533 -536. doi: 10.3877/cma.j.issn.1673-5250.2008.06.105

Original Article

Conditional Logistic Regression on Risk Factors of Nonsyndromic Cleft Lip and Palate

Yan DING, Chang-yun LIU, Yong-qin WANG, Tian-hua LI, Shun-li CAO, Jing-wu CHEN, Jia-fen JI   

  1. Department of Pediatrics, the WeiFang Medical College, WeiFang 261041, China
  • Published:2008-12-01
  • Supported by:
    * Project No. 2005A1CB8, supported by the Shandong Province Family Planning Program
Objective

To discuss the main risk factors and protecting factors of nonsyndromic cleft lip and palate(NSCL/P)in order to provide theoretical basis for the prevention of the occurrence of the disease.

Methods

A hospital-based 1 : 1 matched case-control study design was applied to this epidemiological study. There were 76 cases with nonsyndromic cleft lip and palate children who were selected from Department of Stomatology of Affiliated Hospital of WeiFang Medical College, People's Hospital of WeiFang, Heze Municipal Hospital and Yuhuangding Hospital of Yantai from September 2006 to september 2007 as collecting cases, and control cases were chosen from the same medical institution with the matched patients. Parents of patients and control cases were asked some questions about 42 possible influencing factors and the answers were filled in the questionnaire by investigators. To carry on the multivariate stepwise regression analysis in univariate conditional Logistic regression analysis foundation in order to discover risk factors.

Results

There were 6 risk factors which were related to nonsyndromic cleft lip and palate in the model, maternal infectious (P= 0. 010), genetic family history(P= 0. 009), maternal disorder diet(P= 0. 007), birth order(P= 0. 004), maternal stress during the first trimester of pregnancy(P= 0. 000), father's education level(P= 0. 000).

Conclusion

Maternal infectious, genetic family history, maternal disorder diet, birth order and maternal stress during the first trimester of pregnancy are promoting factors of nonsyndromic cleft lip and palate, while father's education level is a protecting factor.

1 Spritz RA. The genetics and epigenetics of orofacial clefts. Curr Opin Pediatr,2001,13(6):556-560.
2 Carinci F, Pezzetti F,Scapoli L,et al. Recent developments in craniofacacial cleft genetics. J Craniofac Surg,2003,14(2):130-143.
3 Beaty TH, Wang H, Hetmanski JB, et al. A case-control study of nonsyndromic oral clefts in Maryland. Ann Epidemiol, 2001,11(6):434-442.
4 Chung KC, Kowalski CP, Kim HM,et al. Maternal cigarette smoking during pregnancy and the risk of having a child with cleft lip/palate. Plast Reconstr Surg,2000,105(2):485-491.
5 Little J, Cardy A, Arslan MT, et al. Smoking and orofacial clefts:A United Kingdom-based case-control study. Cleft Palate Craniofac J,2004,41(4):381-386.
6 Hu Q, Jin HX, Fu YC. The analysis of clinical data of 4 758 cheilopalatognathus patients. J Oral Sci Res, 2005, 21(3):340.[胡庆,金辉喜,傅豫川.4 758例唇腭裂患者临床资料分析.口腔医学研究,2005,21(3):340.]
7 Wang AX,Huang HZ, Pan ZB, et al. Logistic regression analysis on cause of inborn cheilopalatognathus. J Oral Maxillofac Surg, 2002,12(2):104-106.[王安训,黄洪章,潘朝斌等.先天性唇腭裂发病因素的logistic回归分析.口腔颌面外科杂志,2002,12(2):104 -106.]
8 Liu N, Liu ZW. The analysis of clinical data of 446 cheilopalatognathus patients. Chin Mod Med Clin,2006,5(6):39-41.[刘娜,柳志文.446例唇腭裂患者的临床资料分析.中华现代医学与临床,2006,5(6):39-41.]
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