Association between change of health care providers and pregnancy exposure to FDA category C, D and X drugs

作     者：Yang Jianzhou Xie Rihua Daniel Krewski Wang Yongjin Mark Walker Cao Wenjun Shi Wu Wen 

作者机构：School of Public Health Central South University Changsha Hunan 410008 China Department of Preventive Medicine Changzhi Medical CollegeChangzhi Shanxi 046000 China McLaughlin Centre for Population Health Risk Assessment Institute of Population Health University of Ottawa Ottawa Canada OMNI Research Group Department of Obstetrics and GynecologyUniversity of Ottawa Faculty of Medicine Ottawa Canada OMNI Research Group Department of Obstetrics and Gynecology University of Ottawa Faculty of Medicine Ottawa Canada Huaihua Medical College Huaihua Hunan 418000 China McLaughlin Centre for Population Health Risk Assessment Institute of Population Health University of Ottawa Ottawa Canada Department of Cardiology Heping Hospital Changzhi Medical College Changzhi Shanxi 046000 China OMNI Research Group Department of Obstetrics and Gynecology University of Ottawa Faculty of Medicine Ottawa Canada Ottawa Hospital Research Institute Clinical Epidemiology ProgramOttawa Canada Department of Preventive Medicine Changzhi Medical CollegeChangzhi Shanxi 046000 China School of Public Health Central South University Changsha Hunan 410008 China OMNI Research Group Department of Obstetrics and Gynecology University of Ottawa Faculty of Medicine Ottawa Canada Ottawa Hospital Research Institute Clinical Epidemiology ProgramOttawa Canada Department of Epidemiology and Community Medicine University of Ottawa Faculty of Medicine Ottawa Ontario Canada Huaihua Medical College Huaihua Hunan 418000 China Ottawa Hospital Research Institute Clinical Epidemiology ProgramOttawa Canada 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2014年第127卷第4期

页      面：702-706页

核心收录：

学科分类：02[经济学] 0202[经济学-应用经济学] 020208[经济学-统计学] 090602[农学-预防兽医学] 1002[医学-临床医学] 07[理学] 09[农学] 0906[农学-兽医学] 0714[理学-统计学（可授理学、经济学学位）] 070103[理学-概率论与数理统计] 0701[理学-数学] 

基　　金：This study was supported by a grant from Ontario Ministry of Health and Long-Term Care Canada (No.2008-007) 

主　　题：change health care providers prescription drugs FDA pregnancy risk classification pregnancy 

摘      要：Background Changing health care providers frequently breaks the continuity of care,which is associated with many health care *** purpose of this study was to examine the association between a change of health care providers and pregnancy exposure to FDA category C,D and X *** A 50% random sample of women who gave a birth in Saskatchewan between January 1,1997 and December 31,2000 were chosen for this *** association between the number of changes in health care providers and with pregnancy exposure to category C,D,and X drugs for those women with and without chronic diseases were evaluated using multiple logistical regression,with adjusted odds ratios （ORs） and its 95% confidence intervals （C/s） as the association *** A total of 18 568 women were included in this *** of FDA C,D,and X drug uses were 14.35%,17.07%,21.72%,and 31.14%,in women with no change of provider,1-2 changes,3-5 changes,and more than 5 changes of health care *** association between the number of changes of health care providers and pregnancy exposure to FDA C,D,and X drugs existed in women without chronic diseases but not in women with chronic *** Change of health care providers is associated with pregnancy exposure to FDA category C,D and X drugs in women without chronic diseases.