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Global, Regional, and National Incidence and Mortality of Neonatal Preterm Birth, 1990-2019.

JAMA Pediatr · 2022 · PMC9157382 · PMID 35639401

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an increasing trendno p-value reported
Conclusions and Relevance Preterm birth remains a crucial issue in children worldwide, with an increasing trend in ASIR in high-SDI regions and in ASMR in Southern Sub-Saharan Africa between 1990 to 2019.

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a decreasing trendno p-value reported
Nearly half of the GBD regions had a decreasing trend in ASIRs of neonatal preterm birth, such as Andean Latin America, East Asia, and South Asia ( Table 2 ).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.