{
  "abstract": "Objectives: Maternal and neonatal disorders remain leading causes of death and disability, this study analyzes its trends, risks, and projects future burdens. Methods: We collected the age-standardized rates for incidence, prevalence, mortality, disability-adjusted life years, and years lived with disability from the GBD database between 1990 and 2023. Joinpoint regression estimated average annual percentage changes. Age-period-cohort models decomposed independent effects of age, period, and birth cohort. Autoregressive integrated moving average models projected trends. Results: From 1990 to 2023, age-standardized mortality rates in China declining, outpacing the G20 average. However, age-standardized years lived with disability rates rose persistently in both China (0.97%) and the G20 (1.45%). Age-period-cohort analysis identified the highest incidence in women aged 25–29 years, and in newborns<5 years old; although attributable mortality fell by 97.5% in China, attributable years lived with disability decreased by only 18.3%. The fitted model projects an increase in China's age-standardized incidence rates (1065.11 per 100,000), whereas G20 is expected to decline. Conclusions: Despite remarkable mortality reductions, the persistent rise in disability—driven largely by survival of high-risk neonates and environmental risks—signals an urgent need for integrated health system strategies, and build rehabilitation planning capacity.",
  "abstract_shown": true,
  "affiliations": [
    "Corresponding author.",
    "School of Clinical Medicine, Shangqiu Medical College, No. 666 Yingbin Road, Urban-Rural Integration Demonstration Zone, Shangqiu City 476299, Henan Province, China"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Pengfei Qi"
    },
    {
      "affs": [
        1
      ],
      "name": "Fan Zhang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ffx6ff6cacnx6.bib",
  "cited_by": 0,
  "doi": "10.1016/j.pmedr.2026.103678",
  "fulltext_url": "http://www.sciencedirect.com/science/article/pii/S2211335526003074",
  "id": "ffx6ff6cacnx6",
  "issns": [
    "2211-3355"
  ],
  "landing_url": "https://doi.org/10.1016/j.pmedr.2026.103678",
  "language": "en",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Infectious Disease"
    ],
    [
      "lcc",
      "R"
    ],
    [
      "openalex",
      "2735|Global Maternal and Child Health"
    ]
  ],
  "openalex": "W7223085364",
  "pdf_url": "https://www.sciencedirect.com/science/article/pii/S2211335526003074/pdf",
  "pmcid": "PMC13718841",
  "pmid": "42959947",
  "published": "2026-10-21",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/ffx6ff6cacnx6.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T13:44:33Z",
      "native_id": "9010da1ee2bb472a807d26a8cf11f4f8",
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      "url": "https://doi.org/10.1016/j.pmedr.2026.103678"
    },
    {
      "first_seen": "2026-10-31T00:20:38Z",
      "native_id": "PMC:PMC13718841",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13718841"
    },
    {
      "first_seen": "2026-11-01T00:20:50Z",
      "native_id": "MED:42959947",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42959947"
    },
    {
      "first_seen": "2026-11-02T12:22:47Z",
      "native_id": "PMC13718841",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.pmedr.2026.103678"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "heading:Infectious Disease",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Age-period-cohort analysis, attributable risk factors, and trend prediction of maternal and neonatal disease burden in China and G20 countries from 1990 to 2023",
  "title_text": "Age-period-cohort analysis, attributable risk factors, and trend prediction of maternal and neonatal disease burden in China and G20 countries from 1990 to 2023",
  "type": "peer-reviewed",
  "updated_at": "2026-11-02T12:22:47Z",
  "url": "https://research.draconitic.com/paper/ffx6ff6cacnx6",
  "venue": "Preventive Medicine Reports",
  "versions": []
}