{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:38:11Z","timestamp":1777523891908,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T00:00:00Z","timestamp":1654473600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe trends in cases and prevalence at birth rates of cleft lip and\/or palate (CL\/P) in Mexico between 2003 and 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Ecological study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Multiple data sources systematically collected into a national epidemiological surveillance data warehouse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>National Live Birth Information System.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s)<\/jats:title>\n                    <jats:p>Both cases and prevalence at birth rates of CL\/P in Mexico within a 17-year period were used as dependent variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At the national level there were 23\u2005184 new cases of CL\/P (average of 1364 per year) in the 32 states of Mexico, with an average prevalence at birth rate of 0.53 per 1000 live births. The states with the highest prevalence at birth rates of CL\/P during the period were Hidalgo (1.59) and Jalisco (1.32), while the states with the lowest rates were Nayarit (0.22) and Durango (0.29). A slight decrease in both cases (z\u2009=\u2009\u22122.41, P\u2009=\u2009.016) and prevalence at birth rates (z\u2009=\u2009\u22122.58, P\u2009=\u2009.010) of CL\/P was observed at the national level. States such as Durango, Puebla, Chiapas, Guerrero, Oaxaca, Mexico City, State of Mexico, Coahuila and Jalisco showed a clear downward trend ( P\u2009&lt;\u2009.05) in their prevalence at birth of CL\/P between 2003 and 2019, while in Hidalgo its trend was upward ( P\u2009=\u2009.05). Significant differences by sex and region were observed ( P\u2009&lt;\u2009.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Some states consistently had the highest or lowest prevalence of CL\/P. Decreasing trends in the overall prevalence at birth rates were observed. More detailed, epidemiological studies are necessary to adequately characterize CL\/P in the Mexican population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221106881","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T01:18:12Z","timestamp":1654564692000},"page":"1353-1358","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Trends in Cleft lip and\/or Palate Prevalence at Birth in Mexico: A National (Ecological) Study Between 2003 and 2019"],"prefix":"10.1177","volume":"60","author":[{"given":"Eduardo","family":"Cer\u00f3n-Zamora","sequence":"first","affiliation":[{"name":"Advanced Studies and Research Center in Dentistry \u201cDr Keisaburo Miyata\u201d of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rogelio Jos\u00e9","family":"Scougall-Vilchis","sequence":"additional","affiliation":[{"name":"Advanced Studies and Research Center in Dentistry \u201cDr Keisaburo Miyata\u201d of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosal\u00eda","family":"Contreras-Bulnes","sequence":"additional","affiliation":[{"name":"Advanced Studies and Research Center in Dentistry \u201cDr Keisaburo Miyata\u201d of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blanca Silvia","family":"Gonz\u00e1lez-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Advanced Studies and Research Center in Dentistry \u201cDr Keisaburo Miyata\u201d of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam Alejandra","family":"Veras-Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvador Eduardo","family":"Lucas-Rinc\u00f3n","sequence":"additional","affiliation":[{"name":"Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauricio","family":"Escoffi\u00e9-Ramirez","sequence":"additional","affiliation":[{"name":"School of Dentistry, Autonomous University of Yucatan, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1410-9491","authenticated-orcid":false,"given":"Carlo Eduardo","family":"Medina-Sol\u00eds","sequence":"additional","affiliation":[{"name":"Advanced Studies and Research Center in Dentistry \u201cDr Keisaburo Miyata\u201d of Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca, Mexico"},{"name":"Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerardo","family":"Maupom\u00e9","sequence":"additional","affiliation":[{"name":"Richard M. Fairbanks School of Public Health, Indiana University\/Purdue University, Indianapolis, USA"},{"name":"Indiana University Network Science Institute, Bloomington, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,6,6]]},"reference":[{"key":"bibr1-10556656221106881","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2018.07.006"},{"key":"bibr2-10556656221106881","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60695-4"},{"key":"bibr3-10556656221106881","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2016.00067"},{"key":"bibr4-10556656221106881","doi-asserted-by":"publisher","DOI":"10.1111\/ocr.12361"},{"key":"bibr5-10556656221106881","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2018.05.006"},{"key":"bibr6-10556656221106881","doi-asserted-by":"publisher","DOI":"10.1590\/1807-3107bor-2018.vol32.0024"},{"issue":"4","key":"bibr7-10556656221106881","first-page":"339","volume":"80","author":"Contreras-Acevedo Fde M","year":"2012","journal-title":"Cir Cir"},{"key":"bibr8-10556656221106881","doi-asserted-by":"crossref","DOI":"10.4103\/0970-0358.57182","volume":"42","author":"Mossey P","year":"2009","journal-title":"Indian J Plast Surg"},{"key":"bibr9-10556656221106881","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2015.04.008"},{"key":"bibr10-10556656221106881","doi-asserted-by":"publisher","DOI":"10.1016\/j.anpedi.2011.01.011"},{"key":"bibr11-10556656221106881","unstructured":"Instituto Nacional de Estad\u00edstica y Geograf\u00eda (INEGI). 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