Starfield B, Shapiro S, Weiss J, Liang K Y, Ra K, Paige D, Wang X B
Department of Health Policy and Management, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205.
Am J Epidemiol. 1991 Nov 15;134(10):1167-74. doi: 10.1093/oxfordjournals.aje.a116020.
The relations among race, family income, and low birth weight were examined using information obtained from the National Longitudinal Survey of Youth, which conducted yearly interviews with a nationally representative sample of young women identified in the late 1970s. Data were available for these women and their offspring from 1979 through 1988. Maternal education, maternal age, age/parity risk, marital status, and smoking during pregnancy served as covariates in cross-sectional and longitudinal analyses. The risk of low birth weight among births to black women and white women who were poor was at similarly high levels regardless of whether poverty was determined prior to study entrance or during the study period. Longitudinal analyses showed an exceptionally large increase in risk of low birth weight among children born to women whose prior pregnancy ended in a low-birth-weight infant. These two findings emphasize the importance of factors antecedent to the pregnancy in the genesis of low birth weight.
利用从全国青年纵向调查中获得的信息,研究了种族、家庭收入和低出生体重之间的关系。该调查对20世纪70年代末确定的全国具有代表性的年轻女性样本进行年度访谈。从1979年到1988年,这些女性及其后代的数据可用。在横断面和纵向分析中,孕产妇教育、孕产妇年龄、年龄/胎次风险、婚姻状况和孕期吸烟作为协变量。无论贫困是在研究开始前还是研究期间确定的,贫困黑人女性和贫困白人女性分娩时低出生体重的风险都处于同样高的水平。纵向分析表明,前次妊娠以低出生体重婴儿结束的女性所生孩子的低出生体重风险异常大幅增加。这两个发现强调了妊娠前因素在低出生体重发生中的重要性。