Division of Epidemiology, Department of Family Medicine & Population Health, Virginia Commonwealth University, One Capitol Square, 8th Floor, 830 East Main Street, Richmond, VA, 23298, USA,
Matern Child Health J. 2014 Feb;18(2):488-96. doi: 10.1007/s10995-013-1277-y.
This paper examined the generational recurrence of low birthweight (LBW) among first-born singletons using a statewide maternally-linked birth dataset. An intergenerational dataset was created by linking 2005-2009 to 1960-1997 Virginia resident live birth data. Maternal information from the recent birth cohort was linked to infant information in the historic birth file using various combinations of mother's name and birthdate. The linked dataset contained 170,624 records (87 % of all eligible records). The analysis dataset was limited to non-Hispanic black and non-Hispanic white first-born singleton infants linked to their mother's own birth record (n = 69,702). Maternal birthweight was a significant predictor of LBW for first-born singletons. The birthweight distribution for both non-Hispanic black and non-Hispanic white infants was shifted toward lower birthweights for infants whose mothers were born LBW. Even after adjusting for known maternal risk factors in the current pregnancy, non-Hispanic black (AOR = 1.6 [95 % CI 1.4, 1.8]) and non-Hispanic white (AOR = 2.0 [95 % CI 1.8, 2.3]) infants had increased odds of being born LBW if their mother was born LBW. A mother's early life experiences can impact the health of her children. These findings underscore the importance of applying a life course perspective to the prevention of LBW. Routine linkage of maternal and infant birth data is needed to strengthen the evidence base for policies and programs that address issues affecting maternal and child health throughout the life course.
本文利用弗吉尼亚州全州母婴关联出生数据集,研究了第一代单胎出生体重不足(LBW)的代际再现。通过将 2005-2009 年与 1960-1997 年弗吉尼亚州居民活产数据进行关联,创建了一个世代间数据集。利用母亲姓名和出生日期的各种组合,将近期出生队列的产妇信息与历史出生档案中的婴儿信息进行关联。关联数据集包含 170624 条记录(所有合格记录的 87%)。分析数据集仅限于与母亲自己的出生记录相联系的非西班牙裔黑人及非西班牙裔白人第一代单胎婴儿(n=69702)。母亲的出生体重是第一代单胎出生体重不足的一个重要预测因素。对于非西班牙裔黑人及非西班牙裔白人婴儿,其母亲出生体重不足的婴儿的出生体重分布向较低的出生体重转移。即使在当前妊娠中调整了已知的产妇危险因素后,非西班牙裔黑人(OR=1.6 [95%CI 1.4, 1.8])和非西班牙裔白人(OR=2.0 [95%CI 1.8, 2.3])婴儿如果其母亲出生体重不足,其出生体重不足的几率仍然增加。母亲的早期生活经历会影响其孩子的健康。这些发现强调了在预防 LBW 中应用生命历程视角的重要性。需要常规关联产妇和婴儿的出生数据,以加强针对整个生命历程中影响母婴健康的政策和方案的证据基础。