Estrada-Restrepo Alejandro, Restrepo-Mesa Sandra Lucía, Feria Natalia Del Carmen Ceballos, Santander Francisco Mardones
Universidad de Antioquia, Antioquia, Colombia.
Universidad Católica de Chile, Santiago, Chile.
Cad Saude Publica. 2016 Nov 1;32(11):e00133215. doi: 10.1590/0102-311X00133215.
The study aimed to identify maternal factors associated with birth weight in Colombia from 2002 to 2011. This was a descriptive study based on data from the Live Birth Registry of Colombia, Administrative Department of Vital Statistics. Birth weight was classified as low birth weight < 2,500g, insufficient birth weight 2,500-2,999g, normal birth weight 3,000-3,999g, and high birth weight ≥ 4,000g. Data analysis used Mann-Whitney U test, Kruskal-Wallis test, and multinomial logistic regression. Women with increased likelihood of low birth weight newborns were 35 years or older (OR = 1.4; 95%CI: 1.39-1.4), had little schooling (OR = 1.1; 95%CI: 1.1-1.1), were single (OR = 1.1; 95%CI: 1.1-1.2), without prenatal care (OR = 1.9; 95%CI: 1.9-2.0), and lived in rural areas (OR = 1.2; 95%CI: 1.1-1.2). Women with higher prevalence of high birth weight newborns were 35 years or older (OR = 1.1; 95%CI: 1.1-1.1) and had four or more children (OR = 2.1; 95%CI 2.0-2.1). Insufficient birth weight showed a similar pattern to low birth weight. In conclusion, social, demographic, and maternal factors influence the birth weight of newborns in Colombia.
该研究旨在确定2002年至2011年哥伦比亚与出生体重相关的母体因素。这是一项基于哥伦比亚生命统计局行政部门活产登记处数据的描述性研究。出生体重被分类为低出生体重<2500克、出生体重不足2500 - 2999克、正常出生体重3000 - 3999克以及高出生体重≥4000克。数据分析采用曼-惠特尼U检验、克鲁斯卡尔-沃利斯检验和多项逻辑回归。低出生体重新生儿可能性增加的女性为35岁及以上(OR = 1.4;95%CI:1.39 - 1.4)、受教育程度低(OR = 1.1;95%CI:1.1 - 1.1)、单身(OR = 1.1;95%CI:1.1 - 1.2)、未接受产前护理(OR = 1.9;95%CI:1.9 - 2.0)且居住在农村地区(OR = 1.2;95%CI:1.1 - 1.2)。高出生体重新生儿患病率较高的女性为35岁及以上(OR = 1.1;95%CI:1.1 - 1.1)且有四个或更多子女(OR = 2.1;95%CI 2.0 - 2.1)。出生体重不足呈现出与低出生体重相似的模式。总之,社会、人口和母体因素会影响哥伦比亚新生儿的出生体重。