Teberg A J, Settlage R, Hodgman J E, King Y, Aguilar T
Department of Pediatrics, University of Southern California Medical Center, Los Angeles.
J Perinatol. 1989 Sep;9(3):291-5.
Women of low socioeconomic status (SES) are known to have a higher incidence of low birthweight (LBW) infants who are a major source of neonatal mortality and morbidity. SES, however, does not define a homogeneous population. If prenatal programs could be oriented specifically toward women of higher risk within the low SES population, they should be more effective. Within our uniformly low SES population, we compared mothers who had given birth to infants weighing less than 2000 g with mothers of infants weighing over 3000 g in order to identify factors associated with a LBW birth. We found medical factors, including hypertension and infection during pregnancy, demographic factors, including race, marital status, and lack of prenatal care, and lifestyle factors, including drug and alcohol abuse, to be more common among women giving birth to infants weighing less than 2000 g. These factors can be used to develop more effective intervention programs for low SES populations.
社会经济地位（SES）较低的女性生育低体重（LBW）婴儿的发生率较高，而低体重婴儿是新生儿死亡和发病的主要原因。然而，社会经济地位并不能界定一个同质化的群体。如果产前项目能够专门针对社会经济地位较低人群中风险较高的女性，那么这些项目应该会更有效。在我们社会经济地位均较低的人群中，我们将生育体重不足2000克婴儿的母亲与生育体重超过3000克婴儿的母亲进行了比较，以确定与低体重出生相关的因素。我们发现，医疗因素（包括孕期高血压和感染）、人口统计学因素（包括种族、婚姻状况和缺乏产前护理）以及生活方式因素（包括药物和酒精滥用）在生育体重不足2000克婴儿的女性中更为常见。这些因素可用于为社会经济地位较低的人群制定更有效的干预项目。
