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民族与低出生体重:2008-2014 年哥伦比亚少数民族与主要梅斯蒂索人之间的不平等。

Ethnicity and Low Birth Weight: Inequalities Between Ethnic Minorities and the Predominant Mestizo Population, Colombia, 2008-2014.

机构信息

Faculty of Medicine, CES University, Medellin, Colombia.

School of Graduates, CES University, Medellin, Colombia.

出版信息

J Immigr Minor Health. 2021 Feb;23(1):62-70. doi: 10.1007/s10903-020-01031-4.

DOI:10.1007/s10903-020-01031-4
PMID:32445162
Abstract

Low birth weight (LBW) is a global problem that annually affects nearly 20 million children, 96% of these in developing countries. According to the WHO, the poorest and the ethnic minorities are the groups most affected by this indicator. A cross-sectional study of the database of all newborns officially registered in Colombia in 2008-2014 was done. While dichotomizing the mestizo population and ethnic minorities (Afro-descendants, indigenous, ROM), normal and low birth weight was used as the dependent variable and ethnicity as the explanatory variable. Other variables of the parents and the newborns were used as covariates. To assess associations, bivariate and multivariate logistic regression analyses were performed. The incidence of LBW among newborns registered in Colombia fluctuated at around 9%. Among the ethnic minorities, the probability of LBW, adjusted for other variables, was significantly higher (OR 1.07, 95% CI 1.05-1.08) than among mestizos. A significantly higher risk of LBW to newborns in the ethnic minorities' group, and those with unfavorable socioeconomic conditions, was found.

摘要

低出生体重(LBW)是一个全球性问题,每年影响近 2000 万名儿童,其中 96%在发展中国家。根据世界卫生组织的说法,最贫困和少数民族群体受这一指标影响最大。对 2008-2014 年期间哥伦比亚官方登记的所有新生儿数据库进行了一项横断面研究。在将混血人口和少数民族(非裔、土著、罗姆人)二分类后,将正常和低出生体重作为因变量,种族作为解释变量。将父母和新生儿的其他变量作为协变量。为了评估关联,进行了双变量和多变量逻辑回归分析。在哥伦比亚登记的新生儿中,LBW 的发生率波动在 9%左右。在少数民族中,调整其他变量后,LBW 的概率明显更高(OR 1.07,95%CI 1.05-1.08),高于混血儿。发现少数民族群体和社会经济条件不利的新生儿 LBW 的风险显著增加。

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