Department of Sociology, University of Ibadan, Ibadan, Nigeria.
Department of Demography and Social Statistics, Obafemi Awolowo University, Ife, Nigeria.
PLoS One. 2020 Nov 24;15(11):e0242796. doi: 10.1371/journal.pone.0242796. eCollection 2020.
There is a knowledge gap on abnormal birth weight in urban Nigeria where specific community contexts can have a significant impact on a child's health. Abnormal birth weight, classified into low birth weight and high birth weight, is often associated with adverse health outcomes and a leading risk for neonatal morbidity and mortality. The study used datasets from the birth recode file of 2013 and 2018 Nigeria Demographic and Health Survey (NDHS); a weighted sample of pooled 9,244 live births by 7,951 mothers within ten years (2008-2018) in urban Nigeria. The effects of individual, healthcare utilization and community-level variables on the two abnormal birth weight categories were explored with a multinomial logistic regression models using normal birth weight as a reference group. In urban Nigeria, the overall prevalence of ABW was 18.3%; high birth weight accounted for the majority (10.7%) of infants who were outside the normal birth weight range. Predictors of LBW were community (region), child characteristic (the type of birth) and household (wealth index) while that of HBW were community (regions), child characteristics (birth intervals and sex), maternal characteristic (education) and healthcare utilization (ANC registration). LBW was significantly more prevalent in the northern part while HBW was more common in the southern part of urban Nigeria. This pattern conforms to the expected north-south dichotomy in health indicators and outcomes. These differences can be linked to suggested variation in regional exposure to urbanization in Nigeria.
在尼日利亚城市,人们对异常出生体重存在知识差距,特定的社区环境会对儿童健康产生重大影响。异常出生体重分为低出生体重和高出生体重,通常与不良健康结果相关,是新生儿发病率和死亡率的主要风险因素。本研究使用了 2013 年和 2018 年尼日利亚人口与健康调查(NDHS)出生记录文件中的数据集;这是一个十年内(2008-2018 年)在尼日利亚城市中由 7951 名母亲的 9244 例活产儿组成的加权样本。使用多项逻辑回归模型,以正常出生体重为参照组,探讨了个体、医疗保健利用和社区层面变量对这两种异常出生体重类别的影响。在尼日利亚城市,ABW 的总体患病率为 18.3%;高出生体重占超出正常出生体重范围的婴儿的大多数(10.7%)。LBW 的预测因素是社区(地区)、儿童特征(分娩类型)和家庭(财富指数),而 HBW 的预测因素是社区(地区)、儿童特征(出生间隔和性别)、母亲特征(教育)和医疗保健利用(ANC 注册)。LBW 在北部更为普遍,而 HBW 在尼日利亚城市的南部更为常见。这种模式符合人们对健康指标和结果的南北二分法的预期。这些差异可能与尼日利亚城市化地区暴露的差异有关。