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印度尼西亚低出生体重的决定因素:2017 年印度尼西亚人口与健康调查结果。

Determinant factors of low birth weight in Indonesia: Findings from the 2017 Indonesian demographic and health survey.

机构信息

Faculty of Nursing, Universitas Airlangga, Surabaya 60286, Indonesia.

Faculty of Nursing, Universitas Airlangga, Surabaya 60286, Indonesia.

出版信息

J Pediatr Nurs. 2022 Mar-Apr;63:e102-e106. doi: 10.1016/j.pedn.2021.10.005. Epub 2021 Oct 20.

DOI:10.1016/j.pedn.2021.10.005
PMID:34688529
Abstract

BACKGROUND

Low birth weight (LBW) is still a significant problem in Indonesia because it affects the growth and development of infants. It is also one of the factors that increase the risk of developing chronic disease later in life.

PURPOSE

The study aimed to analyse the determinants of LBW in Indonesia.

METHODS

This cross-sectional analytic study used secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). Data on the maternal factors (maternal age, frequency of antenatal care (ANC) visits, education, and maternal smoking status), children's birth order, and socio-demographic factors of the 14,239 respondents were examined. The association between LBW and the independent variables was analysed using bivariate analysis with a chi-square test (X), followed by multivariate analysis in the form of binary logistic regression.

RESULTS

LBW was identified in 960 infants (6.74%). Fewer than four ANC visits [AOR = 1.86; 95% CI = 1.44-2.42], uneducated mothers [AOR = 2.09; 95% CI = 1.00-4.37], and mothers who finished only primary school [AOR = 1.45; 95% CI = 1.05-2.00] were significantly associated with the incidence of LBW.

CONCLUSIONS

This study revealed that the frequency of ANC visits was a dominant factor in the incidence of LBW.

PRACTICE IMPLICATION

To reduce LBW in Indonesia, the government must increase ANC visits through health promotion programmes and maintain ANC facilities and quality.

摘要

背景

低出生体重(LBW)在印度尼西亚仍然是一个重大问题,因为它会影响婴儿的生长和发育。它也是导致日后生活中罹患慢性疾病风险增加的因素之一。

目的

本研究旨在分析印度尼西亚 LBW 的决定因素。

方法

本横断面分析性研究使用了 2017 年印度尼西亚人口与健康调查(IDHS)的二级数据。对 14239 名受访者的产妇因素(母亲年龄、产前保健(ANC)就诊频率、教育程度和母亲吸烟状况)、儿童出生顺序和社会人口因素进行了分析。采用卡方检验(X)进行两变量分析,随后采用二元逻辑回归形式进行多变量分析,以确定 LBW 与独立变量之间的关联。

结果

在 14239 名受访者中,有 960 名婴儿(6.74%)为 LBW。少于 4 次 ANC 就诊(AOR=1.86;95%CI=1.44-2.42)、母亲未受教育(AOR=2.09;95%CI=1.00-4.37)和仅完成小学教育的母亲(AOR=1.45;95%CI=1.05-2.00)与 LBW 的发生率显著相关。

结论

本研究表明,ANC 就诊频率是 LBW 发生率的主要因素。

实践意义

为了降低印度尼西亚的 LBW 发生率,政府必须通过健康促进计划增加 ANC 就诊次数,并维持 ANC 设施和质量。

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