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低出生体重的预测因素:对印度阿萨姆邦一个健康与人口队列的研究

Predictors of Low Birth Weight: A Study in a Health and Demographic Cohort from Assam, India.

作者信息

Rasaily Reeta, Chetry Prakash, Borah Kamakhya, Pathak Jyotismita, Borah Nilutpal, Saikia Himanshu, Borah Prasanta Kumar

机构信息

Indian Council of Medical Research, New Delhi, India.

ICMR Regional Medical Research Center, NE Region, Dibrugarh, Assam, 786 001, India.

出版信息

Indian J Pediatr. 2022 Oct;89(10):1019-1021. doi: 10.1007/s12098-022-04105-3. Epub 2022 Feb 25.

Abstract

Low birth weight is associated with morbidities and mortality in the later life. Prevalence of anemia and under nutrition in Assam were reported to be high which may correlate with low birth weight of infants. The present study assessed prevalence and risk factors for low birth weight in a health and demographic cohort established in Dibrugarh district, Assam. A total of 1437 deliveries (580 from rural and 857 from tea garden) were recorded during March 2019 to February 2020. Prevalence of low birth weight was 30.34%. Tea-garden community [OR: 1.4 (1.06-1.79)], low levels of maternal education [OR: 1.57(1.12-2.13)], low monthly income [OR: 2.1 (1.1-3.9)], pre-term birth [OR: 4.1 (2.2-7.9)] and mother with low BMI [OR: 1.6 (1.3-2.07)] were found to be significantly associated with low birth weight. Intervention strategies to improve socioeconomic condition, promote antenatal checkup and alleviate under nutrition in pregnant mothers are warranted to reduce low birth weight.

摘要

低出生体重与日后的发病率和死亡率相关。据报道,阿萨姆邦贫血和营养不良的患病率很高,这可能与婴儿的低出生体重有关。本研究评估了在阿萨姆邦迪布鲁格尔区建立的一个健康和人口队列中低出生体重的患病率及危险因素。在2019年3月至2020年2月期间共记录了1437例分娩(580例来自农村,857例来自茶园)。低出生体重的患病率为30.34%。研究发现,茶园社区[比值比:1.4(1.06 - 1.79)]、母亲教育水平低[比值比:1.57(1.12 - 2.13)]、月收入低[比值比:2.1(1.1 - 3.9)]、早产[比值比:4.1(2.2 - 7.9)]以及母亲体重指数低[比值比:1.6(1.3 - 2.07)]与低出生体重显著相关。有必要采取干预策略来改善社会经济状况、促进产前检查并缓解孕妇的营养不良状况,以降低低出生体重的发生率。

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