Public Health in Nutrition, Addis Ababa Business and Medical College, Addis Ababa, Ethiopia.
Department of Midwifery, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia.
J Obstet Gynaecol. 2023 Dec;43(1):2114332. doi: 10.1080/01443615.2022.2114332. Epub 2022 Aug 29.
Only 14% of births had information on birth weight available at the time of birth in Ethiopia. Hence, previous studies underestimate the magnitude and associated factors of low birth weight (LBW). As a result, the goal of this study is to fill those gaps in the previous studies. An institution-based cross-sectional study was employed. Binary logistic regression was used to identify the associated factors. In this study, the magnitude of LBW was 13.06%. History of chronic medical illness (AOR = 3; 95% CI: (1.02, 9.17)), haemoglobin level during pregnancy (AOR = 0.23; 95% CI: (0.10, 0.50)), iron/folic acid supplementation (AOR = 0.27; 95% CI: (0.10, 0.72)) and extra meal during pregnancy (AOR = 3.2; 95% CI: (1.52, 7.00)) were significantly associated with LBW. The magnitude of LBW in this study was comparable to the Ethiopian Demographic and Health Survey (EDHS) report from 2016. It is better to intervene in those identified factors in order to reduce LBW.Impact Statement Low birth weight (LBW) accounts for 60-80% of all neonatal deaths each year. In developing countries like Ethiopia, LBW is a major public health concern. Almost half of the world's infants are not weighed at birth, a figure that is especially high in sub-Saharan Africa including Ethiopia. Only 14% of births had information on birth weight available at the time of birth in Ethiopia. Hence, previous studies underestimate the magnitude and associated factors of LBW. To meet the Sustainable Development Goals (SDGs)-2030 targets for neonatal and child mortality, sufficient evidence on the magnitude of LBW and associated factors must be important in order to contribute to the development of timely interventions. A history of chronic medical illness, haemoglobin level, iron/folic acid supplementation and extra meal during pregnancy was associated with LBW. The findings of this study will be useful in developing better health policies to prevent LBW as well as interventions that can target the identified factors.
在埃塞俄比亚，只有 14%的分娩时有出生体重信息。因此，之前的研究低估了低出生体重（LBW）的程度和相关因素。因此，本研究的目的是填补之前研究中的这些空白。采用基于机构的横断面研究。使用二元逻辑回归来确定相关因素。在这项研究中，LBW 的程度为 13.06%。慢性疾病史（AOR=3；95%CI：（1.02，9.17））、怀孕期间的血红蛋白水平（AOR=0.23；95%CI：（0.10，0.50））、铁/叶酸补充剂（AOR=0.27；95%CI：（0.10，0.72））和怀孕期间的额外膳食（AOR=3.2；95%CI：（1.52，7.00））与 LBW 显著相关。本研究中 LBW 的程度与 2016 年埃塞俄比亚人口与健康调查（EDHS）报告相当。最好干预这些已确定的因素，以降低 LBW 的发生率。
低出生体重（LBW）占每年所有新生儿死亡人数的 60-80%。在埃塞俄比亚等发展中国家，LBW 是一个主要的公共卫生问题。全世界几乎有一半的婴儿在出生时没有称重，在包括埃塞俄比亚在内的撒哈拉以南非洲，这一数字尤其高。
在埃塞俄比亚，只有 14%的分娩时有出生体重信息。因此，之前的研究低估了 LBW 的程度和相关因素。为了实现可持续发展目标（SDGs）-2030 年新生儿和儿童死亡率目标，必须有足够的 LBW 程度和相关因素的证据，以有助于制定及时的干预措施。慢性疾病史、血红蛋白水平、铁/叶酸补充剂和怀孕期间的额外膳食与 LBW 有关。本研究的结果将有助于制定更好的卫生政策，以预防 LBW 以及针对已确定因素的干预措施。
