Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.
Department of Health Nutrition, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia.
Int J Environ Res Public Health. 2022 Oct 26;19(21):13892. doi: 10.3390/ijerph192113892.
Although low birth weight (LBW) is still a major health problem in Indonesia, studies about determinants of LBW with large sample sizes are still limited. This study aimed to examine the association between LBW and maternal characteristics, as well as socio-economic backgrounds in Indonesia. A secondary analysis of 2017 Indonesian Demographic and Health Survey (IDHS) was conducted, specifically using the questionnaires for women of childbearing age. A bivariate chi-square analysis and a multivariate logistic regression analysis were performed. As many as 6.7% of infants were born with LBW. In terms of maternal characteristics, women who gave birth to twins were 20.30 times more likely to have infants with LBW ( < 0.001). Women with birth intervals of <24 and ≥24 months were likely to have LBW infants ( < 0.05). Complications during pregnancy were also associated with LBW (1.99 times higher than women with no complications) ( < 0.001). In terms of socio-economic factors, women with higher education and higher wealth index were less likely to give birth to infants with LBW. Additionally, marital status and type of residence were also significantly associated with a higher risk of LBW. In conclusion, LBW was associated with maternal characteristics and socio-economic backgrounds among women of childbearing age in Indonesia, including twin births, birth interval, and pregnancy complications as well as educational attainment, wealth index, marital status, and type of residence.
尽管低出生体重（LBW）仍然是印度尼西亚的一个主要健康问题，但仍缺乏关于其与大样本量的决定因素的研究。本研究旨在探讨 LBW 与产妇特征以及印度尼西亚社会经济背景之间的关系。对 2017 年印度尼西亚人口与健康调查（IDHS）进行了二次分析，具体使用了育龄妇女的调查问卷。进行了双变量卡方分析和多变量逻辑回归分析。多达 6.7%的婴儿出生时体重不足。就产妇特征而言，分娩双胞胎的女性生育 LBW 婴儿的可能性是 20.30 倍（<0.001）。出生间隔<24 个月和≥24 个月的女性更有可能生育 LBW 婴儿（<0.05）。怀孕期间的并发症也与 LBW 相关（比没有并发症的女性高 1.99 倍）（<0.001）。就社会经济因素而言，教育程度较高和财富指数较高的女性生育 LBW 婴儿的可能性较小。此外，婚姻状况和居住地类型也与 LBW 的高风险显著相关。总之，LBW 与印度尼西亚育龄妇女的产妇特征和社会经济背景有关，包括双胞胎分娩、出生间隔和妊娠并发症以及教育程度、财富指数、婚姻状况和居住地类型。
