Belizán J M, Delgado H, Mejia-Pivaral V, Valverde V, Klein R E
J Trop Med Hyg. 1981 Dec;84(6):243-8.
In planning public health activities to reduce the incidence of low birth weight babies (LBW) in poor rural areas, it is necessary to identify the communities which require priority actions. The study population consisted of ten rural communities with similar characteristics. All were composed of coffee plantation workers with the same source of income, similar dwellings and dress, and all were located in the same climatic zone. However, the communities showed a variability of 72% in the incidence of LBW babies. Birth weight in the communities was significantly associated with maternal weight in the first trimester of pregnancy, daily caloric intake in the first and third trimesters of pregnancy, prevalence of houses with the kitchen in the sleeping area, literacy rate and ease of access to villages. Thus the identification of communities which would require priority in public health activities can be accomplished using simple indicators. Health activities should be combined with nutrition and education programmes and improvement both of sanitary conditions and of the means of access to population centres.
在规划公共卫生活动以降低贫困农村地区低体重儿（LBW）的发生率时，有必要确定需要优先采取行动的社区。研究人群包括十个具有相似特征的农村社区。所有社区均由收入来源相同、住房和穿着相似的咖啡种植园工人组成，且都位于同一气候区。然而，这些社区的低体重儿发生率存在72%的差异。社区内的出生体重与孕妇孕早期体重、孕早期和孕晚期的每日热量摄入、卧室兼厨房的房屋比例、识字率以及前往村庄的便利程度显著相关。因此，利用简单指标即可确定在公共卫生活动中需要优先关注的社区。卫生活动应与营养和教育计划相结合，并改善卫生条件以及通往人口聚居中心的交通方式。
