Guendelman S, English P, Chavez G
Maternal and Child Health Program, University of California, Berkeley, USA.
Pediatrics. 1995 Jun;95(6):823-8.
Few studies have investigated the effect of maternal health behaviors on the utilization of childhood preventive care. We evaluated a sample of 788 Latino mother-infant pairs to determine whether, in addition to other characteristics, maternal health risk behaviors are associated with infant immunization status.
We conducted a cross-sectional survey of Mexican origin mothers of infants 8 to 16 months of age living in San Diego County, CA. In addition to sociodemographic and health care factors, we assessed maternal behaviors such as tobacco and alcohol consumption, safety precautions, and the organization of the home environment, and examined their relation to adequate childhood immunization status.
When grouped together in a maternal health risk index, maternal health behaviors showed a dose-response relationship with inadequate immunization status. After controlling for confounders, each point increase on the health risk index was associated with a 20% increase in the likelihood of inadequate childhood immunizations. Marital status, parity, life stress, time lived in neighborhood, Spanish language, and child age were also important predictors.
Early identification of children at risk for underimmunization may be aided by focusing on maternal health behaviors in addition to other sociodemographic characteristics.
很少有研究调查孕产妇健康行为对儿童预防性保健利用情况的影响。我们评估了788对拉丁裔母婴样本，以确定除其他特征外，孕产妇健康风险行为是否与婴儿免疫状况相关。
我们对居住在加利福尼亚州圣地亚哥县的8至16个月大婴儿的墨西哥裔母亲进行了横断面调查。除了社会人口统计学和医疗保健因素外，我们评估了孕产妇行为，如烟草和酒精消费、安全预防措施以及家庭环境的组织情况，并研究了它们与儿童充分免疫状况的关系。
当将孕产妇健康风险行为归为一个孕产妇健康风险指数时，它们与免疫不足状况呈现剂量反应关系。在控制混杂因素后，健康风险指数每增加一分，儿童免疫不足的可能性就增加20%。婚姻状况、生育次数、生活压力、在社区居住时间、西班牙语能力和儿童年龄也是重要的预测因素。
除了其他社会人口统计学特征外，关注孕产妇健康行为可能有助于早期识别有免疫不足风险的儿童。
