Birthweight data completeness and quality in population-based surveys: EN-INDEPTH study.
Birthweight data completeness and quality in population-based surveys: EN-INDEPTH study.
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DOI：
10.1186/s12963-020-00229-w
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发表时间：
2021-02-08
影响因子：
3.3
通讯作者：
Every Newborn-INDEPTH Study Collaborative Group
中科院分区：
文献类型：
--
作者：
Biks GA;Blencowe H;Hardy VP;Geremew BM;Angaw DA;Wagnew A;Abebe SM;Guadu T;Martins JSD;Fisker AB;Imam MA;Nettey OEA;Kasasa S;Di Stefano L;Akuze J;Kwesiga D;Lawn JE;Every Newborn-INDEPTH Study Collaborative Group
低出生体重（<2500克）是孕产妇健康的重要标志，与新生儿死亡率、长期发育和慢性疾病相关。家庭调查仍然是基于人口的出生体重信息的重要来源，特别是人口与健康调查（DHS）和联合国儿童基金会的多指标类集调查（MICS）；然而，数据质量问题依然存在。很少有研究探讨如何缩小调查中的这些差距。 EN-INDEPTH 在五个健康和人口监测系统地点（孟加拉国马特拉布、埃塞俄比亚达巴特、加纳金坦波、几内亚比绍班丁、乌干达伊甘加马尤格）对 69,176 名妇女进行了人口调查。对 14,411 名活产儿现有的 DHS/MICS 出生体重问题的回答进行了分析，并估计了与报告称重、出生体重和堆积相关的调整优势比 (aOR)。与妇女和采访者进行的 28 场焦点小组讨论探讨了报告出生体重的障碍和推动因素。几乎所有女性都回答了出生体重调查问题，平均回答时间为 0.2 分钟。在所有婴儿中，62.4%的婴儿在出生时称重，53.8%的婴儿报告了出生体重，21.1%的婴儿提供了记录出生体重的健康卡。在站点之间观察到高度异质性。在家分娩和新生儿死亡不太可能在出生时称重（在家分娩 aOR 0.03（95%CI 0.02–0.03），新生儿死亡（aOR 0.19（95%CI 0.16–0.24）），称重时不太可能知道实际出生体重（aOR 0.44（95%CI 0.33–0.58），aOR 0.30(95%CI 0.22–0.41)) 与设施出生和新生儿后幸存者相比，母亲教育水平的提高与报告称重和已知出生体重的增加有关。 一半记录的出生体重为 500 克的倍数，堆积在 IgangaMayuge 中更为常见 (aOR 14.91(95%CI 11.37–19.55) 和Dabat (aOR 14.25(95%CI 10.13–20.3) 与 Bandim 相比。回忆的出生体重比卡片记录的出生体重更多 (aOR 2.59(95%CI 2.11–3.19))。差距分析显示，在设施出生和已知出生体重之间错失了很大的机会，特别是新生儿死亡。定性数据表明，所有地点的妇女都认为了解婴儿的体重很有价值，但缺乏测量和沟通不畅，以及围绕出生体重的社会观念和精神信仰，影响了妇女报告出生体重的能力。 家庭调查中的出生体重数据仍然存在巨大的数据差距，即使是在设施出生中，提高出生体重的准确性和记录，以及与妇女更好的沟通，例如使用健康卡，可以提高调查出生体重数据的可用性和质量。
Low birthweight (< 2500 g) is an important marker of maternal health and is associated with neonatal mortality, long-term development and chronic diseases. Household surveys remain an important source of population-based birthweight information, notably Demographic and Health Surveys (DHS) and UNICEF’s Multiple Indicator Cluster Surveys (MICS); however, data quality concerns remain. Few studies have addressed how to close these gaps in surveys. The EN-INDEPTH population-based survey of 69,176 women was undertaken in five Health and Demographic Surveillance System sites (Matlab-Bangladesh, Dabat-Ethiopia, Kintampo-Ghana, Bandim-Guinea-Bissau, IgangaMayuge-Uganda). Responses to existing DHS/MICS birthweight questions on 14,411 livebirths were analysed and estimated adjusted odds ratios (aORs) associated with reporting weighing, birthweight and heaping reported. Twenty-eight focus group discussions with women and interviewers explored barriers and enablers to reporting birthweight. Almost all women provided responses to birthweight survey questions, taking on average 0.2 min to answer. Of all babies, 62.4% were weighed at birth, 53.8% reported birthweight and 21.1% provided health cards with recorded birthweight. High levels of heterogeneity were observed between sites. Home births and neonatal deaths were less likely to be weighed at birth (home births aOR 0.03(95%CI 0.02–0.03), neonatal deaths (aOR 0.19(95%CI 0.16–0.24)), and when weighed, actual birthweight was less likely to be known (aOR 0.44(95%CI 0.33–0.58), aOR 0.30(95%CI 0.22–0.41)) compared to facility births and post-neonatal survivors. Increased levels of maternal education were associated with increases in reporting weighing and knowing birthweight. Half of recorded birthweights were heaped on multiples of 500 g. Heaping was more common in IgangaMayuge (aOR 14.91(95%CI 11.37–19.55) and Dabat (aOR 14.25(95%CI 10.13–20.3) compared to Bandim. Recalled birthweights were more heaped than those recorded by card (aOR 2.59(95%CI 2.11–3.19)). A gap analysis showed large missed opportunity between facility birth and known birthweight, especially for neonatal deaths. Qualitative data suggested that knowing their baby’s weight was perceived as valuable by women in all sites, but lack of measurement and poor communication, alongside social perceptions and spiritual beliefs surrounding birthweight, impacted women’s ability to report birthweight. Substantial data gaps remain for birthweight data in household surveys, even amongst facility births. Improving the accuracy and recording of birthweights, and better communication with women, for example using health cards, could improve survey birthweight data availability and quality.
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影响因子：
7.2
作者：
Chang KT;Mullany LC;Khatry SK;LeClerq SC;Munos MK;Katz J
通讯作者：
Katz J
DOI：
10.1590/s0102-311x2007001000017
发表时间：
2007-10-01
期刊：
Cadernos de Saúde Pública
影响因子：
--
作者：
Araújo, Cora L. P.;Dutra, Carmem L. C.;Hallal, Pedro C.
通讯作者：
Hallal, Pedro C.
影响因子：
3.7
作者：
Chhea, Chhorvann;Ir, Por;Sopheab, Heng
通讯作者：
Sopheab, Heng
影响因子：
5.4
作者：
MORENO, L;GOLDMAN, N
通讯作者：
GOLDMAN, N
影响因子：
1.5
作者：
Channon, Andrew A. R.
通讯作者：
Channon, Andrew A. R.