Are clinical criteria just proxies for socioeconomic status? A study of low birth weight in Jamaica.
Are clinical criteria just proxies for socioeconomic status? A study of low birth weight in Jamaica.
复制标题
临床标准只是社会经济地位的代表吗？
DOI：
10.1136/jech.51.1.90
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发表时间：
1997
影响因子：
6.3
通讯作者：
Gertler,PJ
中科院分区：
文献类型：
--
作者：
Peabody,JW;Gertler,PJ
目的 确定低出生体重的临床风险因素是否独立于来自发展中国家的人口样本中的社会经济风险因素。设计来自患者报告的社会经济措施及其最近怀孕史的调查数据。设置牙买加随机选择的家庭的全国样本。主题家庭中所有 14-50 岁的妇女在过去五年中怀孕持续七个月（n = 952）。主要结果 测量出生体重。结果低出生体重的临床危险因素（例如胎龄）独立于社会经济决定因素（例如消费和母亲居住地）。未生育、35 岁或以上、贫困或生活在某些地区的女性比不具备这些特征的女性更有可能生出较低出生体重的孩子（t 统计量 > 2.0）。在多元回归中添加社会经济因素不会改变对低出生体重临床危险因素的估计。因此，未生育的影响可以通过处于最高消费五分位中来抵消，相反，如果女性贫穷，变老的风险将会加剧。结论应该使用临床和社会经济风险因素来针对高风险女性。在护理质量方面，本研究将临床和社会经济风险因素与不良结果联系起来。然而，需要进一步研究将不同地点的护理质量与这些结果联系起来。
OBJECTIVETo determine if the clinical risk factors for low birth weight are independent of socioeconomic risk factors in a population based sample from a developing country.DESIGNSurvey data from patient reported socioeconomic measures and their most recent pregnancy history.SETTINGA national sample of randomly selected households in Jamaica.SUBJECTSAll women aged 14-50 in the household who had a pregnancy lasting seven months in the past five years (n = 952).MAIN OUTCOME MEASUREBirth weight.RESULTSClinical risk factors for low birth weight, such as parity age, are independent of socioeconomic determinants, such as consumption and where a mother lives. Women who are nulliparous, 35 or older, poor, or living in certain areas are more likely to have lower birth weight children than those that do not have these characteristics (t statistics > 2.0). The addition of socioeconomic factors to the multiple regression does not alter the estimates for the clinical risk factors for low birth weight. Thus, the effect of being nulliparous can be offset by being in the highest consumption quintile and, conversely, the risk of being older will be compounded if women are poor.CONCLUSIONSBoth clinical and socioeconomic risk factors should be used to target women at risk. In terms of the quality of care, this study links clinical and socioeconomic risk factors to poor outcomes. Further studies are needed, however, to link the quality of care at various locations to these outcomes.