Determinants of low birth weight in India: An investigation from the National Family Health Survey
Determinants of low birth weight in India: An investigation from the National Family Health Survey
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DOI：
10.1002/ajhb.23355
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发表时间：
2019-11-20
影响因子：
2.9
通讯作者：
Kaur, Supreet
中科院分区：
文献类型：
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作者：
Khan, Nizamuddin;Mozumdar, Arupendra;Kaur, Supreet
目的本研究旨在估计印度过去十年来低出生体重（LBW）患病率的变化，并确定其相关因素-生物学、人口学、社会经济和计划。方法我们使用2005-2006年（NFHS-3）和2015-2016年（NFHS-4）的全国家庭健康调查数据。本研究的样本包括来自NFHS-3的11300名儿童和来自NFHS-4数据的99894名儿童;所有这些儿童都是调查前3年内出生的最后一个足月单胎活产婴儿。结果在印度，低出生体重的患病率在过去十年中从20.4%（95%CI 19.4-21.4）显著下降到16.4%（95%CI 16.1-16.8）。母亲为青春期（OR = 1.2，95% CI 1.1 - 1.3; P < .001）和发育迟缓（OR = 1.3，95% CI 1.3 - 1.3; P < .001）的女孩的低出生体重患病率仍然很高（OR = 1.2，95% CI 1.2 - 1.3; P < .001）。第二胎及以上胎次婴儿LBW患病率下降（OR = 0.8，95%CI 0.8-0.9; P <0.001），母亲文化程度在中学及以上者（OR = 0.6 ~ 0.8），属于富裕阶层（OR = 0.9 ~ 0.8），来自农村（OR = 0.9，95%CI 0.9-1.0; P <0.001），接受更好的营养和充分的产前保健（OR = 0.8，95%CI 0.8-0.8; P < .001），来自印度东部、东北部和南部地区（OR = 0.9 - 0.5）。结论虽然印度的低出生体重患病率在过去十年中有所下降，但下降的程度是适度的。在未来几年，印度的卫生计划需要加强孕产妇保健服务和孕产妇营养之间的融合，以减少LBW。
Objective This study aimed to estimate the change in prevalence of low birth weight (LBW) over the last decade in India and to identify its associated factors-biological, demographic, socio-economic, and programmatic. Methods We used the data from the National Family Health Survey of 2005-2006 (NFHS-3) and 2015-2016 (NFHS-4). The sample of this study included 11 300 children from NFHS-3 and 99 894 from NFHS-4 data; all these children were the last full-term singleton live-births, born within the last 3 years prior to the survey. Results In India, the prevalence of LBW has significantly declined from 20.4% (95%CI 19.4-21.4) to 16.4% (95% CI 16.1-16.8) in the last decade. The prevalence of LBW remained high in girl children (OR = 1.2, 95% CI 1.2-1.3; P < .001), whose mothers were adolescent (OR = 1.2, 95% CI 1.1-1.3; P < .001), and were stunted (OR = 1.3, 95% CI 1.3-1.3; P < .001). Prevalence of LBW declined among second or higher birth order child (OR = 0.8, 95% CI 0.8-0.9; P < .001), whose mothers educated up to secondary level and above (OR = 0.6 to 0.8), belonged to rich wealth quintiles (OR = 0.9 to 0.8), were from rural area (OR = 0.9, 95% CI 0.9-1.0; P < .001), received better nutrition and adequate antenatal care (OR = 0.8, 95% CI 0.8-0.8; P < .001), and were from eastern, northeastern, and southern regions of India (OR = 0.9 to 0.5). Conclusion Although the prevalence of LBW in India has declined over the past decade, the extent of the decline is modest. In the coming years, health programs in India need to gear up with greater convergence between maternal health services and maternal nutrition to reduce LBW.