CAN MOTHERS JUDGE THE SIZE OF THEIR NEWBORN? ASSESSING THE DETERMINANTS OF A MOTHER'S PERCEPTION OF A BABY'S SIZE AT BIRTH
CAN MOTHERS JUDGE THE SIZE OF THEIR NEWBORN? ASSESSING THE DETERMINANTS OF A MOTHER'S PERCEPTION OF A BABY'S SIZE AT BIRTH
复制标题
DOI：
10.1017/s0021932011000198
复制
发表时间：
2011-09-01
影响因子：
1.5
通讯作者：
Channon, Andrew A. R.
中科院分区：
文献类型：
--
作者：
Channon, Andrew A. R.
众所周知，出生体重与儿童健康密切相关，但由于发展中国家的许多婴儿出生时没有称体重，因此没有记录出生体重，因此在分析儿童疾病的决定因素时很难使用出生体重。通常使用出生体重的替代物，即母亲对婴儿出生时尺寸的感知。利用在柬埔寨、哈萨克斯坦和马拉维进行的人口与健康调查，对这一问题的答复进行了评估，以表明出生体重与母亲的看法之间的关系。感知的决定因素进行了调查，使用多层次有序回归，以衡量他们是否有不同的婴儿和没有记录的出生体重，并考虑是否有社会或社区的影响，对感知的大小。结果表明，母亲的看法是密切相关的出生体重，虽然有其他影响的分类婴儿到大小组。平均而言，与男孩出生体重相同的女孩将被归类为较小的体型类别。同样，在调查时死亡的婴儿将被归类为比仍然活着的类似体重的婴儿更小。有显着的差异，在大小感知之间的抽样地区和集群，表明母亲主要判断他们的孩子的大小对国家规范。然而，也有证据表明，新生儿周围社区中婴儿的大小也会对最终的大小感知分类产生影响。总体而言，结果表明，母亲的大小的看法是一个很好的代理出生体重在大型的全国代表性调查，但应注意控制社会影响的看法。
Birth weight is known to be closely related to child health, although as many infants in developing countries are not weighed at birth and thus will not have a recorded birth weight it is difficult to use birth weight when analysing the determinants of child illness. It is common to use a proxy for birth weight instead, namely the mother's perception of the baby's size at birth. Using DHS surveys in Cambodia, Kazakhstan and Malawi the responses to this question were assessed to indicate the relationship between birth weight and mother's perception. The determinants of perception were investigated using multilevel ordinal regression to gauge if they are different for infants with and without a recorded birth weight, and to consider if there are societal or community influences on perception of size. The results indicate that mother's perception is closely linked to birth weight, although there are other influences on the classification of infants into size groups. On average, a girl of the same birth weight as a boy will be classified into a smaller size category. Likewise, infants who died by the time of the survey will be classified as smaller than similarly heavy infants who are still alive. There are significant variations in size perception between sampling districts and clusters, indicating that mothers mainly judge their child for size against a national norm. However, there is also evidence that the size of infants in the community around the newborn also has an effect on the final size perception classification. Overall the results indicate that mother's perception of size is a good proxy for birth weight in large nationally representative surveys, although care should be taken to control for societal influences on perception.