Low birth weight of institutional births in Cambodia: Analysis of the Demographic and Health Surveys 2010-2014
Low birth weight of institutional births in Cambodia: Analysis of the Demographic and Health Surveys 2010-2014
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DOI：
10.1371/journal.pone.0207021
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发表时间：
2018-11-08
期刊：
影响因子：
3.7
通讯作者：
Sopheab, Heng
中科院分区：
文献类型：
--
作者：
Chhea, Chhorvann;Ir, Por;Sopheab, Heng
研究背景低出生体重（LBW）是导致儿童早期死亡和发病的一个重要危险因素，是包括柬埔寨在内的发展中国家的一个主要公共卫生问题。本研究探讨了柬埔寨各省LBW的患病率和随时间的变化，并确定了与这种condition.MethodsWe使用的柬埔寨人口与健康调查（CDHS）2010年和2014年的儿童数据集的因素。两次调查分别有3 522名儿童和4 991名儿童。绘制了说明各省LBW患病率变化的地图。然后，进行多变量分析以评估CDHS 2014中与LBW独立相关的因素。结果2010年至2014年间LBW患病率保持稳定，约为7.0%（95%CI：5.8-8.1）。所有机构出生，但各省之间差异很大。与LBW独立相关的因素包括母亲未受教育（AOR = 1.6，95%CI：1.0-2.6），母亲孕期产前检查（ANC）次数少于4次（AOR = 2.0，95%CI：1.5 - 2.8），母亲孕期产前检查次数少于4次（AOR = 2.0，95%CI：1.5-2.8）。此外，第一胎婴儿的LBW的风险更大相比，第二胎婴儿（AOR = 1.4，95%CI：1.0-2.0）。ConclusionThe study points to key sub-populations at higher risk and regions where LBW is particularly prevalent.方案应针对出生体重不足流行率仍然很高的省份。文盲妇女，特别是初次怀孕的妇女应成为该方案的优先对象。目前的国家方案政策建议孕妇在怀孕期间接受超过4次产前保健检查，应进一步加强和执行这项政策。方案设计应考虑如何向没有受过正规教育的妇女宣传建议的产前保健访问次数的重要性。
BackgroundLow birth weight (LBW), an important risk factor for early childhood mortality and morbidity, is a major public health concern in developing countries including Cambodia. This study examined the prevalence of LBW across provinces in Cambodia and changes over time, and identified the factors associated with such condition.MethodsWe used children datasets from Cambodia Demographic and Health Survey (CDHS) 2010 and 2014. There were 3,522 children and 4,991 children in both surveys. Maps illustrating provincial variation in LBW prevalence were constructed. Then, multivariate analyses were conducted to assess factors independently associated with LBW in CDHS 2014.ResultsLBW prevalence remained stable between 2010 and 2014, at around 7.0% 95% CI: 5.8-8.1). all institutional births, but within significant variation across provinces. Factors independently associated with LBW included mother's no education compared with those whose mothers had secondary or higher education (AOR = 1.6, 95% CI: 1.0-2.6), babies born to mothers with < 4 antenatal care (ANC) visits during the pregnancy compared with those whose mothers had at least 4 ANC visits (AOR = 2.0, 95% CI: 1.5-2.8). Also, first-born babies were at greater risk of LBW compared with second-born babies (AOR = 1.4, 95% CI: 1.0-2.0).ConclusionThe study points to key sub-populations at greater risk and regions where LBW is particularly prevalent. Programs should target provinces where LBW prevalence remains high. Illiterate women, especially those pregnant for the first time should be the program priority. The current national program policy, which recommends that pregnant women have >= 4 ANC visits during pregnancy should be further reinforced and implemented. Program design should consider ways to communicate the importance of making the recommended number of ANC visits among women with no formal education.