Risk factors of preterm birth and low birth weight babies among Roma and non-Roma mothers: a population-based study.
Risk factors of preterm birth and low birth weight babies among Roma and non-Roma mothers: a population-based study.
复制标题
DOI：
10.1093/eurpub/cks089
复制
发表时间：
2013-06
影响因子：
4.4
通讯作者：
P. Balázs;Ildikó Rákóczi;Andrea Grenczer;K. Foley
中科院分区：
文献类型：
--
作者：
P. Balázs;Ildikó Rákóczi;Andrea Grenczer;K. Foley
2009年，匈牙利8.4%的活产婴儿为低出生体重（LBW），8.7%为早产（PTB）。罗姆人在匈牙利北方的比例过高，那里的低出生体重和出生后即丧失劳动力的比例是全国最高的（各占10.3%）。本研究评估了匈牙利北方两个县罗姆人和非罗姆人中出生体重不足和/或肺结核的风险因素。我们对2009年分娩的5469名非罗姆人和2287名罗姆人母亲进行了回顾性队列研究。母婴健康院护士会探访妇女，并亲自完成有关人口、社会经济、文化及生活方式等因素的有系统调查。这些数据与来自医院记录的生物特征数据相结合。双变量统计和逻辑回归分析用于确定LBW和PTB的危险因素。结果：罗姆人的PTB和LBW婴儿的发生率高于非罗姆人妇女（PTB 9.9% vs. 7.1%，LBW 12.2% vs. 6.5%，P = 0.001）。然而，在多变量分析中，当控制社会人口统计学和生活方式特征时，种族与PTB和LBW无关。与LBW和PTB相关的因素包括体重不足，高龄产妇和吸烟。必须将确保健康生活方式的战略很好地纳入以家庭为基础的干预措施和学校，特别考虑到有害生活方式和不良生育结果更为普遍的罗姆妇女。确保健康的体重和不吸烟对母亲和胎儿都有重要意义。
BACKGROUND In 2009, 8.4% of live births in Hungary were low birth weight (LBW) and 8.7% were preterm (PTB). Roma are disproportionately represented in Northern Hungary where LBW and PTB are highest in the country (10.3% equally). This study evaluates the risk factors for LBW and/or PTB among the Roma and non-Roma populations in two Northern Hungarian counties. METHODS We conducted a retrospective cohort study of 5469 non-Roma and 2287 Roma mothers who gave birth in 2009. Women were visited by the Maternal and Child Health Service nurses and completed in-person structured surveys on demographic, socio-economic, cultural and lifestyle factors. These data were combined with biometric data from hospital records. Bivariate statistics and a logistic regression analyses were used to determine risk factors for LBW and PTB. RESULTS Roma had a higher incidence of PTB and LBW babies compared with non-Roma women (PTB 9.9% vs. 7.1%, LBW 12.2% vs. 6.5% P = 0.001). However, ethnicity was not related to PTB and LBW in multivariable analyses, when controlling for socio-demographic and lifestyle characteristics. Factors associated with LBW and PTB include being underweight, advanced maternal age, and smoking. CONCLUSION Strategies that ensure healthy lifestyles must be well integrated in family-based interventions and in the schools, with special consideration for Roma women who have a higher prevalence of deleterious lifestyles and poor birth outcomes. Ensuring a healthy body weight and no smoking has important implications for the mother and foetus.