The effect of a preterm birth prevention program in 17 rural and three urban counties in northwest North Carolina.
The effect of a preterm birth prevention program in 17 rural and three urban counties in northwest North Carolina.
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DOI：
10.1111/j.1748-0361.1989.tb00997.x
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发表时间：
1989-10-01
期刊：
影响因子：
--
通讯作者：
Sharp, P
中科院分区：
文献类型：
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作者：
Moore, M L;Buescher, P A;Sharp, P
描述了 1985 年和 1986 年在 17 个农村县（20,727 名出生人口）和 3 个城市县（15,561 名出生人口）实施的低出生体重预防计划的结果。该计划中的女性记录通过计算机与出生证明数据进行匹配。按种族对参与和退出该计划的农村和城市妇女的以下风险因素进行了比较：年龄小于 18 岁、未婚、教育程度小于 12 年、医疗补助受益人、非 WIC 受益人、产前护理不足以及既往胎儿或活产死亡。调整这些风险因素后，使用逻辑回归来估计项目对农村妇女低出生体重（LBW）、极低出生体重（VLBW）和早产低出生体重（PLBW）的影响。白人女性的极低出生体重和早产低出生体重以及非白人女性的低出生体重和早产低出生体重在该计划中存在统计学显着性差异（p小于或等于0.01）。除一名白人女性平均出生体重极低外，农村地区的差异均超过城市地区。
The results of a program of low birthweight prevention in 17 rural (20,727 births) and three urban counties (15,561 births) for calendar years 1985 and 1986 are described. Records for women in the program were matched with birth certificate data by computer. Rural and urban women in and out of the program were compared by race on the following risk factors: age less than 18 years, unmarried, education less than 12 years, Medicaid recipient, not WIC recipient, inadequate prenatal care, and previous fetal or live born death. Adjusting for these risk factors, logistic regression was used to estimate program effects on low birthweight (LBW), very low birthweight (VLBW), and preterm low birthweight (PLBW) among rural women. There was a statistically significant difference (p less than or equal to 0.01) favoring women in the program for very low birthweight and preterm low birthweight in white women, and low birthweight and preterm low birthweight in nonwhite women. The differences in rural areas exceed those in urban areas for all but one mean, very low birthweight births among white women.