DEMOGRAPHIC AND SOCIOECONOMIC DETERMINANTS OF LOW BIRTH WEIGHT AND PRETERM BIRTHS AMONG NATIVES AND IMMIGRANTS IN GREECE: AN ANALYSIS USING NATIONWIDE VITAL REGISTRATION MICRO- DATA
DEMOGRAPHIC AND SOCIOECONOMIC DETERMINANTS OF LOW BIRTH WEIGHT AND PRETERM BIRTHS AMONG NATIVES AND IMMIGRANTS IN GREECE: AN ANALYSIS USING NATIONWIDE VITAL REGISTRATION MICRO- DATA
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DOI：
10.1017/s0021932010000726
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发表时间：
2011-05-01
影响因子：
1.5
通讯作者：
Verropoulou, Georgia
中科院分区：
文献类型：
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作者：
Tsimbos, Cleon;Verropoulou, Georgia
本研究利用2006年希腊发生的单胎活产的全国个人层面的生命登记数据，采用多项logistic回归模型，探讨社会人口因素与不良妊娠结局的关联。研究结果表明，与低出生体重早产和宫内生长迟缓（IUGR）相关的重要危险因素包括女性性别、产次、母亲年龄超过35岁、非婚生和既往死胎史、婴儿和儿童死亡。这些也构成了正常体重早产的风险因素，尽管在这种情况下与性别和产次的关系指向了相反的方向。居住在大都市地区与IUGR出生的风险更大有关。在希腊妇女中，受教育程度具有保护作用，而家庭主妇地位与IUGR出生的可能性更高有关。然而，对于移民母亲来说，情况正好相反。研究还表明，正常体重的早产儿形成了一个独特的群体。
The present study makes use of nationwide individual-level vital registration data on the single live births occurring in Greece in 2006 to explore associations of socio-demographic factors with adverse pregnancy outcomes, using multinomial logistic regression models. The findings indicate that important risk factors associated with low birth weight preterm and intra-uterine growth retarded births (IUGR) include female sex, primiparity, age of mother over 35, illegitimacy and prior history of stillbirths, infant and child deaths. These constitute risk factors for normal weight preterm births as well, though associations with sex and primiparity in this case point to the opposite direction. Residing in large metropolitan areas is related to a greater risk of an IUGR birth. Among Greek women, educational attainment has a protective effect while housewife status is linked to higher chances of an IUGR birth. For immigrant mothers however, the opposite holds. The study also shows that normal weight preterm births form a distinct group.