Access to Obstetric Care and Children’s Health, Growth and Cognitive Development in Vietnam: Evidence from Young Lives

Access to Obstetric Care and Children’s Health, Growth and Cognitive Development in Vietnam: Evidence from Young Lives
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越南获得产科护理和儿童健康、成长和认知发展:来自年轻生命的证据

DOI:
10.1007/s10995-016-2227-2
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发表时间:
2017
影响因子:
2.3
通讯作者:
Elizabeth A. Newnham
Elizabeth A. Newnham
中科院分区:
医学4区
文献类型:
--
作者:
T. Lavin;D. Preen;Elizabeth A. Newnham

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背景在缺乏熟练产科护理的情况下分娩(如在家分娩)对儿童长期发育的影响尚不清楚。本研究探讨了健康,生长和认知发展的儿童幸存的家庭出生在越南年轻的生命样本在幼儿期。方法在越南进行了Young Lives纵向队列研究,其中包括2001/2年出生的1812名儿童,随访时间为1年、5年和8年。收集身高/体重、健康和认知发育(皮博迪图片词汇测试)数据。根据社会人口和怀孕相关因素调整的统计模型。结果:在调整社会人口学/妊娠相关因素后,家庭分娩存活的儿童的长期健康状况并没有显着恶化,发育迟缓也没有显着增加。农村地区,缺乏家庭教育,少数民族地位和较低的财富预测更大的发育迟缓和皮博迪词汇测试成绩较差。结论家庭分娩对儿童的健康和生长发育没有影响,而社会弱势对儿童的健康和生长发育有影响。
Background The impact of birth with poor access to skilled obstetric care such as home birth on children’s long term development is unknown. This study explores the health, growth and cognitive development of children surviving homebirth in the Vietnam Young Lives sample during early childhood. Methods The Young Lives longitudinal cohort study was conducted in Vietnam with 1812 children born in 2001/2 with follow-up at 1, 5, and 8 years. Data were collected on height/weight, health and cognitive development (Peabody Picture Vocabulary test). Statistical models adjusted for sociodemographic and pregnancy-related factors. Results Children surviving homebirth did not have significantly poorer long-term health, greater stunting after adjusting for sociodemographic/pregnancy-related factors. Rural location, lack of household education, ethnic minority status and lower wealth predicted greater stunting and poorer scores on Peabody Vocabulary test. Conclusions Social disadvantage rather than homebirth influenced children’s health, growth and development.
DOI: 10.1001/jama.292.19.2357
发表时间: 2004-11-17
影响因子: 120.7
作者:
Stoll, BJ;Hansen, NI;Higgins, RD
通讯作者: Higgins, RD