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Published on: January 29, 2018
Determinants of birthweight: gender based analysis
Samia Halileh1, Niveen Abu-Rmeileh, Graham Watt
1Institute of Community and Public Health, Birzeit University/Ramallah, PO Box 154, Ramallah, Occupied Palestinian Territory. Samia@birzeit.edu
Insights
Birth weight is influenced by maternal factors like age, education, and birth order, with some effects varying by infant gender. These determinants highlight both universal biological influences and culture-specific social factors.
Area of Science:
- Perinatal epidemiology
- Maternal and child health
- Human reproductive biology
Background:
- Birth weight is a critical indicator of infant health and development.
- Understanding determinants of birth weight is essential for public health interventions.
- Socioeconomic and cultural factors may influence birth weight outcomes.
Purpose of the Study:
- To investigate the determinants of birth weight in full-term infants.
- To examine the association between birth weight and infant gender.
- To analyze factors in the occupied Palestinian territory.
Main Methods:
- Cross-sectional study design.
- Stratified random sampling of households in the West Bank and Gaza Strip.
- Multivariable analysis using analysis of variance for mixed models.
Main Results:
- Maternal age, education, birth order, and infant sex were significant determinants of birth weight.
- Maternal education's effect on birth weight was more pronounced in female infants.
- Birth order's impact on birth weight varied with maternal age.
Conclusions:
- Birth weight is shaped by universal biological factors and culture-specific social, ethnic, and environmental influences.
- Gender-specific effects on birth weight determinants were observed.
- Findings underscore the interplay of biological and sociocultural factors in determining infant birth weight.
Abstract:
The objective of this cross sectional study is to look at determinants of birth weight and their association with the gender of the baby in 2,795 full term children living in the occupied Palestinian territory, derived from a stratified random sample of 2,994 households in the West Bank and 2,234 households in the Gaza Strip. The response rate was 85%. Multivariable analysis using analysis of variance for mixed models showed that sex and birth order, maternal age and education and to a lesser extent region were determinants of birth weight for all children. The effect of maternal education on birth weight differed for female and male infants, tending to be relatively unchanged for male infants and with mean birth weights increasing with maternal education in female infants. The effect of birth order differed by maternal age, with mean birth weight increasing with maternal age for first and second births; but being unaffected by maternal age for infants of birth order greater than two. We conclude that birth weight is influenced by common biological determinants across cultures, but is also influenced by social, ethnic, and environmental factors that are culture specific, of which some might be gender related.
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