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Published on: January 29, 2018
Socio-economic determinants of low birth weight in Bangladesh: a multivariate approach
Selina Khatun1, Mahmudur Rahman
1Institute of Epidemiology, Disease Control and Research, Dhaka, Bangladesh. knselina@gmail.com
Insights
Maternal age, education, and income are key factors influencing low birth weight (LBW) in Bangladesh. Improving these socioeconomic determinants can help reduce LBW rates and improve infant health outcomes.
Area of Science:
- Maternal and Child Health
- Public Health
- Epidemiology
Background:
- Despite overall health improvements in Bangladesh, the incidence of low birth weight (LBW) remains a significant public health concern.
- Identifying key determinants of LBW is crucial for developing effective interventions.
Purpose of the Study:
- To ascertain the significant determinants associated with low birth weight (LBW) in the Bangladeshi population.
- To identify maternal factors that contribute to the incidence of LBW.
Main Methods:
- A comparative study involving 108 LBW babies and 357 normal birth weight babies.
- Analysis of 20 potential risk variables using univariate analysis and stepwise logistic regression.
Main Results:
- Nine out of twenty risk variables were found to be significant determinants of LBW.
- Maternal age, education, number of antenatal care visits, and yearly income were identified as the strongest predictors of LBW through logistic regression.
- The final model accurately predicted 86.1% of LBW cases and 94.4% of normal birth weight cases.
Conclusions:
- Maternal age, educational attainment, and economic status are critical factors influencing the incidence of low birth weight.
- Antenatal care attendance is also a significant factor associated with LBW.
- Targeting socioeconomic and demographic factors in maternal health programs can help reduce LBW rates.
Abstract:
Though the health situation of Bangladesh has improved substantially over the years, the low birth weight (LBW) rate is still pretty high. The principal focus of this study was to ascertain the significant determinants for LBW. One hundred and eight LBW babies were compared with 357 normal birth weight babies. Out of 20 possible risk variables analyzed, 9 were found significant when studied separately. Mother's age, education, occupation, yearly income, gravid status, gestational age at first visit, number of antenatal care visit attended, quality of antenatal care received and pre-delivery body mass index had significantly associated with the incidence of LBW. Using the stepwise logistic regression, mother's age (p < 0.001), education (p < 0.02), number of antenatal care visit attended (p < 0.001, OR = 29.386) and yearly income (p < 0.001, OR = 3.379) created the best model, which predicted 86.1% and 94.4% of the LBW babies and normal birth weight babies respectively. Maternal age, educational level and economic status play an important role in the incidence of low birth weight.
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