Socio-economic and nutritional determinants of low birth weight in India
Manzur Kader1, Nirmala K P Perera Perera2
1Department of Public Health Sciences, Centre for Epidemiology and Community Medicine, Karolinska Institute, Stockholm, Sweden.
Insights
Low birth weight (LBW) affects nearly 20% of infants in India. Key factors include maternal education, nutrition, and antenatal care, highlighting areas for public health intervention.
Area of Science:
- Public Health
- Maternal and Child Health
- Epidemiology
Background:
- Low birth weight (LBW) is a significant risk factor for infant morbidity and mortality.
- Addressing LBW is a critical public health priority globally and in India.
Purpose of the Study:
- To identify key socio-economic and nutritional determinants of LBW in the Indian population.
- To inform targeted interventions for reducing LBW prevalence.
Main Methods:
- Analysis of data from the National Family Health Survey-3 (2005-2006).
- Inclusion of 20,946 women aged 15-49 years with recent births.
- Examination of LBW in relation to maternal education, BMI, stature, antenatal care, and other socio-demographic factors.
Main Results:
- Approximately 20% of infants were born with LBW.
- Significant predictors of LBW included lower maternal education, maternal BMI <18.5, short maternal stature (<145 cm), and fewer than 4 antenatal care visits.
- Male infant gender showed a protective association with LBW.
Conclusions:
- Improving maternal education, nutritional status, and antenatal care are crucial for reducing LBW rates in India.
- Multifaceted health promotion strategies are necessary to effectively address these determinants.
Background:
Low birth weight (LBW) is an important risk factor for childhood morbidity and mortality, consequently an important public health concern.
Aim:
This study aims to identify significant socio-economic and nutritional determinants associated with LBW in India.
Materials And Methods:
Data from 2005 to 2006 National Family Health Survey-3 (NFHS-3) of India was analyzed. A total of 20,946 women (15-49 years) who gave birth at least once 5 years preceding the NFHS-3 were included in this study. Infant's LBW (<2500 grams) as outcome variable was examined in association with all independent predictors as infant's sex, maternal household wealth status, caste, age, education, body mass index (BMI), stature, anemia level, parity, inter-pregnancy interval, antenatal care received, and living place.
Results:
Almost 20% of the infants were born with LBW. Mother's low education level, BMI <18.5, short stature (height <145 centimeters) and lack of antenatal visits (<4 visits) were significant predictors of LBW. Male gender has a protective effect against LBW.
Conclusion:
Maternal education, nutritional status and antenatal care received are key determinants that need to be addressed to reduce prevalence of LBW in India. Continue implementation of multifaceted health promotion interventions are needed to address these factors effectively.
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