Factors associated with birth weight inequalities in Jordan
K Mohammad1, M Kassab, J Gamble
1Maternal and Child Health and Midwifery Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Insights
Maternal education and socioeconomic factors significantly impact newborn birth weight in Jordan. Lower maternal education, income, older maternal age, female gender, and first-born status are linked to lower birth weights, highlighting areas for public health intervention.
Area of Science:
- Perinatal health
- Maternal-fetal medicine
- Public health research
Background:
- Birth weight is a critical indicator of neonatal health and maternal nutritional status.
- It significantly influences infant survival, growth, and long-term development.
Purpose of the Study:
- To investigate social determinants affecting mean birth weight in Jordanian newborns.
- To identify risk factors associated with variations in birth weight.
Main Methods:
- Retrospective analysis of medical records for 5414 full-term singleton births in Jordan (2010).
- Data collected included maternal age, education, income, and infant gender, birth order, and birth weight.
- Statistical analyses included bivariate and multivariate analysis of variance.
Main Results:
- 15.1% of neonates were low birth weight, 73.6% normal, and 11.3% high birth weight.
- Low birth weight was associated with female gender, first-born status, maternal age >35, lower maternal education, and income <500 JD.
- Multivariate analysis confirmed these associations.
Conclusions:
- Maternal education is a modifiable factor positively influencing birth weight, especially for female and first-born infants.
- Findings inform public health interventions to mitigate adverse effects on newborn birth weight.
- Preconception and antenatal care are crucial for early risk detection and support.
Background:
Birth weight is a good indicator of mothers' and neonates' nutritional status, and it contributes to the newborn baby's survival, health, growth and development.
Aim:
This study identified social factors associated with differences in the mean birth weight of newborn babies in Jordan.
Methods:
This retrospective study analysed medical records to determine possible risk factors associated with differences in newborn BW in the Irbid governorate of Jordan. All full-term singleton births during the year 2010 were reviewed. Abstracted data included mother's age, educational level, and monthly family income. Newborn information included birth weight, gender and birth order.
Results:
A total of 5414 full-term singleton births were included. Of these, 15.1% were low birth weight, 73.6% were normal birth weight, and 11.3% were high birth weight. Bivariate analysis of variance revealed that low mean birth weight was associated with female gender, first-born babies, higher maternal age (>35 years), lower educational level and lower income (<500 JD). Multivariate analysis of variance revealed that mean birth weight was lower in female infants, first-born infants, infants of less educated mothers, higher age and low monthly income.
Limitations:
The findings can be generalized to full-term singleton pregnancies in countries who share similar cultural and traditional values.
Conclusion:
Education of mothers is a modifiable variable that can positively influence birth weight, particularly in the case of female and first-born infants.
Implication For Nursing And Health Policy:
The findings inform our understanding of some social factors affecting birth weights of neonates in Jordan and development of effective public health interventions that could reduce the adverse effects of such factors on newborn birth weight. Preconception and antenatal care is also important for early detection of such possible risk and targeting mothers who require early interventions and support.
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