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[Comparisons of risk factors for low birth weight between Han and Uygur full-term infants]
Zao-Ling Liu1, Qiu-Cen Li, Tian-Hong Zhou
1The School of Public Health, Xinjiang Medical University, Urumqi 830011, China. zaolingliu@gmail.com.
Insights
Risk factors for low birth weight (LBW) differ between Han and Uygur infants. While both groups share risks like paternal drinking and pregnancy complications, Uygur infants are also affected by their indoor environment.
Area of Science:
- Neonatal Health
- Perinatal Epidemiology
- Public Health
Background:
- Low birth weight (LBW) remains a significant global health concern, impacting infant mortality and long-term development.
- Ethnic disparities in health outcomes, including LBW, highlight the need for targeted interventions.
Purpose of the Study:
- To investigate and compare the specific risk factors associated with low birth weight (LBW) in full-term Han and Uygur infants.
- To establish an evidence base for developing tailored preventive strategies for LBW in these distinct ethnic populations.
Main Methods:
- A case-control study involving 87 full-term LBW infants and 186 normal birth weight controls, stratified by Han and Uygur ethnicity.
- Data collection through questionnaire surveys focusing on potential risk factors.
- Multivariate logistic regression analysis to identify significant predictors of LBW within each ethnic group.
Main Results:
- Birth weights were significantly lower in Uygur LBW infants compared to Han LBW infants (P<0.05).
- Identified risk factors for Han infants included paternal drinking (OR=2.472), paternal smoking (OR=2.323), pregnancy complications (OR=14.377), and gravidity (OR=2.995).
- Identified risk factors for Uygur infants included paternal drinking (OR=1.968), gravidity (OR=1.953), pregnancy complications (OR=10.283), and poor indoor environment (OR=1.367).
Conclusions:
- While Han and Uygur infants share common LBW risk factors such as paternal behaviors and pregnancy complications, ethnic-specific factors also contribute.
- The indoor environment emerged as a significant risk factor for LBW specifically in Uygur infants, suggesting a need for culturally sensitive public health interventions.
Objectrive:
To compare the differences in risk factors for low birth weight (LBW) between Han and Uygur full-term infants and to provide a basis for the prevention of LBW in newborn infants.
Methods:
Eighty-seven full-term LBW infants (38 Hans and 49 Uygurs) between March 2013 and June 2014 were selected as the case group, and 186 full-term normal birth weight infants (92 Hans and 94 Uygurs) were selected as the control group. A questionnaire survey was performed to investigate the related factors for LBW. Multivariate logistic regression analysis was carried out to determine the risk factors for LBW.
Results:
The birth weights in Uyghur LBW infants were lower than in Han ones (P<0.05). Multivariate logistic regression analysis showed that drinking (OR=2.472, P=0.015) and smoking (OR=2.323, P=0.007) by the father, pregnancy complications (OR=14.377, P<0.001), and times of pregnancy (OR=2.995, P=0.001) were the risk factors for LBW in Han infants, while drinking by the father (OR=1.968, P=0.007), times of pregnancy (OR=1.953, P=0.005), pregnancy complications (OR=10.283, P=0.002), and poor indoor environment (OR=1.367, P=0.027) were the risk factors for LBW in Uyghur infants.
Conclusions:
There are differences in physical growth between Han and Uygur LBW infants. Han and Uygur infants share the same traditional risk factors for LBW, such as father's harmful behaviors like drinking, times of pregnancy, and pregnancy complications, however, the indoor environment also plays a role in the occurrence of LBW in Uygur infants.
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