Sociodemographic, behavioral, obstetric, and healthcare factors associated with low weight at birth: a case-control
Viviane Tazinasso Cluzeni1, Guilherme Welter Wendt2, Lirane Elize Defante Ferreto3
1MSc. Nutritionist and Student, Postgraduate Program of Applied Health Sciences, Universidade Estadual do Oeste do Paraná (UNIOESTE), Francisco Beltrão (PR), Brazil.
Insights
This study found that shorter gestational weeks and lower paternal education are linked to low birth weight (LBW). Interventions focusing on these factors can help reduce LBW risks in newborns.
Area of Science:
- Public Health
- Neonatal Research
- Social Epidemiology
Background:
- Low birth weight (LBW) is a significant public health concern, increasing infant morbimortality.
- Understanding social determinants is key for effective preventive strategies against LBW.
Purpose of the Study:
- To identify factors associated with LBW in newborns served by Brazil's Unified Health System.
- To analyze the relationship between maternal and paternal characteristics and LBW.
Main Methods:
- Case-control study analyzing data from newborns and mothers in Francisco Beltrão, Paraná, Brazil.
- Cases: babies weighing ≤ 2,500 g (n=26); Controls: babies weighing > 2,500 g (n=52), paired by sex and birth date.
- Logistic regression used to determine factors associated with LBW, with 87% statistical power.
Main Results:
- Bivariate analysis showed higher rates of smoking and fewer gestational weeks among mothers of LBW infants.
- Logistic regression identified shorter gestational weeks (OR=0.17) and higher paternal education (OR=0.22) as protective factors against LBW.
- Paternal educational level (high school or above) was significantly associated with reduced LBW risk.
Conclusions:
- Findings confirm the multifactorial nature of LBW.
- Gestational week is a critical factor, potentially reducing LBW risk by 82%.
- The association with paternal education highlights the need for comprehensive public health policies to protect newborns.
Background:
Understanding social determinants is crucial for implementing preventive strategies, especially for low birth weight (LBW)-a public health issue that severely increases the risk of morbimortality in children.
Objective:
This study aimed to identify the factors associated with LBW among newborns, assisted by the Brazilian Unified Health System.
Design And Setting:
It analyzed data from newborns and their mothers. The sample was selected by convenience from users of the public health system in Francisco Beltrão (Paraná, Brazil).
Methods:
Cases (n = 26) were babies weighing ≤ 2,500 g and controls (n = 52) > 2,500 g. All babies were assessed and paired by sex and date of birth in a 1:2 proportion. Statistical power was computed a posteriori, revealing a power of 87% (α = 0.05).
Results:
Strong and significant differences were found in the bivariate analysis, in which the number of current smokers or those who quit during pregnancy was higher among mothers of babies with LBW. Moreover, the gestational weeks were lower among these cases. Logistic regression models indicated that the gestational week (odds ratio [OR] = 0.17, 95% confidence interval [CI]:0.05-0.54) and fathers' educational level (high school or above; OR = 0.22, 95% CI:0.06-0.99) were related to lower chances of low birth weight.
Conclusions:
Our findings confirm previous investigations on LBW's multi-causality, showing that the gestational week could reduce up to 82% chances of a baby being born with ≤ 2,500 g. Its association with paternal education underlines the importance of comprehensive policies to protect newborns.
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