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Crowding--a risk factor for perinatal mortality?

F F Fikree1

  • 1Department of Community Health Sciences, Aga Khan University, Karachi.

JPMA. the Journal of the Pakistan Medical Association
|November 1, 1993
PubMed
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Household crowding is linked to infant health risks. This study found no direct link between crowding and perinatal mortality, with initial findings explained by other factors like gravidity.

Area of Science:

  • Perinatal health
  • Public health
  • Epidemiology

Background:

  • Household crowding is a known risk factor for infant and child morbidity and mortality, primarily due to infections.
  • The relationship between crowding and perinatal mortality has not been extensively studied.

Purpose of the Study:

  • To investigate the association between household crowding and perinatal mortality.
  • To clarify the role of crowding in adverse perinatal outcomes.

Main Methods:

  • Analysis of perinatal mortality rates in households with varying levels of crowding.
  • Statistical examination to identify confounding factors influencing the observed relationship.

Main Results:

  • An initial paradoxical association was observed, with least crowded households exhibiting higher perinatal mortality (7.7%) compared to more crowded ones (4.7%).

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  • Further analysis revealed this paradoxical relationship to be spurious, primarily confounded by gravidity.

    • Conclusions:

    • Household crowding does not appear to be a direct risk factor for perinatal mortality.
    • Gravidity is a significant confounding factor that can mask or distort the true relationship between crowding and perinatal mortality.