在孟加拉国胎儿宏观症的流行率和决定因素
Md Zahidul Islam1,2, Mohammad Rocky Khan Chowdhury1,3, Baki Billah3
1Department of Public Health, First Capital University of Bangladesh, Chuadanga, Bangladesh.
Frontiers in pediatrics
|August 19, 2024
概括
在孟加拉国,11.6%的新生儿患有胎儿宏观症 (过重出生体重). 关键的相关因素包括母亲的年龄,教育,高血压和农村居住,强调需要改善产前护理和生活方式干预措施.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 流行病学 流行病学
背景情况:
- 胎儿宏观症 (过重出生体重) 是发展中国家的一个重大公共卫生问题.
- 与低出生体重相比,研究对胎儿宏观症的关注较少.
- 这项研究调查了孟加拉国胎儿宏观症的患病率和相关因素.
研究的目的:
- 确定孟加拉国胎儿宏观症的流行情况.
- 在孟加拉国人口中确定与胎儿宏观症相关的因素.
- 为管理过重出生体重的公共卫生策略提供信息.
主要方法:
- 利用了来自孟加拉国多指标集群调查 (MICS) -2019的4754名妇女的数据.
- 定义的胎儿宏观症是新生儿出生时体重≥4,000g.
- 采用双变量逻辑回归来评估关联和对混杂因子进行控制.
主要成果:
- 发现胎儿宏观症的患病率为11.6%.
- 有意义的关联包括较高的母亲年龄 (30-34岁),中等母亲教育,身体攻击史,怀孕引起的高血压和农村居住.
- 与男性婴儿相比,女性婴儿的宏观性可能性较低.
结论:
- 在孟加拉国,大约十分之一的婴儿出生时患有胎儿宏观症.
- 需要采取全面的方法,包括改善孕产妇的营养,健康的生活方式和改善产前护理的机会.
- 解决社会经济,住宅和医疗保健系统因素至关重要;建议进一步开展基于社区的研究.
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