在埃塞俄比亚南部哈拉巴地区,母亲使用卡特和其他决定因素和低出生体重之间的关联:一项无与伦比的病例控制研究
Biruk Wogayehu1,2, Tsegaye Demissie2, Eskinder Wolka2
1Department of Public Health, Arbaminch College of Health Sciences, Arbaminch, Ethiopia.
Frontiers in pediatrics
|March 12, 2025
概括
母亲使用卡特,文盲和营养不良是埃塞俄比亚低出生体重 (LBW) 的重要危险因素. 干预措施应侧重于健康教育和妇女戒卡计划,以改善新生儿健康结果.
科学领域:
- 孕产妇和儿童的健康
- 公共卫生 公共卫生
- 药物使用研究研究 药物使用研究
背景情况:
- 出生体重是新生儿死亡率,发病率和长期健康状况的关键预测指标.
- 低出生体重 (LBW) 是埃塞俄比亚的一个重大问题,相关的风险因素研究有限,如卡特消费.
- 了解这些风险因素对于制定有针对性的干预措施至关重要.
研究的目的:
- 确定与LBW相关的孕产妇卡特使用和社会人口统计学/产科风险因素.
- 为埃塞俄比亚哈拉巴库利托总医院提供公共卫生战略的证据.
主要方法:
- 一项基于医院的病例控制研究,涉及334名新生儿 (111例,223例对照).
- 连续采样用于病例和对照选择.
- 使用Stata 14.0.0进行了双变量和多变量逻辑回归分析.
主要成果:
- 文盲,农村居住,早产 (<37周),母亲中高臂周长低 (<23厘米),体重增加不足 (<12公斤) 是LBW的显著预测因素.
- 在每月,每周和每天的频率下,母亲使用卡特显示出与LBW的剂量依赖关系,调整后的几率比率从9.5到14.1.
- 怀孕年龄<37周是LBW的最高调整几率比率 (16.5).
结论:
- 文盲,农村居住,母亲营养不良指标,早产和母亲使用卡特是研究地区LBW的独立预测因素.
- 干预措施应解决可修改的风险因素,包括关于卡特使用和戒断计划的健康教育.
- 敦促利益相关方将针对妇女的卡特使用意识和控制政策纳入其中,以减少LBW的流行.
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