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茅雪琴, 顾斌, 郭红霞, 胡健伟, 汪晓东, 郑玉梅, 许锬, 佟伟军. 江苏省常州市婴儿低出生体重危险因素分析[J]. 中国公共卫生, 2010, 26(12): 1592-1593. DOI: 10.11847/zgggws2010-26-12-62
引用本文: 茅雪琴, 顾斌, 郭红霞, 胡健伟, 汪晓东, 郑玉梅, 许锬, 佟伟军. 江苏省常州市婴儿低出生体重危险因素分析[J]. 中国公共卫生, 2010, 26(12): 1592-1593. DOI: 10.11847/zgggws2010-26-12-62
MAO Xue-qin, GU Bin, GUO Hong-xia, . Risk factors of low birth weight in Changzhou city, Jiangsu province[J]. Chinese Journal of Public Health, 2010, 26(12): 1592-1593. DOI: 10.11847/zgggws2010-26-12-62
Citation: MAO Xue-qin, GU Bin, GUO Hong-xia, . Risk factors of low birth weight in Changzhou city, Jiangsu province[J]. Chinese Journal of Public Health, 2010, 26(12): 1592-1593. DOI: 10.11847/zgggws2010-26-12-62

江苏省常州市婴儿低出生体重危险因素分析

Risk factors of low birth weight in Changzhou city, Jiangsu province

  • 摘要: 目的了解江苏省常州市低出生体重发生率并分析其危险因素。方法采用整群随机抽样方法,对常州市所属城市、县镇及农村各1个现场,以2006年1月1日-2008年12月31日出生的婴幼儿及其父母为调查对象。结果有效调查6 225人,其中男婴3 252人(52.24%),女婴2 973人(47.76%);低出生体重147人,发生率为2.36%;低出生体重组婴幼儿畸形率(2.04%)和死亡率(4.76%)明显高于正常体重组(0.11%,0.28%)(均P<0.001);低出生体重组与正常体重组比较,婴幼儿发生畸形与死亡的OR(95%CI)值分别为15.92(4.08~62.2)和17.80(7.15~44.4);多因素非条件Logistic回归分析表明,男婴低出生体重的危险因素有胎次和早产;女婴低出生体重的危险因素有胎次、早产、妊高症和人工流产。结论低出生体重是引起常州市婴幼儿发生畸形与死亡的重要危险因素之一,胎次、早产、妊高症及人工流产是低出生体重的重要危险因素;而妊高症、人工流产对女婴低出生体重影响更大。

     

    Abstract: ObjectiveTo investigate the incidence and risk factors of low birth weight(LBW)in Changzhou city, Jiangsu province.MethodsWith cluster random sampling method,in fants born from Jan 1st, 2006 to Dec 31 st, 2008 and their parents from urban and rural areas were enrolled in the survey.ResultsTotally 6 225 persons were enrolled,with 3252 boys(52.24%)and 2 973 girls(47.76%).The incidence of low birth weight was 2.36% (147 cases)The rates of abnormity and death in the low birth weight group were 2.04% and 4.76%,respectively,which were higher than those of normal group(0.11% and 0.28%,respectively,P<0.001).Compared to the normal group,the odds ratios(95% confidence in terval)of abnormity and deathrate in low birth weight group were 15.92(4.08-62.2)and 17.80(7.15-44.4),respectively.Multifactor logistic regression analysis showed that the related factors of LBW in the boys were parity and premature birth and those in the girls were parity,premature birth,pregnancy hypertension,and induced abortion.ConclusionLow birth weight is one of important risk factors causing abnormity and death of infants in Changzhou.Parity,premature birth, pregnancy hypertension,and induced abortion are important risk factors for low birth weight in Changzhou city.Pregnancy hypertension and induced abortion have severe impact on LBW of girl than that of of boys.

     

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