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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Multiple Risk Factors During Pregnancy in South Africa: The Need for a Horizontal Approach to Perinatal Care
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Multiple Risk Factors During Pregnancy in South Africa: The Need for a Horizontal Approach to Perinatal Care

机译：南非怀孕期间的多重危险因素：围产期护理水平方法的需求

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摘要

South African children's long-term health and well-being is jeopardized during their mothers' pregnancies by the intersecting epidemics of HIV, alcohol use, low birth weight (LBW; <2,500 g) related to poor nutrition, and depressed mood. This research examines these overlapping risk factors among 1,145 pregnant Xhosa women living in 24 township neighborhoods in Cape Town, South Africa. Results revealed that 66 % of pregnant women experienced at least one risk factor. In descending order of prevalence, 37 % reported depressed mood, 29 % were HIV+, 25 % used alcohol prior to knowing that they were pregnant, and 15 % had a previous childbirth with a LBW infant. Approximately 27 % of women had more than one risk factor: depressed mood was significantly associated with alcohol use and LBW, with a trend to significance with HIV+. In addition, alcohol use was significantly related to HIV+. These results suggest the importance of intervening across multiple risks to maternal and child health, and particularly with depression and alcohol use, to positively impact multiple maternal and infant outcomes.
机译：艾滋病毒，酗酒，低出生体重（LBW; <2,500克）与营养不良和情绪低落有关，这两种疾病的交叉流行使南非儿童的母亲长期怀孕期间的长期健康受到损害。这项研究检查了居住在南非开普敦24个乡镇社区中的1,145名科萨怀孕孕妇中这些重叠的危险因素。结果显示66％的孕妇经历了至少一种危险因素。按照患病率从高到低的顺序，有37％的人报告了情绪低落，29％的人为HIV +，25％的人在得知自己怀孕之前用过酒精，还有15％的人以前有过LBW婴儿分娩。大约27％的女性有一个以上的危险因素：情绪低落与饮酒和LBW显着相关，并且具有感染HIV +的趋势。此外，饮酒与HIV +显着相关。这些结果表明，干预母婴健康的多种风险，尤其是抑郁症和酗酒的干预，对多种母婴结局产生积极影响的重要性。

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