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首页> 外文期刊>Public health >Socio-economic and medical determinants of low birth weight in Iran: 20 years after establishment of a primary healthcare network.
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Socio-economic and medical determinants of low birth weight in Iran: 20 years after establishment of a primary healthcare network.

机译：伊朗低出生体重的社会经济和医学决定因素：建立基本医疗保健网络20年后。

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OBJECTIVE: Establishment of a primary healthcare network in Iran has provided free and universal access to primary health care. Although the health status of Iranians has improved since this network was established, the low-birthweight rate has not decreased. The objective of the present study was to describe socio-economic and medical factors related to low birth weight in the context of free and universal access to primary health care. DESIGN: Descriptive, hospital-based prospective study. METHODS: Data about socio-economic, reproductive and prenatal condition of 4510 live singleton births from June to October 2004 were gathered using a standard questionnaire by interview and record review. The effect of these conditions on birth weight was investigated using a logistic regression model. RESULTS: Of 4510 newborns, 305 (6.8%) were low birth weight. Among these low-birthweight newborns, there were 159 preterm and 146 term newborns. Mothers with a primary and secondary education [odds ratio (OR) 6.83, 95% confidence interval (CI) 2.35-7.34 and OR 4.81, 95%CI 1.95-6.37, respectively], who lived with farmer and unskilled worker husbands (OR 2.52, 95%CI 1.12-4.66 and OR 2.91, 95%CI 1.35-2.52, respectively), with a birth interval of 1 year or less (OR 3.54, 95%CI 1.80-5.95) and height less than 155cm (OR 1.82, 95%CI 1.12-3.31) were more likely to have low-birthweight infants. CONCLUSION: In the context of free and universal access to health care, it is recommended that policy makers should place more emphasis on education as it imparts knowledge and thus influences dietary habits and birth-spacing behaviour. This will lead to a better nutritional status, particularly in dealing with pregnancy, resulting in lower rates of low birth weight.
机译：目的：在伊朗建立基本医疗保健网络已提供免费和普遍的基本医疗保健服务。自建立该网络以来，尽管伊朗人的健康状况有所改善，但低出生率并未下降。本研究的目的是描述在免费和普遍获得初级保健的情况下与低出生体重有关的社会经济和医学因素。设计：基于医院的描述性前瞻性研究。方法：采用访谈和记录审查的标准问卷，收集了2004年6月至2004年10月4510例单胎活产婴儿的社会经济，生殖和产前状况数据。使用逻辑回归模型研究了这些条件对出生体重的影响。结果：在4510名新生儿中，有305名（6.8％）为低出生体重。在这些低体重新生儿中，有159个早产和146个足月新生儿。接受过中小学教育的母亲，与农民和非熟练工人丈夫同住（几率（OR）6.83，95％置信区间（CI）2.35-7.34和OR 4.81，95％CI 1.95-6.37）（OR 2.52 ，分别为95％CI 1.12-4.66和OR 2.91，95％CI 1.35-2.52，出生间隔为1年或以下（OR 3.54，95％CI 1.80-5.95），身高小于155cm（OR 1.82， 95％CI 1.12-3.31）更可能是低体重婴儿。结论：在免费和普遍获得卫生保健的情况下，建议政策制定者应更加重视教育，因为它可以传播知识，从而影响饮食习惯和生育间隔行为。这将导致更好的营养状况，尤其是在处理妊娠方面，从而降低低出生体重的发生率。

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