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Is knowledge of health behavior associated with low birth weight?

机译:对健康行为的了解是否与低出生体重有关?

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OBJECTIVE: To examine the relationship of patient knowledge concerning seven health behaviors identified by the U.S. Public Health Service Expert Panel and low birth weight. METHODS: Interviews of 538 women delivering at an inner-city hospital in New Orleans were conducted. Information concerning patient characteristics, health behavior knowledge, and birth weight was collected. Data were analyzed as dichotomous and compared using odds ratios. Logistic regression was chosen to calculate adjusted odds ratios, including only factors found to be associated with the tested end point, low birth weight. RESULTS: A majority of women knew all seven health behavior items. Individual items were known by > or =80% of respondents. Knowledge associated with low birth weight included avoidance of alcohol and drugs, taking of prenatal vitamins, and following a proper diet. Information on all seven was not associated with a reduction in low birth weight. Other factors found to be associated with low birth weight included inadequate prenatal care, absence of health insurance (primarily Medicaid), and a prior low birth weight infant. Logistic regression confirmed both the importance of the last three factors, and the lack of association with health knowledge about all seven items. CONCLUSIONS: Knowledge concerning health advice behavior recommended by the U.S. Public Health Service was more widely known than previously thought. While individual components were associated with a reduction in low birth weight, overall knowledge was not.
机译:目的:研究美国公共卫生服务专家小组确定的关于七种健康行为的患者知识与低出生体重之间的关系。方法:对538名在新奥尔良市内医院分娩的妇女进行了访谈。收集有关患者特征,健康行为知识和体重的信息。将数据分析为二分法,并使用比值比进行比较。选择逻辑回归来计算调整后的优势比,仅包括发现与测试终点,低出生体重相关的因素。结果:大多数妇女都知道所有七个健康行为项目。 ≥80%的受访者知道单个项目。与低出生体重有关的知识包括避免饮酒和吸毒,服用产前维生素以及适当饮食。所有这七个方面的信息均与低出生体重的减轻无关。发现与低出生体重有关的其他因素包括产前护理不足,缺乏健康保险(主要是医疗补助)和先前的低出生体重婴儿。 Logistic回归证实了最后三个因素的重要性,以及与所有七个项目的健康知识缺乏关联。结论:美国公共卫生服务局推荐的有关健康建议行为的知识比以前认为的要广得多。虽然各个组成部分与低出生体重的减轻有关,但总的知识却不然。

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