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首页> 外文期刊>Annals of epidemiology >Birth weights of black African babies of migrant and nonmigrant mothers compared with those of babies of European mothers in Portugal.
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Birth weights of black African babies of migrant and nonmigrant mothers compared with those of babies of European mothers in Portugal.

机译:与葡萄牙的欧洲母亲的非洲出生婴儿的体重相比,移民和非移民母亲的非洲黑人婴儿的出生体重。

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PURPOSE: The study aim is to investigate differences in birth weights between babies of foreign-born black African, Portugal-born black African, and Portugal-born white mothers. METHODS: Hospital records for Amadora and Sintra from July 2001 to June 2002 were collated and 2949 Portugal-born white, 461 Portugal-born black African, and 817 foreign-born black African live singleton babies were identified. The impact of biologic and social factors (infant sex, maternal age, parity, gestational age, and maternal smoking, education, and occupational class) and mode of delivery on birth weights was assessed by using multivariable regression models. RESULTS: African mothers were more likely to be of lower socioeconomic status than white Portuguese mothers, among whom rates of smoking were two to three times greater (21% among white Portuguese mothers). Small preterm babies comprised 1.5% of white Portuguese babies, 2.3% of babies of Portugal-born African mothers, and 3.9% of babies of foreign-born African mothers (p < 0.05 compared with white Portuguese babies). Compared with white Portuguese babies, mean birth weight of term babies, adjusted for sex, among Portugal-born African mothers was -24.6 g (95% confidence interval, -70.1-20.9), and among foreign-born African mothers, was +38.8 g (95% confidence interval, 2.9-74.8). Adjustment for parity, maternal age, and gestational age decreased the significant birth weight advantage of babies of foreign-born African mothers to +2.3 g (95% confidence interval, -31.9-36.5). Among nonsmokers, after adjusting for these factors, white Portuguese babies were heavier (40 g; p < 0.05) than babies of foreign-born African mothers, but among smokers, they were lighter (163 g; p < 0.05). CONCLUSIONS: Compared with white Portuguese babies, mean birth weight of term babies of foreign-born African mothers was greater, and that of babies of Portugal-born African mothers was intermediate. These differences were related to a combination of biologic factors and smoking.
机译:目的:本研究的目的是调查外国出生的非洲黑人,葡萄牙出生的非洲黑人和葡萄牙出生的白人母亲的出生体重差异。方法:整理了2001年7月至2002年6月Amadora和Sintra的医院记录,并鉴定了2949例葡萄牙出生的白人,461例葡萄牙出生的黑人非洲人和817例外国出生的黑人非洲单身婴儿。通过多变量回归模型评估了生物学和社会因素(婴儿性别,孕产妇年龄,胎龄,胎龄和孕产妇吸烟,教育程度和职业等级)和分娩方式对出生体重的影响。结果:非洲母亲比白人葡萄牙母亲的社会经济地位更低,其中吸烟率是白人葡萄牙母亲的2-3倍(白人葡萄牙母亲中为21%)。小型早产儿占葡萄牙白人婴儿的1.5%,葡萄牙出生的非洲母亲的婴儿的2.3%和外国出生的非洲母亲的婴儿的3.9%(与葡萄牙白人婴儿相比,p <0.05)。与葡萄牙白人婴儿相比,在葡萄牙出生的非洲母亲中,经性别调整的足月婴儿的平均出生体重为-24.6 g(95%置信区间为-70.1-20.9),在外国出生的非洲母亲中为+38.8 g g(95%置信区间2.9-74.8)。均等,产妇年龄和胎龄的调整将外国出生的非洲母亲的婴儿的出生体重优势明显降低至+2.3 g(95%置信区间,-31.9-36.5)。在不吸烟者中,经过这些因素的调整后,葡萄牙白人婴儿比外国出生的非洲母亲的婴儿重(40 g; p <0.05),但是在吸烟者中,葡萄牙婴儿的体重较轻(163 g; p <0.05)。结论:与白人葡萄牙婴儿相比,外国出生的非洲母亲的足月婴儿的平均出生体重更大,而葡萄牙出生的非洲母亲的足月婴儿的中等体重。这些差异与生物学因素和吸烟的综合作用有关。

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