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标题：Housing conditions as a social determinant of low birthweight and preterm low birthweight
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作者：Mario Vianna Vettore ; Silvana Granado Nogueira da Gama ; Gabriela de Almeida Lamarca 等
期刊名称：Revista de Saúde Pública
印刷版ISSN：0034-8910
出版年度：2010
卷号：44
期号：6
页码：1014-1020
语种：English
出版社：Universidade de São Paulo
摘要：OBJECTIVE: To assess the relationship between housing conditions and low birthweight and preterm low birthweight among low-income women.METHODS: A case-control study was conducted with post-partum women living in the city of Rio de Janeiro, Southeast Brazil, in 2003-2005. Two groups of cases, low birthweight (n=96) and preterm low birthweight infants (n=68), were compared against normal weight term controls (n=393). Housing conditions were categorized into three levels: adequate, inadequate, and highly inadequate. Covariates included sociodemographic and anthropometric characteristics, risk behaviors, violence, anxiety, satisfaction during pregnancy, obstetric history and prenatal care.RESULTS: Poor housing conditions was independently associated with low birthweight (inadequate – OR 2.3 [1.1;4.6]; highly inadequate – OR 7.6 [2.1;27.6]) and preterm low birthweight (inadequate – OR 2.2 [1.1;4.3]; highly inadequate – OR 7.6 [2.4;23.9]) and factors associated with outcomes were inadequate prenatal care and previous preterm birth. Low income and low maternal body mass index remained associated with low birthweight.CONCLUSIONS: Poor housing conditions were associated with low birthweight and preterm low birthweight.
其他摘要：OBJECTIVE: To assess the relationship between housing conditions and low birthweight and preterm low birthweight among low-income women.METHODS: A case-control study was conducted with post-partum women living in the city of Rio de Janeiro, Southeast Brazil, in 2003-2005. Two groups of cases, low birthweight (n=96) and preterm low birthweight infants (n=68), were compared against normal weight term controls (n=393). Housing conditions were categorized into three levels: adequate, inadequate, and highly inadequate. Covariates included sociodemographic and anthropometric characteristics, risk behaviors, violence, anxiety, satisfaction during pregnancy, obstetric history and prenatal care.RESULTS: Poor housing conditions was independently associated with low birthweight (inadequate – OR 2.3 [1.1;4.6]; highly inadequate – OR 7.6 [2.1;27.6]) and preterm low birthweight (inadequate – OR 2.2 [1.1;4.3]; highly inadequate – OR 7.6 [2.4;23.9]) and factors associated with outcomes were inadequate prenatal care and previous preterm birth. Low income and low maternal body mass index remained associated with low birthweight.CONCLUSIONS: Poor housing conditions were associated with low birthweight and preterm low birthweight.
关键词：Housing; Premature Birth; Infant; Low Birth Weight; Risk Factors; Socioeconomic Factors; Case-Control Studies.
其他关键词：Housing; Premature Birth; Infant; Low Birth Weight; Risk Factors; Socioeconomic Factors; Case-Control Studies.