低出生体重儿影响因素病例对照研究

A case-control study on risk factors of low birth weight

目的分析低出生体重儿发生的相关因素,探讨降低低出生体重儿的干预措施。方法应用病例对照研究方法,对2004年9月-2006年6月在福建省妇幼保健院分娩的896名孕妇进行调查,进行单因素及多因素Lo-gistic回归分析。结果文化程度低、社会经济状况差、无固定职业、丈夫吸烟、饮酒及未接受健康教育的孕妇低出生体重儿发生率较高。多因素Logistic回归分析显示,居住面积小、孕期保健次数少、丈夫经常饮酒、未接受健康教育、丈夫情绪焦虑、首次孕期保健周数长等为低出生体重发生的危险因素,而丈夫经常在家看电视为保护因素。结论加强健康教育、改善经济状况及良好的生活行为方式可有效降低低出生体重儿的发生。

Objective To explore non- biologic risk factors of low birth weight and the evidence for intervention to decrease the incidence of low birth weight（LBW）. Methods A case - control study with 896 pregnant women was conducted in Fujian provincial maternity and children＇s hospital from Sept. 2004 to June 2006 using simple and multivariate logistic regression models. Results The determinants of LBW included low education, low income, unstable occupation, husbands＇ smoking and drinking, less health education of pregnant women, husbands＇ anxiety, less and late examination of pre - preg- nancy. While the husbands＇ watching TV at home was a protecting factor. Conclusion Improving the situation of economy and health education, good behavior of pregnant women and their husbands can decrease the risk of LBW .