摘要
目的:分析妇女孕期的社会经济状态与不良妊娠结局关系,为筛查可能生育不良体重儿的高风险孕妇提供依据。方法:利用2002年中国居民营养与健康调查数据,根据妊娠结局以及孕妇年龄、社会经济状态、体力活动模式和营养补充情况建立8个研究模型,以多元logistic回归分析4159例乳母样本。结果:低出生体重儿和巨大儿的发生率分别为5.8%和11.4%。通过建立不同模型对比分析发现,生活在中小城市、小学及以下教育程度、低收入、步行出行方式的妇女生育低出生体重儿风险更高;小学及以下教育程度、轻体力活动、自行车或公交车出行、服用碘制剂的妇女生育巨大儿的风险更高。结论:社会经济状态处于劣势的妇女生育异常体重新生儿的风险更高,应有针对性地筛查风险人群。
Objective ： To investigate the association of socioeconomic status of pregnant women with the adverse birth outcomes in Chinese women to provide the evidence for the screening of the pregnant women at high risk of adverse birth outcomes. Methods ： Based on Chinese Nutrition and Health Survey 2002, a multiple Logistic regression was conducted to examine the as- sociations between the three main series of categorical independent variables （ socioeconomic status, physical activity, and nu- trition supplement） and the two dependent variables （low birth weight and macrosomia）. Results： The incidences of low birth weight and macrosomia in the studied women were 5.8% and 11.4%, respectively. Pregnant women living in a middle/small town, with lower education, lower income, and with walking as a main way of transportation, had a higher possibility of produ-cing low - birth - weight babies, and those with lower education, lighter intensity of physical activity, and with bike or public transportation as main transportation way, had a higher possibility of producing macrosomia babies. Conclusion ： The socioeco-nomically disadvantaged women are at a higher risk of adverse birth outcomes and screening program should be designed more specifically to these women.
出处
《中国计划生育学杂志》
2012年第10期667-670,675,共5页
Chinese Journal of Family Planning
基金
国家社会科学基金(11BRK015)
关键词
社会经济状态
体力活动
妊娠结局
新生儿体重
Socioeconomic status
Physical activity
Nutrition supplement
Low birth weight
Macrosomia
