Lekea-Karanika V, Tzoumaka-Bakoula C, Matsaniotis N S
1st Department of Paediatrics of Athens University, Hospital for Sick Children Agia Sophia, Greece.
Paediatr Perinat Epidemiol. 1999 Jan;13(1):65-77. doi: 10.1046/j.1365-3016.1999.00158.x.
A total population sample of 10,654 singleton births from the Greek National Perinatal Survey of April 1983 was analysed to identify factors independently associated with low birthweight (LBW). The sample was divided into two groups according to the gravidity of the mothers (3368 primigravidae and 7286 multigravidae). Data examined included regional characteristics, marital status, age at and duration of marriage, parental ages at delivery, crowding in the home, insurance status, parental occupational classification and parental education levels. Logistic regression was used to define the socio-economic and demographic characteristics independently associated with the delivery of an LBW singleton baby. Significantly different LBW rates were found among the two groups: 4.3% in the primigravidae and 5.2% for multigravidae. For primigravidae significant associations were found with marital status, maternal occupation and father's education, while for multigravidae significant features were mother's education and place (region) of residence. The study showed little to assist in devising strategies of primary prevention of LBW in Greece.
对1983年4月希腊全国围产期调查中的10654例单胎出生的总体样本进行分析,以确定与低出生体重(LBW)独立相关的因素。根据母亲的妊娠次数将样本分为两组(3368例初产妇和7286例经产妇)。所检查的数据包括地区特征、婚姻状况、结婚年龄和婚龄、分娩时父母的年龄、家庭拥挤程度、保险状况、父母职业分类以及父母教育水平。采用逻辑回归来确定与低出生体重单胎婴儿分娩独立相关的社会经济和人口特征。两组之间的低出生体重率存在显著差异:初产妇为4.3%,经产妇为5.2%。对于初产妇,发现与婚姻状况、母亲职业和父亲教育程度存在显著关联,而对于经产妇,显著特征是母亲的教育程度和居住地点(地区)。该研究对制定希腊低出生体重一级预防策略几乎没有帮助。