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Housing conditions as a social determinant of low birthweight and preterm low birthweight.
MedLine Citation:
PMID:  21109904     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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.
Authors:
Mario Vianna Vettore; Silvana Granado Nogueira da Gama; Gabriela de Almeida Lamarca; Arthur Orlando Corrêa Schilithz; Maria do Carmo Leal
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-10-15
Journal Detail:
Title:  Revista de saúde pública     Volume:  44     ISSN:  1518-8787     ISO Abbreviation:  Rev Saude Publica     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0135043     Medline TA:  Rev Saude Publica     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  1021-31     Citation Subset:  IM    
Affiliation:
Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil. mario@iesc.ufrj.br
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