Document Detail

Socio-economic and medical determinants of low birth weight in Iran: 20 years after establishment of a primary healthcare network.
MedLine Citation:
PMID:  20226486     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Establishment of a primary healthcare network in Iran has provided free and universal access to primary health care. Although the health status of Iranians has improved since this network was established, the low-birthweight rate has not decreased. The objective of the present study was to describe socio-economic and medical factors related to low birth weight in the context of free and universal access to primary health care. DESIGN: Descriptive, hospital-based prospective study. METHODS: Data about socio-economic, reproductive and prenatal condition of 4510 live singleton births from June to October 2004 were gathered using a standard questionnaire by interview and record review. The effect of these conditions on birth weight was investigated using a logistic regression model. RESULTS: Of 4510 newborns, 305 (6.8%) were low birth weight. Among these low-birthweight newborns, there were 159 preterm and 146 term newborns. Mothers with a primary and secondary education [odds ratio (OR) 6.83, 95% confidence interval (CI) 2.35-7.34 and OR 4.81, 95%CI 1.95-6.37, respectively], who lived with farmer and unskilled worker husbands (OR 2.52, 95%CI 1.12-4.66 and OR 2.91, 95%CI 1.35-2.52, respectively), with a birth interval of 1 year or less (OR 3.54, 95%CI 1.80-5.95) and height less than 155cm (OR 1.82, 95%CI 1.12-3.31) were more likely to have low-birthweight infants. CONCLUSION: In the context of free and universal access to health care, it is recommended that policy makers should place more emphasis on education as it imparts knowledge and thus influences dietary habits and birth-spacing behaviour. This will lead to a better nutritional status, particularly in dealing with pregnancy, resulting in lower rates of low birth weight.
F Jafari; H Eftekhar; A Pourreza; J Mousavi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-03-12
Journal Detail:
Title:  Public health     Volume:  124     ISSN:  1476-5616     ISO Abbreviation:  Public Health     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-12     Completed Date:  2010-04-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376507     Medline TA:  Public Health     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  153-8     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
Department of Public Health, School of Health and Paramedical, Zanjan University of Medical Sciences, Zanjan, Iran.
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MeSH Terms
Birth Intervals
Confidence Intervals
Gestational Age
Infant, Low Birth Weight*
Infant, Newborn
Iran / epidemiology
Logistic Models
Maternal Age
Middle Aged
Odds Ratio
Prenatal Care
Primary Health Care / organization & administration*
Prospective Studies
Risk Factors
Socioeconomic Factors
Young Adult

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