父母亲社会经济状况与早产发生的关系(英文)  

Association of parental socioeconomic status with premature delivery

作　　者：张东峰[1] 栗世如[1] 姜秀波[1] 李红彩 吕秀翠[3] 

机构地区：[1]青岛大学医学院预防医学教研室,山东省青岛市266021 [2]青岛市海慈医疗集团中医妇科,山东省青岛市266033 [3]青岛市第八人民医院妇产科,山东省青岛市266100

出　　处：《中国临床康复》2005年第24期224-226,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：背景:母亲孕前、孕中疾病及一些不良生活习惯被认为是早产病因研究中最确凿的危险因素和重复性最好的研究结果之一,父母亲的社会经济因素是否也与早产的发生有关?目的:了解父母亲社会经济状况与早产发生的关系。设计:以早产儿和正常出生儿的父母亲为观察对象的病例-对照研究。单位:青岛大学医学院预防医学教研室、青岛市妇幼保健院妇产科、青岛市第八人民医院妇产科。对象:早产儿(n=227)来自青岛市妇幼保健院妇产科和青岛市第八人民医院,符合早产的诊断标准;正常对照(n=750)来自以上两所医院,分娩孕周38～42周且出生体质量3000～4000g的正常新生儿,两组性别构成相同,出生日期相差不超过1周。方法:对早产儿和正常对照新生儿的父母亲采用自制问卷进行调查。母亲产科因素主要参照围产期保健卡及婴儿的医院出生记录,父母亲的社会经济、生活行为及人口学的调查则是利用自制的调查表。对相关因素进行多因素非条件Logistic 回归分析。主要观察指标:两组父母亲的文化水平、职业、年家庭收入和不良生活行为习惯。结果:按实际完成处理,最终进入分析的早产儿227人,正常对照新生儿为750人。母亲分娩年龄>35岁(正常对照组为≤25岁)、母亲职业为教师及无业者(正常对照组为2人)、孕期母亲吸烟、饮酒、父亲职业为农民(正常对照组为2人)、父亲吸烟、吸烟时间长、父母亲文化水平低(正常对照组为大专及以上)和家庭收入低于3.5万元(正常对照组为≥3.5万元)等因素是发生早产儿的危险因素(OR=1.629～15.701)。结论:母亲职业为教师、父亲职业为农民、年家庭收入低、父母亲文化水平低等因素与早产的发生有关。BACKGROUND： Diseases and maternal poor habits before conception and during pregnancy have been considered as the definite risk factors for premature delivery and one of the results with better repeatability in the studies on the pathogenesis, whether parental socioeconomic status is related to the occurrence of premature birth？ OBJECTIVE： To investigate the association of parental socioeconomic status with premature birth. DESIGN： A case-control study with the parents who has premature infants or normal infants as subjects. SETTING： Department of Preventive Medicine, Medical College of Qingdao University;Woman＇s Department of Traditional Chinese Medicine, Qingdao Municipal Haici Medicine Group; Department of Obstetric and Gynecology, Qingdao Municipal Eighth People＇s Hospital PARTICIPANTS： A cohort of premature infants （n=227） were recruited from Qingdao Municipal Maternity and Children Health Institute and the Eighth People＇s Hospital, Qingdao, premature birth were confirmed according to the diagnostic standards; also recruited from the same place the control infants （n=750） were they were delivered at pregnancy of from 38 to 42 weeks with birth mass of 3 000-4 000 g. Two groups were matched in sexual constitution and the birthday of within the same week. METHODS： Parents of two groups were asked to fill the self-made questionnaire. Maternal obstetric factors were referring to the perinatal booklet and infant birth record; meanwhile parental socio-economic status, daily-life behaviours and sociodemographic character were also investigated. Multivariate non-conditioned logistic regression analysis was used to assess the relationship of correlative factors. MAIN OUTCOME MEASURES： Parental school education, occupation, the annual family income, as well as bad living and behavioral habits. RESULTS： According to the real state, data of 227 premature infants and 750 normal control infants were analyzed finally. Maternal delivery age of 〉 35 years old （≤ 25 years old in normal con

关 键 词：婴儿 早产 社会经济因素 危险因素 病例对照研究 社会经济状况 父母亲 非条件LOGISTIC回归分析 产发 正常对照组 生活行为习惯 

分 类 号：R197.1[医药卫生—卫生事业管理] R151.1[医药卫生—公共卫生与预防医学]