2008-2014年成都市新都区低出生体重儿发生率变化趋势及影响因素分析  

Prevalence of low birthweight and its influencing factors from 2008 to 2014 in Chengdu

作　　者：朱萍[1] 杜旭东[1] 李宓儿 王菊[1] 张露[1] 綦小蓉[2] 蒋敏[1] 朱彩蓉[1] 

机构地区：[1]四川大学华西公共卫生学院(华西第四医院),四川成都610041 [2]四川大学华西第二医院(妇女儿童医院)妇产科,四川成都610041

出　　处：《现代预防医学》2017年第8期1428-1432,共5页Modern Preventive Medicine

摘　　要：目的根据成都市妇幼保健一卡通管理系统信息,分析低出生体重儿的变化趋势,探讨其影响因素,为该地区制订相应妇幼保健措施提供一定的依据。方法选取2008-2014年成都市新都区分娩的51 580名活产单胎新生儿,采用趋势性卡方检验分析低出生体重儿的发生趋势,单变量和多变量Logistic回归分析低出生体重的影响因素。结果在2008-2012年间,低出生体重的发生率呈上升趋势,由2008年的2.64%上升至2014年的4.00%,变化趋势有统计学意义(P<0.001)。分娩医院水平、高危妊娠、早产、新生儿性别和产次与低出生体重儿发生率存在关联性,差异有统计学意义(P<0.05)。结论成都市新都区的低出生体重发生率呈上升趋势,关注高危孕产妇和早产低体重儿,加强产前检查和孕期保健对于应对这一挑战至关重要。Objective Based on the birth data retrieved from the Chengdu Municipal Maternal and Child Health Management System, we aimed to examine the trend of the incidence of low birthweight and its influencing factors. Methods A total of 51,580 singleton live births from 2008 to 2014 in Xindu County of Chengdu were included for analysis. We performed logistic regression to examine the secular trends in the incidence of low birthweight, and univariable and muhivariable logistic regression to assess potential factors that were associated with the incidence of low birthweight. Results Statistically significant increase in the incidence of low birthweight （2008-2014, p 〈0.001） was noted from 2.64% to 4.00%. Regression analysis indicated that increased odds of low birthweight were associated with the higher level of hospital, high-risk pregnancy, sex, parity and preterm labor. Conclusion The incidence of low birthweight presented an increasing trend in Xindu County of Chengdu. Caring for high-risk pregnancy and preterm labor, also strengthening prenatal care, may be useful for tackling the health challenge in this region.

关 键 词：低出生体重 趋势 影响因素 

分 类 号：R722[医药卫生—儿科]