Housing conditions as a social determinant of low birthweight and preterm low birthweight

Revista de Saúde Pública

Mario Vianna Vettore²  Silvana Granado Nogueira Da Gama¹  Gabriela De Almeida Lamarca¹  Arthur Orlando Corrêa Schilithz¹  Maria Do Carmo Leal¹ 

[1] ,Universidade Federal do Rio de Janeiro Instituto de Estudos em Saúde Coletiva Rio de Janeiro RJ ,Brasil

关键词: Housing;    Premature Birth;    Infant;    Low Birth Weight;    Risk Factors;    Socioeconomic Factors;    Case-Control Studies;    Habitação;    Nascimento Prematuro;    Recém-Nascido de Baixo Peso;    Fatores de Risco;    Fatores Socioeconômicos;    Estudos de Casos e Controles;    Vivienda;    Nacimiento Prematuro;    Recién Nacido de Bajo Peso;    Factores de Riesgo;    Factores Socioeconómicos;    Estudios de Casos y Controles;   

DOI  :  10.1590/S0034-89102010005000045

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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