頁籤選單縮合
題 名 | Maternal Demographic and Psychosocial Factors Associated with Low Birth Weight in Eastern Taiwan=臺灣東部地區母親之人口、心理社會因素與低出生體重嬰兒的關係 |
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作 者 | 李燕鳴; 張慈桂; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 21:11 民94.11 |
頁 次 | 頁502-510 |
分類號 | 412.58 |
關鍵詞 | 東臺灣地區; 低體位出生; 孕產婦; 人口; 心理社會因素; Eastern Taiwan; Low birth weight; Maternal; Demographic; Psychosocial factors; |
語 文 | 英文(English) |
中文摘要 | 在台灣東部地區兩所教學醫院內研究低出生體重嬰兒與母親社會人口學特性的關係。使用一份結構式問卷,於 1998-1999 年間在兩院接受產檢孕婦進行面訪,並在一年後查閱醫院病歷及花蓮縣衛生局出生登錄資料檔進行配對,收集該次懷孕生產的資料。在 1,128 位活產單胎生產來看,據世界衛生組識以低於 2,500 克標準,有 6.8% 為低出生體重嬰兒。低出生體重嬰兒較常出現在未成年 (< 20歲)、年長 (> 30歲)、生第一胎者、未結婚、中等或以下教育程度者,或居住在山地鄉地區的母親;未成年母親較多是非計劃性懷孕及有吸菸或飲酒行為。在台灣東部地區要減少低出生體重嬰兒之重點應先預防青少年懷孕。當控制了如情緒壓力和不良家庭功能因素後,發現中等或以下教育程度者、居住在山地鄉者,和生第一胎者之母親特性,仍是影響成年母親產下低出生體重嬰兒的顯著因素。對生第一胎、中等或以下教育程度、及住在山地鄉之孕婦,提供產前照顧時,應要更多的關注,並確保其產前有能有足夠的健康照顧及遵守健康生活型態。 |
英文摘要 | The relationship between birth weight and maternal sociodemographic characteristics was examined in a sample from two teaching hospitals in eastern Taiwan. Using a structured questionnaire, we conducted face-to-face interviews with women at antenatal clinics between 1998 and 1999 in Hualien City. One year later, we took the outcome of pregnancy from medical records and birth certificates from the Public Health Bureau of Hualien County. Of the 1,128 single live births, 6.8% had low birth weight (LBW) using the World Health Organization cut-off of 2,500 g. LBW was more common in teenage (< 20 years), older (> 30 years), first-time, and unmarried mothers; those with basic/intermediate educational attainment; and residents of aboriginal districts. Teenage pregnancies were more likely than those in adults to be unplanned, and such mothers had smoking or alcohol-drinking behavior. Prevention of teenage pregnancy is crucial to lower LBW rates in eastern Taiwan. For adult mothers, basic or intermediate educational attainment, residence in an aboriginal district, and first-term pregnancy were significant factors associated with LBW, after adjustment for other psychosocial attributes, such as psychologic distress and poor family support. Thus, we should pay more attention when caring for pregnant women with such sociodemographic characteristics, and ensure that they have adequate prenatal care and can adopt a healthy lifestyle. |
本系統中英文摘要資訊取自各篇刊載內容。