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Low birth weight of institutional births in Cambodia: Analysis of the Demographic and Health Surveys 2010-2014
- Source :
- PLoS ONE, Vol 13, Iss 11, p e0207021 (2018), PLoS ONE
- Publication Year :
- 2018
- Publisher :
- Public Library of Science (PLoS), 2018.
-
Abstract
- BACKGROUND Low birth weight (LBW), an important risk factor for early childhood mortality and morbidity, is a major public health concern in developing countries including Cambodia. This study examined the prevalence of LBW across provinces in Cambodia and changes over time, and identified the factors associated with such condition. METHODS We used children datasets from Cambodia Demographic and Health Survey (CDHS) 2010 and 2014. There were 3,522 children and 4,991 children in both surveys. Maps illustrating provincial variation in LBW prevalence were constructed. Then, multivariate analyses were conducted to assess factors independently associated with LBW in CDHS 2014. RESULTS LBW prevalence remained stable between 2010 and 2014, at around 7.0% 95% CI: 5.8-8.1). all institutional births, but within significant variation across provinces. Factors independently associated with LBW included mother's no education compared with those whose mothers had secondary or higher education (AOR = 1.6, 95% CI: 1.0-2.6), babies born to mothers with < 4 antenatal care (ANC) visits during the pregnancy compared with those whose mothers had at least 4 ANC visits (AOR = 2.0, 95% CI: 1.5-2.8). Also, first-born babies were at greater risk of LBW compared with second-born babies (AOR = 1.4, 95% CI: 1.0-2.0). CONCLUSION The study points to key sub-populations at greater risk and regions where LBW is particularly prevalent. Programs should target provinces where LBW prevalence remains high. Illiterate women, especially those pregnant for the first time should be the program priority. The current national program policy, which recommends that pregnant women have ≥ 4 ANC visits during pregnancy should be further reinforced and implemented. Program design should consider ways to communicate the importance of making the recommended number of ANC visits among women with no formal education.
- Subjects :
- Male
Multivariate analysis
Databases, Factual
Physiology
Economics
Maternal Health
Social Sciences
lcsh:Medicine
Pediatrics
Geographical Locations
Families
0302 clinical medicine
Pregnancy
Risk Factors
Medicine and Health Sciences
Odds Ratio
Birth Weight
Public and Occupational Health
030212 general & internal medicine
lcsh:Science
Children
reproductive and urinary physiology
030219 obstetrics & reproductive medicine
Multidisciplinary
Child Health
Obstetrics and Gynecology
Anemia
Prenatal Care
Hematology
female genital diseases and pregnancy complications
Physiological Parameters
Female
medicine.symptom
Cambodia
Research Article
Employment
Adult
medicine.medical_specialty
Asia
Adolescent
Developing country
Prenatal care
Jobs
03 medical and health sciences
Young Adult
Antenatal Care
parasitic diseases
medicine
Humans
Risk factor
Demography
business.industry
Public health
Body Weight
lcsh:R
Infant, Newborn
Biology and Life Sciences
Odds ratio
Infant, Low Birth Weight
medicine.disease
Health Surveys
Low birth weight
Logistic Models
Socioeconomic Factors
Age Groups
Labor Economics
People and Places
Women's Health
Population Groupings
lcsh:Q
business
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 13
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....b2fb25a6d7aef8d45b25dfc95e06b709