Determinantes Do Baixo Peso Ao Nascer a Partir Das Declarações De Nascidos Vivos

Costa, Giselle Mesquita; Tibúrcio, Jacqueline Domingues; Oliveira, Valéria Conceição de; Gontijo, Tarcísio Laerte; Guimarães, Eliete Albano de Azevedo

doi:10.4067/s0717-95532014000300003

Cited by 3 publications

(4 citation statements)

References 22 publications

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“…Elevated educational attainment might act as a protective factor against LBW during pregnancy, as it increases access to information, and consequently health care, and impacts family income. 6 The participation of fathers or partners in pregnancy is a subject that involves social and cultural determinants, as the experience of pregnancy is understood differently by the pregnant woman and the partner. Prenatal care contributes to each person's understanding of their roles, responsibilities, and behavioral impacts on new human beings.…”

Section: Discussionmentioning

confidence: 99%

“… 15 Thus, LBW is directly related to the access and use of healthcare services. Mesquita-Costa et al 6 concluded that fewer than seven prenatal checkups represented a 97% increase in the risk of LBW. However, both cases and controls showed an average number of prenatal checkups close to that suggested in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…A smaller Akaike Information Criterion value and increasing explained variance (Nagelkerke's R 2 ) were considered when choosing the multivariate final model. Co-variables were established according to a previous study, 6 which also used DNV and showed that premature births represented a 35 times higher risk of LBW than term births. Thus, gestational age was included in the multivariate data analysis model.…”

Section: Methodsmentioning

confidence: 99%

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Sociodemographic, behavioral, obstetric, and healthcare factors associated with low weight at birth: a case-control study

et al. 2024

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BACKGROUND: Understanding social determinants is crucial for implementing preventive strategies, especially for low birth weight (LBW)—a public health issue that severely increases the risk of morbimortality in children. OBJECTIVE: This study aimed to identify the factors associated with LBW among newborns, assisted by the Brazilian Unified Health System. DESIGN AND SETTING: It analyzed data from newborns and their mothers. The sample was selected by convenience from users of the public health system in Francisco Beltrão (Paraná, Brazil). METHODS: Cases (n = 26) were babies weighing ≤ 2,500 g and controls (n = 52) > 2,500 g. All babies were assessed and paired by sex and date of birth in a 1:2 proportion. Statistical power was computed a posteriori, revealing a power of 87% (α = 0.05). RESULTS: Strong and significant differences were found in the bivariate analysis, in which the number of current smokers or those who quit during pregnancy was higher among mothers of babies with LBW. Moreover, the gestational weeks were lower among these cases. Logistic regression models indicated that the gestational week (odds ratio [OR] = 0.17, 95% confidence interval [CI]:0.05–0.54) and fathers’ educational level (high school or above; OR = 0.22, 95% CI:0.06–0.99) were related to lower chances of low birth weight. CONCLUSIONS: Our findings confirm previous investigations on LBW's multi-causality, showing that the gestational week could reduce up to 82% chances of a baby being born with ≤ 2,500 g. Its association with paternal education underlines the importance of comprehensive policies to protect newborns.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Sociodemographic, behavioral, obstetric, and healthcare factors associated with low weight at birth: a case-control study

et al. 2024

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“…Quanto ao peso ao nascer, os filhos das gestantes com menor escolaridade e IMCpg de baixo peso e eutrofia tiveram menores médias de peso ao nascer. Concordando com um estudo realizado em Minas Gerais, que identificou a prevalência e os fatores associados ao BPN, concluiu que quanto menor a escolaridade materna mais chances de ter crianças com baixo peso 22 . Escolaridade materna é uma variável extremamente sensível às condições socioeconômicas das famílias.…”

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Pre-gestational anthropometric status and birth weight: NISAMI cohort

et al. 2021

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The intergenerational relationship between conditional cash transfers and newborn health

et al. 2022

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Background Lack of nutrition, inadequate housing, low education and limited access to quality care can negatively affect children’s health over their lifetime. Implemented in 2003, the Bolsa Familia (“Family Stipend”) Program (PBF) is a conditional cash transfer program targeting poor households in Brazil. This study investigates the long-term benefits of cash transfers through intergenerational transmission of health and poverty by assessing the early life exposure of the mother to the PBF. Methods We used data from the 100M SINASC-SIM cohort compiled and managed by the Center for Data and Knowledge Integration for Health (CIDACS), containing information about participation in the PBF and socioeconomic and health indicators. We analyzed five measures of newborn health: low (less than 2,500 g) and very low (less than 1,500 g) birth weight, premature (less than 37 weeks of gestation) and very premature (less than 28 weeks of gestation) birth, and the presence of some type of malformation (according to ICD-10 codes). Furthermore, we measured the early life exposure to the PBF of the mother as PBF coverage in the previous decade in the city where the mother was born. We applied multilevel logistic regression models to assess the associations between birth outcomes and PBF exposures. Results Results showed that children born in a household where the mother received BF were less likely to have low birth weight (OR 0.93, CI; 0.92-0.94), very low birth weight (0.87, CI; 0.84-0.89), as well as to be born after 37 weeks of gestation (OR 0.98, CI; 0.97-0.99) or 28 weeks of gestation (OR 0.93, CI; 0.88-0.97). There were no significant associations between households where the mother received BF and congenital malformation. On average, the higher the early life exposure to the PBF of the mother, the lower was the prevalence of low birth weight, very low birth weight and congenital malformation of the newborn. No trend was noted for preterm birth. Conclusion The PBF might have indirect intergenerational effects on children’s health. These results provide important implications for policymakers who have to decide how to effectively allocate resources to improve child health.

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Determinantes Do Baixo Peso Ao Nascer a Partir Das Declarações De Nascidos Vivos

Cited by 3 publications

References 22 publications

Sociodemographic, behavioral, obstetric, and healthcare factors associated with low weight at birth: a case-control study

Sociodemographic, behavioral, obstetric, and healthcare factors associated with low weight at birth: a case-control study

Pre-gestational anthropometric status and birth weight: NISAMI cohort

The intergenerational relationship between conditional cash transfers and newborn health

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