Association Between Household Food Insecurity and Low Birth Weight: A Population-Based Case-Control Study.

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of research in health sciences Pub Date : 2024-09-30 DOI:10.34172/jrhs.2024.165
Zahra Amiri, Masoumeh Sadeghi, Amin Moradi, Maryam Paydar, Mehdi Norouzi, Ehsan Mosafarkhani
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Abstract

Background: Low birth weight (LBW) is a major public health issue associated with increased neonatal morbidity and mortality. This study aimed to examine the association between household food insecurity and LBW in Mashhad, Iran. Study Design: A population-based case-control study.

Methods: This study involved 6294 mothers (3247 cases and 3247 controls) who visited healthcare centers affiliated with Mashhad University of Medical Sciences for term births between March 2019 and March 2022. Cases included women who delivered neonates weighing<2500 g, while controls delivered babies≥2500 g. Food security was measured using the validated Household Food Insecurity Access Scale. Logistic regression models examined the associations between food insecurity and LBW. Geographic information system techniques mapped LBW distribution in Mashhad.

Results: Household food insecurity was significantly associated with higher odds of LBW (adjusted odds ratio [AOR]=1.25, 95% confidence interval [CI]: 1.03, 1.53). Other risk factors included younger maternal age (AOR=1.03, 95% CI: 1.01, 1.04), lower maternal education (AOR=0.55, 95% CI: 0.43, 0.71), cesarean delivery (AOR=1.70, 95% CI: 1.40, 2.06), and exposure to secondhand smoke (AOR=1.68, 95% CI: 1.02, 2.75). Gestational diabetes demonstrated a protective effect (AOR=0.37, 95% CI: 0.15, 0.91). Geographic mapping revealed that regions with higher food insecurity had elevated LBW prevalence.

Conclusion: These findings underscore the importance of addressing food insecurity among pregnant women to reduce the risk of LBW and improve newborn outcomes.

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家庭粮食不安全与低出生体重之间的关系:一项基于人口的病例对照研究。
背景:低出生体重(LBW)是与新生儿发病率和死亡率增加有关的一个主要公共卫生问题。本研究旨在探讨伊朗马什哈德市家庭粮食不安全与低出生体重之间的关系。研究设计:基于人口的病例对照研究:本研究涉及在 2019 年 3 月至 2022 年 3 月期间前往马什哈德医科大学附属医疗保健中心进行足月分娩的 6294 名母亲(3247 例病例和 3247 例对照)。病例包括分娩新生儿体重的妇女:家庭粮食不安全与较高的低体重儿几率明显相关(调整后的几率比 [AOR]= 1.25,95% 置信区间 [CI]:1.03, 1.53)。其他风险因素包括产妇年龄较小(AOR=1.03,95% CI:1.01,1.04)、产妇受教育程度较低(AOR=0.55,95% CI:0.43,0.71)、剖宫产(AOR=1.70,95% CI:1.40,2.06)和接触二手烟(AOR=1.68,95% CI:1.02,2.75)。妊娠糖尿病具有保护作用(AOR=0.37,95% CI:0.15,0.91)。地理分布图显示,粮食不安全程度较高的地区婴儿夭折率较高:这些研究结果表明,解决孕妇的粮食不安全问题对于降低婴儿夭折风险和改善新生儿预后非常重要。
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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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