孟加拉国低出生体重和出生体重状况:系统回顾和荟萃分析

Q2 Social Sciences Anthropological Review Pub Date : 2021-09-01 DOI:10.2478/anre-2021-0022
S. Shaikh, Md. Tanvir Islam, Rebecca K. Campbell
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引用次数: 0

摘要

摘要孟加拉国的低出生体重(LBW)患病率很高,但没有任何研究整理了该国最近对LBW患病率的估计。这项荟萃分析的目的是评估孟加拉国LBW的患病率和出生体重状况。我们搜索了PubMed、Medline、Ovo和Google Scholar,以查找2000-2020年在国家和国际期刊上发表的文章,并对其相关性进行了审查。荟萃分析和Q检验用于评估所有纳入文章中LBW的患病率和异质性。进行元回归以量化与样本量和研究年份的相关性。进行了分层分析,并计算了按性别、分区和城市/农村地区LBW患病率差异的影响大小。共发现48项研究,涉及166520名新生儿,并纳入本荟萃分析。LBW的合并患病率总体为29.1%(95%CI,28.9-29.3%),农村为29.9%(29.7-30.2%),城市为15.7%(14.9-16.6%)。男孩和女孩的平均出生体重没有显著差异(SD,0.71;95%CI,-0.43–1.83)。与其他地区相比,孟加拉国东北部的LBW患病率更高(p<0.05)。LBW的合并患病率在过去二十年中没有显著变化。孟加拉国的LBW患病率仍然很高。缺乏改善表明,迫切需要扩大孕产妇和产前干预以及已知的减少LBW的服务。城市/农村和地区之间的费率差异表明了最需要的地区。
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Low birth weight and birth weight status in Bangladesh: A systematic review and meta-analysis
Abstract The prevalence of low birth weight (LBW) is high in Bangladesh, but no study has collated recent estimates of LBW prevalence from throughout the country. The aim of this meta-analysis was to evaluate the prevalence of LBW and birth weight status in Bangladesh. We searched PubMed, Medline, Ovo and Google Scholar to find published articles in national and international journals from 2000–2020 and reviewed for relevance. Meta-analysis and Q test were performed to estimate the prevalence and heterogeneity of LBW from all included articles. Meta-regression was done to quantify associations with sample size and study year. Stratified analysis was conducted and effect size calculated for differences in LBW prevalence by sex, division and urban/rural area. In total 48 studies with 166,520 births were found and included in this meta-analysis. The pooled prevalence of LBW was 29.1% (95% CI, 28.9–29.3%) in overall, 29.9% (29.7–30.2%) in rural and 15.7% (14.9–16.6%) in urban areas. There was no significant difference in average birth weight between boys and girls (SD, 0.71; 95% CI, −0.43–1.83). Prevalence of LBW was higher in north-east Bangladesh compared to other zones (p<0.05). The pooled prevalence of LBW did not change significantly for last two decades. The prevalence of LBW in Bangladesh remains high. Lack of improvement suggests an urgent need for scaled up maternal and prenatal interventions and services known to reduce LBW. Urban/rural and divisional differences in rates suggest areas of greatest need.
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来源期刊
Anthropological Review
Anthropological Review Social Sciences-Anthropology
CiteScore
0.90
自引率
0.00%
发文量
35
审稿时长
20 weeks
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