Are clinical criteria just proxies for socioeconomic status ? A study of low birth weight in Jamaica.
To determine if the clinical risk factors for low birth weight are independent of socioeconomic risk factors in a population based sample from a developing country.
Survey data from patient reported socioeconomic measures and their most recent pregnancy history.
A national sample of randomly selected households in Jamaica.
All women aged 14-50 in the household who had had a pregnancy lasting seven months in the past five years (n=952).
Main outcome measure
Clinical risk factors for low birth weight, such as parity and age, are independent of socioeconomic determinants, such as consumption and where a mother lives.
Women who are nulliparous, 35 or older, poor, or living in certain areas are more likely to have lower birth weight children than those that do not have these characteristics (t statistics>2.0).
The addition of socioeconomic factors to the multiple regression does not alter the estimates for the clinical risk factors for low birth weight.
Thus, the effect of being nulliparous can be offset by being in the highest consumption quintile and, conversely, the risk of being older will be compounded if women are poor.
Both clinical and socioeconomic risk factors should be used to target women at risk.
In terms of the quality of care, this study links clinical and socioeconomic risk factors to poor outcomes. (...)
Mots-clés Pascal : Poids naissance faible, Statut socioéconomique, Facteur risque, Homme, Jamaïque, Antilles, Amérique Centrale, Amérique, Gestation pathologie, Prématurité, Nouveau né pathologie
Mots-clés Pascal anglais : Low birth weight, Socioeconomic status, Risk factor, Human, Jamaica, West Indies, Central America, America, Pregnancy disorders, Prematurity, Newborn diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0226754
Code Inist : 002B20F02. Création : 11/06/1997.