Impact of individual and ecological characteristics on small for gestational age births: an observational study in Quebec.

N. Savard, Patrick Levallois, Louis-Paul Rivest, Suzanne Gingras
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引用次数: 5

Abstract

INTRODUCTION We evaluated associations between ecological variables and the risk of very small for gestational age (VSGA) birth in Quebec in 2000-2008. METHODS Ecological variables came from the Canadian Community Health Survey, the Canadian census and Quebec's birth registry; individual variables also came from Quebec's birth registry. Odds ratios (ORs) adjusted for mother's age, academic qualification, parity, marital status and country of birth were estimated using multilevel logistic regression (generalized estimating equations method). RESULTS Births in neighbourhoods with a high proportion of people leading a sedentary lifestyle (OR: 1.07, 95% confidence interval [CI]: 1.01-1.11) and those with a high/middle proportion of residents with food insecurity (OR: 1.09, 95% CI: 1.05-1.15; OR: 1.05, 95% CI: 1.01-1.11) had higher odds of VSGA birth. Those with middle proportion of married residents had lower odds of VSGA birth (OR: 0.94, 95% CI: 0.90-0.98).
个体和生态特征对小胎龄分娩的影响:魁北克的一项观察性研究。
我们评估了2000-2008年魁北克省生态变量与极小胎龄(VSGA)出生风险之间的关系。方法生态学变量来自加拿大社区健康调查、加拿大人口普查和魁北克出生登记处;个别变量也来自魁北克的出生登记处。采用多水平logistic回归(广义估计方程法)估计经母亲年龄、学历、胎次、婚姻状况和出生国家调整后的比值比(ORs)。结果:出生在久坐生活方式人群比例较高的社区(OR: 1.07, 95%可信区间[CI]: 1.01-1.11)和食物不安全人群比例较高/中等的社区(OR: 1.09, 95% CI: 1.05-1.15;OR: 1.05, 95% CI: 1.01-1.11)出生VSGA的几率更高。中等比例的已婚居民出生VSGA的几率较低(OR: 0.94, 95% CI: 0.90-0.98)。
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来源期刊
Chronic Diseases and Injuries in Canada
Chronic Diseases and Injuries in Canada PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICINE, GENERAL & INTERNAL
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