Ilham Permana Akmal, Debby Endayani Safitri, Anna Fitriani
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引用次数: 0
摘要
畸形婴儿仍然是各国,尤其是发展中国家的健康问题之一,因为它在婴儿死亡率(IMR)中占比最高,全世界每年有数百万畸形婴儿出生,约占 15.5%,其中 96.5%发生在发展中国家。本研究旨在识别和归纳影响低体重儿的因素,并总结现有理论的不足之处。本研究采用了系统的文献综述方法。本研究的研究对象和样本是数据库中所有符合标准的文献,文献来源于 3 个电子数据库,即 Google Scholar、PubMed 和 ProQuest,关键词为低出生体重(LBW)或 Bayi Berat Lahir Rendah (BBLR)。结果显示,营养状况(P 值 = 0,004)、食物种类和质量(RR 0,53)、体重增加(P 值 = 0,003)、总胆固醇(P 值 = 0,027)、孕产妇特征(教育程度,P 值 = 0,006;职业,P 值 = 0,001;年龄,P 值 = 0,001;胎次,P 值 = 0,025)、社会经济因素(P 值 = 0.004)、妊娠并发症(少血畸形 OR 值为 2.10,先兆子痫 OR 值为 4.752)、环境因素(烟雾暴露 OR 值为 2.219,空气污染 OR 值为 1.405)和合并症(贫血 P 值 = 0.011,疟疾感染 OR 值为 2.06)对低体重儿的发生率有显著影响。
The factors that affect LBW in developing countries: Systematic literature review
LBW is still one of the health problems in various countries, especially developing countries because it contributes the highest number in the case of Infant Mortality Rate (IMR), there are million babies born with LBW at delivery each year or around 15,5% in the world and 96,5% of them occur in developing countries, many factors can cause LBW. This study aims to identify and synthesize the influence LBW, as well as conclude the gaps in existing theories. This study uses a systematic literature review method. The population and sample in this study were all literature contained in the database that met the criteria, the literature sources came from 3 electronic databases, namely Google Scholar, PubMed and ProQuest using the keywords Low Birth Weight (LBW) or Bayi Berat Lahir Rendah (BBLR). The results showed that nutritional status (Pvalue = 0,004), food variety and quality (RR 0,53), weight gain (Pvalue = 0,003), total cholesterol (Pvalue = 0,027), maternal characteristic (education with Pvalue = 0,006, occupation with Pvalue = 0,001, age with Pvalue = 0,001 and parity with Pvalue = 0,025), socioeconomic (Pvalue = 0,004), pregnancy complications (oligohydramnios with OR 2,10 and preeclampsia with OR 4,752), enviromental factors (smoke exposure with OR 2,219 and air pollution with OR 1,405), and comorbidities (anemia Pvalue = 0,011 and malaria infection OR 2,06) significantly affect the incidence of LBW.