PDF(Pubmed)
Abstract：
OBJECTIVE: To determine the impact of having private health insurance during the period of maternity on low birth-weight (LBW) infants.
METHODS: This retrospective case-control study was carried out at a tertiary care hospital in Tabuk, Saudi Arabia, between January 2020 and January 2021. Using non-probability sampling, secondary medical data were obtained at the Department of Obstetrics & Gynecology from two groups: insured and non-insured mothers who had 150 LBW infants (LBWI) (<2.5 kg) as well as normal newborns. Data were analyzed using SPSS, version 24 (IBM Corp., Armonk, NY). A univariate analysis was performed for each variable followed by a logistic regression analysis to explain the relationship between the dependent (LBW) and independent variables (health insurance status, prenatal care, and inter-pregnancy interval).
RESULTS: Out of 300 mothers, the majority were in the age group 21-34 years (86%). The LBWI mothers were insured in about 55% of cases. Around 43% had insurance for 1-2 years, and 44.7% of insured mothers were covered by a \"class A\" health plan. The findings revealed a significant correlation between the duration of maternal insurance coverage period and LBW; it reduced the risk of LBW by 95% CI. The inter-pregnancy interval was 51.3%, with a p-value of 0.33.
CONCLUSIONS: Private health insurance offers coverage, stability, and consistency in Saudi Arabia, which results in better birth outcomes by decreasing both infant mortality and morbidity rates among insured females.
METHODS: This retrospective case-control study was carried out at a tertiary care hospital in Tabuk, Saudi Arabia, between January 2020 and January 2021. Using non-probability sampling, secondary medical data were obtained at the Department of Obstetrics & Gynecology from two groups: insured and non-insured mothers who had 150 LBW infants (LBWI) (<2.5 kg) as well as normal newborns. Data were analyzed using SPSS, version 24 (IBM Corp., Armonk, NY). A univariate analysis was performed for each variable followed by a logistic regression analysis to explain the relationship between the dependent (LBW) and independent variables (health insurance status, prenatal care, and inter-pregnancy interval).
RESULTS: Out of 300 mothers, the majority were in the age group 21-34 years (86%). The LBWI mothers were insured in about 55% of cases. Around 43% had insurance for 1-2 years, and 44.7% of insured mothers were covered by a \"class A\" health plan. The findings revealed a significant correlation between the duration of maternal insurance coverage period and LBW; it reduced the risk of LBW by 95% CI. The inter-pregnancy interval was 51.3%, with a p-value of 0.33.
CONCLUSIONS: Private health insurance offers coverage, stability, and consistency in Saudi Arabia, which results in better birth outcomes by decreasing both infant mortality and morbidity rates among insured females.
摘要：
目的：确定生育期间私人医疗保险对低出生体重（LBW）婴儿的影响。
方法：这项回顾性病例对照研究是在塔布克的一家三级医院进行的，沙特阿拉伯,2020年1月至2021年1月。使用非概率抽样，妇产科的二级医学数据来自两组:有150名LBWI(<2.5kg)婴儿的参保和未参保母亲以及正常新生儿.使用SPSS对数据进行分析，第24版(IBM公司,Armonk,NY).对每个变量进行单变量分析，然后进行逻辑回归分析，以解释因变量（LBW）和自变量（健康保险状况，产前护理,和妊娠间隔）。
结果：在300名母亲中，大多数在21-34岁年龄组(86%).LBWI的母亲在大约55％的案例中获得了保险。大约43%的人有1-2年的保险，44.7%的投保母亲接受了“A类”健康计划。研究结果表明，孕产妇保险承保期限与LBW之间存在显着相关性；它将LBW的风险降低了95％CI。妊娠间隔时间为51.3%,p值为0.33。
结论：私人医疗保险提供保险，稳定性,和沙特阿拉伯的一致性，通过降低被保险女性的婴儿死亡率和发病率，可以获得更好的分娩结果。
方法：这项回顾性病例对照研究是在塔布克的一家三级医院进行的，沙特阿拉伯,2020年1月至2021年1月。使用非概率抽样，妇产科的二级医学数据来自两组:有150名LBWI(<2.5kg)婴儿的参保和未参保母亲以及正常新生儿.使用SPSS对数据进行分析，第24版(IBM公司,Armonk,NY).对每个变量进行单变量分析，然后进行逻辑回归分析，以解释因变量（LBW）和自变量（健康保险状况，产前护理,和妊娠间隔）。
结果：在300名母亲中，大多数在21-34岁年龄组(86%).LBWI的母亲在大约55％的案例中获得了保险。大约43%的人有1-2年的保险，44.7%的投保母亲接受了“A类”健康计划。研究结果表明，孕产妇保险承保期限与LBW之间存在显着相关性；它将LBW的风险降低了95％CI。妊娠间隔时间为51.3%,p值为0.33。
结论：私人医疗保险提供保险，稳定性,和沙特阿拉伯的一致性，通过降低被保险女性的婴儿死亡率和发病率，可以获得更好的分娩结果。
