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.
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。