背景:印度尼西亚低出生体重婴儿的患病率正在增加。低出生体重会对孩子的发育产生负面影响。了解影响低出生体重的因素可能会采取预防措施。
目的:分析边疆地区低出生体重儿的决定因素,印度尼西亚最外层和欠发达地区。
方法:使用印度尼西亚国家社会经济调查的二级数据集进行了一项横断面研究,2019-2021年。样本包括27,678名16-64岁的居民。印度尼西亚的努沙登加拉Timur地区,努沙登加拉巴拉特,SulawesiTengah,苏拉威西腾加拉,Gorontalo,马鲁古,MalukuUtara,包括巴布亚和巴布亚巴拉特。进行了多水平逻辑回归以确定变量之间的关系。p<0.05被认为表示在固定效应模型结果中的显著性。
结果:生活在农村地区[OR1.176,95%置信区间(CI)0.088-0.235]且从未使用过避孕方法(OR1.227,95%CI0.096-0.313)的女性更有可能出生低体重婴儿。相比之下,水资源,社会援助/福利,孕产妇年龄和人均国内生产总值对低出生体重婴儿的患病率没有显著影响.
结论:生活在农村地区和终生不使用避孕药被发现是边境低出生体重的重要危险因素,印度尼西亚最外层和欠发达地区。增加农村地区的保健设施和建立避孕方案可能是减少低出生体重婴儿患病率的积极战略。
BACKGROUND: The prevalence of low-birthweight infants is increasing in Indonesia. A low birth weight can have a negative effect on a child\'s development. Understanding the factors influencing low birth weight may enable preventative actions.
OBJECTIVE: To analyse the determinant factors of low-birthweight infants in frontier, outermost and underdeveloped regions in Indonesia.
METHODS: A cross-sectional study was conducted using a secondary dataset from the Indonesian National Socioeconomic Survey, 2019-2021. The sample included 27,678 inhabitants aged 16-64 years. The Indonesian regions of Nusa Tenggara Timur, Nusa Tenggara Barat, Sulawesi Tengah, Sulawesi Tenggara, Gorontalo, Maluku, Maluku Utara, Papua and Papua Barat were included. A multilevel logistic regression was conducted to determine the relationship between variables. p < 0.05 was considered to indicate significance in the fixed-effects model findings.
RESULTS: Women who lived in a rural area [OR 1.176, 95 % confidence interval (CI) 0.088-0.235] and had never used contraception (OR 1.227, 95 % CI 0.096-0.313) were more likely to have low-birthweight infants. In contrast, water resources, social assistance/welfare, maternal age and gross domestic product per capita had no significant effect on the prevalence of low-birthweight infants.
CONCLUSIONS: Living in a rural area and lifetime non-use of contraception were found to be significant risk factors for low birth weight in frontier, outermost and underdeveloped regions in Indonesia. Increasing health facilities in rural areas and establishing programmes on the use of contraception may be positive strategies to reduce the prevalence of low-birthweight infants.