Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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The effects of the parents' social class on the low birthweight among the births, 1995-2001

부모의 사회계급이 1995-2001년도 출생아의 저체중에 미치는 영향

  • 손미아 (강원대학교 의과대학 예방의학교실)
  • Published : 2004.03.01
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Abstract

To investigate the effect of parents' social class on birthweight in Korea during the period of transition to a market economy, 1995-2001. Methods: All births resulting from pregnacies reported in 1995-22001(n=4,298,374) were studied with respect to social variation in birthweight. The results were adjusted for maternal age, parity, parents' education, gestational age, total births, the dead births among total births, the number of births in one delivery. Results: Between 1995 and 2001, mean birth weight was 3271g and low birth rate was 3.41%. Maternal education, faternal education, parents' occupation, the number of birth in one delivery, total births, gestational age, and the number of deaths among. total births were all independently related to the birthweight. Parents with lower education showed higher low-birthweight rates compared with parents with university level of education(OR: 2.16 for mother and 1.68 for father). Especially, mother's education showed stronger relationship with birthweight than fathers' education. The differences in birth weight by parents' social class, especially parents' educational level became stronger between 1995 and 2001. Discussion: This study suggests that the social differences of birth weight were increasing in order 1995 to 2001. Especially, this increasing tendency in variation in birth weight by social class was shown after economic crisis, 1998.

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References

  1. 맹광호, 이상윤, 이해천. 저체중아 출산 관련요인에 관한 사례-비교군 연구. 예방의학회지 1984;17(1)
  2. 서경, 전준기, 한영자 한국인 신생아 사망의 사인 및 산과적 원인 분석. 대한산부인과학회잡지 2001;44(10):1844-1850
  3. 이상이. 우리나라 사회계층별 저체중아 출생률의 차이. 보건과 사회과학 2003;13:61-79
  4. 이철. 우리나라 저체중아 출생현황 및 문제점. 한국모자보건학회지 1997;1(2)
  5. 한영자 등 저출생체중아 발생현황 및 정책과제 1999
  6. 한영자 등 1999년도 영아사망 및 주산기사망의 수준과 특성 분석 2002
  7. 한영자, 이승욱, 도세연. 한국의 영아사망수 추정 방법 연구. 보건사회연구 1996;16(2):167-0
  8. Barker DJP. Mothers, babies and disease in later life. BMJ. 1994
  9. Bundred P, Manning D, Brewster B, Buchan I. 2003. Social trends in singleton births and birth weight in Wirra residents, 1990-2001. Arch Dis Child Fetal Neonatal Ed. 2003;88(5): F4321-4
  10. Cheung YE, Jalil F, Yip PS, Karlberg JP. Association between size at birth, paediatric diarrhoeal incidence and postnatal growth. Acta Paediatr. 2001 Nov;90(11):1309-15
  11. Drever F and Whitehead M. Health inequalities. 1997. The stationary Office, London
  12. Jefferis JM, Power C, Hertzman C. Birth weight, childhood socioeconomic environment, and cognitive development in the 1958 British birth cohort study. BMJ. 2002 Aug 10;325(7359):305
  13. Koupilova I, Rahu K, Rahu M, Karro H, Leon DA Social determinants of birthweight and length of gestation in Estonia during the transition to democracy. Int J Epidemiol. 2000 Feb;29(1):118-24
  14. Kuh DLJ and Ben Shlorno Y. A life course approach to chronic disease epideirniology. 1997. Oxford University Press. Oxford
  15. Lumley J. Correy JF, Newman NM, Curran JT. 1985. Low birth weight in Tasmania 1975-1983: the effect of socioeconomic status. Aust Paediatr J. 1985; 21(1):13-4
  16. Moser K, Li L, Power C. 2003. Social inequalities in low birth weight in England and Wales. Trends and implications for future population health. J Epidemiol Community Health. 2003; 57(9):687-91 https://doi.org/10.1136/jech.57.9.687
  17. Barbieri MA, Silva AMA, Bettiol H and Gomes UA 2000. Risk factors for the increasing trend in low birth weight among live births born by vaginal delivary, BraziL 2000; 34(6):596-602
  18. Olsen J, Frische G. Low birth weight, stillbirth and congenital malformations. Social differences. Ugeskr Laeger. 1994 Sep 19;156(38):5519-23
  19. Pakrasi K, Sil S, Dasgupta P, Dasgupta I. Patterns of low birth weight in the Bengali newborns. Indian J Phys Anthropol Hum Genet. 1985;11(2-3):107-22
  20. Spencer N, Bambang S, Logan S, Gill L. Socioeconomic status and birth weight: comparison of an area-based measure with the Registrar General's social class. J Epidemiol Community Health. 1999 Aug;53(8):495-8 https://doi.org/10.1136/jech.53.8.495
  21. Teranishi H, Nakagawa H, Marmot M. Social class difference in catch up growth in a national British cohort. Arch Dis Child. 2001 Mar;84(3):218-21

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