Browse > Article

A Survey on Prenatal Environmental Risk Factors for Mothers of Low Birth Weight Infants in Asan-City  

Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Korea University)
Ahn, Hyung-Sik (Department of Preventive Medicine, College of Medicine, Korea University)
Ha, Mi-Na (Department of Preventive Medicine, College of Medicine, Dankook University)
Koh, Kyung-Sim (Mai Women's Clinic)
June, Kyung-Ja (Department of Nursing, Soonchunhyang University)
Lee, Hee-Young (Department of Preventive Medicine, College of Medicine, Korea University)
Publication Information
Journal of Preventive Medicine and Public Health / v.37, no.1, 2004 , pp. 11-16 More about this Journal
Abstract
Objective : In this study, we aimed to produce basic data on the prenatal environmental risk factors of low birth weight infants at a community level. Methods : In 2000, we conducted the direct interview using questionnaire about prenatal environmental risk factors with low birth weight infant-delivered mothers and normal weight infant-delivered mothers in Asan-city, Chungcheongnamdo Province, Korea. The questionsgiven to the mothers included past pregnancy history, menstrual status, disease history before and during the pregnancy, family history, environmental risk factors and exposure history. The responses of the twogroups were compared to calculate the prenatal environmental risk factors of each group. Results : Mothers' smoking was significantly associated with low birth weight infants (adjusted odds ratio(AOR) 3.27; 95% confidence interval (CI) 1.25-8.56) and preterm baby (AOR 4.20; 95% CI, 1.21-14.61). Other environmental risk factors were not significantly different between the two groups. Conclusion: Smoking of mothers can be a risk factor for the delivery of low birth weight infants. These results could provide the basic data on prenatal environmental risk factors of mothers of low birth weight infants and suggest research topics for further community-based evaluation.
Keywords
Low birth weight; Risk factors; Smoking; Environmental exposure; Maternal exposure; Community survey;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Prichard, macDonald, Gant. Williams obstetetrics, 17th ed. Norwalk, Conne-ticut, Appleton-Century-Croft; 1985. 745-57
2 홍창의, 소아과학. 7판. 대한교과서; 2001.(282-299쪽)
3 Lee KD, Lee HS, Yoon JK. Clinical investigaton of premature infant and low birth weight infant. J Korean Pec Soc 1978; 21: 176-81 (Korean)
4 Chun SH, Moon SW, Park SK, Kim JJ, Shin DH. Clinical investigaton of low birth weight infant. J Korean Ped Soc 1982; 25: 429-35
5 Feldman Y, Koren G, Mattice D, Shear H, Pellegrini E. MacLeod SM. Deter-minants of recall and recall bias in studying drug and chemical exposure in pregnancy. Teratology 1989; 40: 37-45   DOI   ScienceOn
6 Chomitz VR, Cheung LW, Lieberman E. The role of lifestyle in prevention low birth weigh t.Future Children 1995; 5(1): 121-38   DOI   ScienceOn
7 Oliveira LM, Stein N, Sanserverino MT, Vargas VM, Fachel JM, Schuler L. Reproductive outcomes in an area adja-cent to a petrochemical plant in sou them Brazil. Rev Saude Publica 2002; 36(1): 81-7   DOI   PUBMED
8 Hruba D, Kukla L, Tyrlik M. Occupa-tional risks for human reproductio: ELSPAC Study. European logitudinal study of pregnancy and childhood. Cent Eur J Publci Helath 1999; 7(4):210-5
9 Kim YA, Park JH. Changes in maternal age and parity distribution on low birth weight incidence rate. Korean J Prev Med 1989; 22(2): 276-82 (Korean)
10 Lee BE, Hong YC，Park HS, Lee JT，Kim JY，Kim YJ，Kim SH， Goo KJ, Kim JO, Ha EH. Maternal exposure to environme-ntal tobaccon smoke(ETS) and pregn-ancy outcome(low birth weight or preterm baby) in prospective cohort study. Korean J Prev Med 2003; 36(2): 117-24
11 OTA Reports: Reproductive health hazards in the workplace. Congress of the United States Office of Technology Assessment. Washington D.C.; U.S. Govern ment Pronting Office, OTA-BA-266, 1985
12 Kleinman JC, Madans JH. The effects of maternal smoking, physical stature and educational attainment in the incidence of low birth weight. Am J Epidemiol 1985; 121: 843-55   DOI   PUBMED
13 Rylander L, Axmon A, Toren K, Albin M. Reproductive outcome among female hairdressers. Occup Environ Med 2002; 59 (8): 517-22   DOI
14 Park HC, Park J, Lee YJ, Mun K. Maternal risk factors associated with the low birth weight. Korean J Prev Med 1991; 24(3): 356-62 (Korean)
15 Lipscomb JA, Fenster L, Wrensch M, Shusterman D, Swan S. Preganacy outcome in Women potentially exposed to occupational solvents and women working in the electronics industry, J Occup Med 1991; 33(5): 597-604
16 Institue of Medicine. Preventing low birth weigh. Washington, DC; National Academy Press, 1985
17 Koh KS. Prenatal environmental expo-sure and pregnancy outcomes. Korean J Occup Environ Med 2000; 12(2): 258-68 (Korean)
18 Kramer MS , Determinants of low birth weight: methodological assess ment and meta-analysid. Bull World Health Organ 1987; 65: 663-737
19 Ha EH, Hon YC, Lee BE, Woo BJ, Schwartz J, Christian DC.Is air pollution a risk factor for low birth weight in Seoul?. Epidemiology 2001; 12; 643-48
20 Bryant HE, Visser N, Line EJ. Recall loss and recall bias in pregnancy: a comparison of interview and medical records data of pregnant and postnatal women, Am J Public Health 1989; 79: 78-80   DOI
21 Katz EA, Shaw GM, Schaffer DM. Ex-posure assessment in epidemiologic studies of birth defects by industrial hygiene review of maternal interviews. Am J Ind Med 1994; 26: 1-11   DOI   ScienceOn
22 Kim KN, Kim JW, Cho KH, Kwak YH. Clinical investigaton of premature infant and low birth weight infant. J Korean Ped Soc 1982; 25: 1197-201 (Korean)
23 Paul M, Himmelstein J. Repro-ductive hazards in the workplace: what chemical exposures. Obset Gynecol 1988; 71: 921-38
24 Institute of Medicine. Clearing the smoke. Washington, DC; National Academy Press, 2001. 547-9
25 Stockbauer, JW, Hoffman, RE., Schr-amm, WF., Edmonds, LD. Reproductive outcomes of mothers with potential exposure to 2,3,7,8-tetrach-lorodi benzo-p-dioxin, Am. J. Epidemiol 1988; 128: 410-419
26 Hong PS, Park HS. The study of maternal charicterstics of low birth infant. Korean J Women Health Nurs 1999; 5(1): 67-78(Korean)
27 Kuk H, Cho DH, Choi YR, Hwang TJ. Clinico-statistical investigaton of prema-ture infant and low birth weight infant. Chunnam Med J 1988; 25: 125-143 (Korean)
28 McCormick MC. The contribution of low birth weight to infant mortality and childhood morbidity. NEJM 1985; 312(2): 82-90   DOI   ScienceOn
29 UNICEF, The State of World's Children 2001. UNICEF, 2001, 84-85
30 Kim CK. Clinical study in prema-ture and low birth weight baby. Ehwa Med J 1978; 1: 207-16 (Korean)
31 Centers for disease control and preve-ntion. From data to action-CDC's public health surveillance for women, infants, and children. 1994. 185-202 Available form: URL : www.cdc.gov/ nccdphp/drh/ datoact/ intro.htm
32 한영자, 신손문, 도세록, 서경, 이승욱, 장세원. 저체중 출생아 발생현황 및 정책과제. 한국보건사회연구원, 1999, 11-12
33 김혜련, 신종각. 영유아 예방접종사업 개선방안, 한국보건사회연구원, 2000, 150
34 Park JH, Shin BS. Changing pattern of birth weight and relationship of birth weight with maternal age and parity. Korean J Prev Med 1987; 20(2): 322-30 (Korean)
35 Brown SS. Can low birth weight be pre-vented? Fam PIann Perspect 1985; 17: 112-8