摘要
[目的]调查和确定孕产妇早产的社会和行为影响因素,为采取有效的综合干预措施、降低早产风险提供依据。[方法]采用病例对照研究设计,从桂林二家医院随机抽取2010年10月—2012年10月住院分娩的早产妇和同期足月分娩的产妇,按调查表当面访谈,收集人口学、家居环境、社会关系、生活习惯、健康和生育状况等资料,以非条件logistic回归模型计算各因素OR值。[结果]111例病例和117例对照进入本调查。年龄、行为方式、社会关系、流产史和临床状况均为早产的影响因素。孕产妇社会关系如人际关系或婚姻关系佳是早产的保护性因素,其OR及95%CI分别为0.28（0.17-0.63）、0.62（0.34-0.86）;行为方式如被动吸烟、熬夜以及较大的年龄和临床综合状况如人工流产、胎膜早破、多胎妊娠、贫血为早产的危险因素,尤其是被动吸烟和多胎妊娠与早产密切相关,二者的OR及其95%CI分别为9.58（2.54-33.83）、9.12（8.32-13.62）。[结论]良好的婚姻和人际关系可降低早产风险,而被动吸烟、熬夜等不良行为习惯,较差的临床综合状况,较高孕龄可增加早产风险。
[ Objective ] To survey and identify the preterm-related social and behavioral risk factors, so as to provide evidence to adopt efficient and comprehensive prevention and control measures. [ Methods ] A case-control study was designed. Mothers with preterm infants and full-term infants were randomly sampled in two hospitals in Guilin and were interviewed with questionnaires on their demographic information, residential environment, social relationship, life style, as well as status of health and reproduction. Non-conditional logistic regression model was used to calculate the OR values for preterm outcome given various potential risk factors. [ Results ] A total of 111 cases and 117 controls were recruited in the study. Age, behavior, social relationship, abortion history, and clinical conditions were the influencing factors of preterm. In terms of social relationship, good interpersonal and marriage relationships were protective factors of preterm, with the OR values （95%CI） of 0.28 （0.17-0.63） and 0.62 （0.34-0.86） respectively. Behaviors including exposure to passive smoking and staying up late, older age, and poor clinical health conditions such as induced abortion, premature rupture of membrane, multifetation, and anemia were the risk factors of preterm, especially passive smoking exposure and muhifetation were closely associated with preterm, with OR values （95%CI） of 9.58 （2.54-33.83） and 9.12 （8.32-13.62） respectively. [ Conclusion ] Good marriage and interpersonal relationships could decrease the risk of preterm; in the contrary, bad behaviors including passive smoking exposure and staying up late, poor clinical health conditions, and older gestational age could increase the risk of preterm.
出处
《环境与职业医学》
CAS
CSCD
北大核心
2016年第2期147-151,共5页
Journal of Environmental and Occupational Medicine
基金
2014年国家自然科学基金项目(编号:81360105)
关键词
早产
社会关系
行为习惯
临床综合状况
年龄
被动吸烟
熬夜
preterm
social relationship
behavior
clinical health condition
age
passive smoking
stay up late
