Low prenatal weight gain among adult WIC participants delivering term singleton infants: variation by maternal and program participation characteristics.
OBJECTIVE: To determine the association of maternal and prenatal WIC program participation characteristics with low prenatal weight gain among adult women delivering liveborn, singleton infants at term. METHODS: WIC program data for 19,017 Black and White Alabama women delivering in 1994 were linked...
| Publicado en: | Maternal & Child Health Journal Vol. 3; no. 3; pp. 129 - 141 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep1999
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107112094&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107112094 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Sep1999 vid: 3 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 107112094 107112094 2000039152 10.1023/a:1022341821346 NLM10746752 107112094 ppf: 129 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Low prenatal weight gain among adult WIC participants delivering term singleton infants: variation by maternal and program participation characteristics. aug: au: Hickey CA Kreauter M Bronstein J Johnson V McNeal SF Harshbarger DS Woolbright LA affil: Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, 320 Ryals Building, 1665 University Avenue, Birmingham, AL 35294-0022. E-mail: hickeyc@uab.edu sug: subj: Weight Gain In Pregnancy Prenatal Care Food Services Utilization Maternal-Child Health Funding Source Descriptive Research Medical Record Linkage Birth Certificates Body Mass Index Descriptive Statistics Chi Square Test Fisher's Exact Test Multiple Logistic Regression Weight Gain Classification Race Factors Anemia Classification Data Analysis Software P-Value Odds Ratio Confidence Intervals Smoking In Pregnancy Adult Pregnancy Female Human Adult: 19-44 years Female ab: OBJECTIVE: To determine the association of maternal and prenatal WIC program participation characteristics with low prenatal weight gain among adult women delivering liveborn, singleton infants at term. METHODS: WIC program data for 19,017 Black and White Alabama women delivering in 1994 were linked with birth certificate files to examine the association of anthropometric, demographic, reproductive, hematologic, behavioral and program participation characteristics with low prenatal weight gain. RESULTS: One third (31.0%) had low prenatal weight gain as defined by the Institute of Medicine. The incidence of low weight gain was increased among women who had < 12 years of education, were single, Black, anemic, had low or normal prepregnancy body mass index (BMI), increased parity, interpregnancy intervals < or = 24 months, used tobacco or alcohol, or entered prenatal care or WIC programs after the first trimester. After adjusting for selected maternal characteristics, the adjusted odds ratios (AOR) for low weight gain were increased with short interpregnancy intervals (AOR 1.21 to 2.20); tobacco use (AOR 1.16 to 1.40), anemia (AOR 1.20 to 1.25), and second trimester entry into prenatal care (AOR 1.14 to 1.20); the size of the AORs and 95% confidence intervals varied by BMI and racial subgroup. CONCLUSIONS: The results of this study suggest that WIC interventions targeting low prenatal weight gain be focused on risk factors present not only during pregnancy, but during the pre- and interconceptional periods as well. Interventions should target low BMI, tobacco use, and anemia, and include attention to nutrition screening and risk reduction among women in postpartum and family planning clinic settings. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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