충남 아산시 저체중 출생아의 산전 환경 위험요인 = A Survey on Prenatal Environmental Risk Factors for Mothers of Low Birth Weight Infants in Asan-City

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 Kleinman JC, "physical stature andeducational attainment on the incidenceof low birth weight" 843-55, amjepidemiol1985;121

2 Hong PS, "The study of maternalcharicteristics of low birth infant" 5 (5): 67-78, 1999

3 Chomitz VR, "The role of lifestyle in prevention lowbirth weight." 5 (5): 121-138, 1995

4 McCormick MC, "The contribution of lowbirth weight to infant mortality andchildhood morbidity" 82-90, nejm1985;312

5 UNICEF, "The State of World's Children2001" UNICEF 84-85, 2001

6 Hoffman, "Reproductiveoutcomes of mothers with potentialexposure to2" 8 410-419, epidemiol1988;128

7 Oliveira LM, "Reproductive outcomes in an area adjacentto a petrochemical plant in sou thernBrazil" 36 (36): 81-87, 2002

8 Rylander L, "Reproductive outcome among femalehairdressers" 59 (59): 517-522, 2002

9 Washington D, "Reproductive health hazards in the workplace Congress of theUnited States Office of TechnologyAssessment" 1985

10 Paul M, "Repro-ductivehazards in the workplace what the practitionerneeds to know about chemicalexposures" 921-38, obstetgynecol1988;71

11 Bryant HE, "Recall lossand recall bias in pregnancy" 78-80, amjpublichealth1989;79

12 Koh KS, "Prenatal environmental exposureand pregnancy outcomes" 12 (12): 258-268, 2000

13 Lipscomb JA, "Preganacyoutcome in women potentially exposed tooccupational solvents and womenworking in the electronics industry" 597-604, joccupmed1991;33

14 Hruba D, "Occupationalrisks for human reproductio :ELSPAC Study. European logitudinalstudy of pregnancy and childhood." 7 (7): 210-215, 1999

15 Park HC, "Maternalrisk factors associated with the low birthweight" 356-62, koreanjprevmed1991;24

16 Lee BE, "Maternal exposure to environmentaltobaccon smoke(ETS) and pregnancyoutcome(low birth weight orpreterm baby) in prospective cohortstudy" 36 (36): 117-124, 2003

17 Ha EH, "Is air pollutiona risk factor for low birth weight inSeoul?" 12 : 643-648, 2001

18 Preventing low birthweight, "Institue of Medicine" DC; National AcademyPress 1985

19 Katz EA, "Exposureassessment in epidemiologicstudies of birth defects by industrialhygiene review of maternal interviews" 1-11, amjindmed1994;26

20 Kramer MS, "Determinants of low birthweight" 663-737,

21 Kuk H, "Clinico-statistical investigaton of prematureinfant and low birth weight infant" 125-143, chunnammedj1988;25

22 Lee KD, "Clinicalinvestigaton of premature infant and lowbirth weight infant" 176-81, jkoreanpecsoc1978;21

23 Kim CK, "Clinical study on prema- tureand low birth weight baby" 207-16, ehwamedj1978;1

24 Kim KN, "Clinical investigaton of premature infantand low birth weight infant" 1197-201, jkoreanpedsoc1982;25

25 Chun SH, "Clinical investigaton of lowbirth weight infant" 429-35,

26 Institute of Medicine, "Clearing the smoke" National AcademyPress 547-549, 2001

27 Park JH, "Changing pattern ofbirth weight and relationship of birthweight with maternal age and parity" 322-30, koreanjprevmed1987;20

28 Kim YA, "Changes in maternalage and parity distribution on low birthweight incidence rate" 276-82, koreanjprevmed1989;22

29 "Centers for disease control and prevention From data to action-CDC's publichealth surveillance for women" 1994185-202availableform