Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015
This article was published in the BMJ Open [© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2018-025715 The Journal's websi...
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10361-164762022-03-21T21:01:30Z Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015 Gupta, Rajat Das Swasey, Krystal Burrowes, Vanessa Hashan, Mohammad Rashidul Al Kibria, Gulam Muhammed Brac James P. Grant School of Public Health Low birth weight Demographic and health survey 2015 Afghanistan This article was published in the BMJ Open [© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2018-025715 The Journal's website is at: https://bmjopen.bmj.com/content/9/5/e025715 Objectives This study aimed to investigate the factors associated with low birth weight (LBW) in Afghanistan. Design Cross-sectional study. Setting This study used data collected from the Afghanistan Demographic and Health Survey 2015. Participants Facility-based data from 2773 weighted live-born children enrolled by a two-stage sampling strategy were included in our analysis. Primary and secondary outcome measures The primary outcome was LBW, defined as birth weight <2.5kg. Results Out of 2773 newborns, 15.5% (n=431) had LBW. Most of these newborns were females (58.3%, n=251), had a mother with no formal schooling (70.5%, n=304), lived in urban areas (63.4%, n=274) or lived in the Central region of Afghanistan (59.7%, n=257). In multivariable analysis, residence in Central (adjusted OR (AOR): 3.4; 95% CI 1.7 to 6.7), Central Western (AOR: 3.0; 95% CI 1.5 to 5.8) and Southern Western (AOR: 4.0; 95% CI 1.7 to 9.1) regions had positive association with LBW. On the other hand, male children (AOR: 0.5; 95% CI 0.4 to 0.8), newborns with primary maternal education (AOR: 0.5; 95% CI 0.3 to 0.8), birth interval ≥48 months (AOR: 0.4; 95% CI 0.1 to 0.8), belonging to the richest wealth quintile (AOR: 0.2; 95% CI 0.1 to 0.6) and rural residence (AOR: 0.3; 95% CI 0.2 to 0.6) had decreased odds of LBW. Conclusions Multiple factors had association with LBW in Afghanistan. Maternal, Neonatal and Child Health programmes should focus on enhancing maternal education and promoting birth spacing to prevent LBW. To reduce the overall burden of LBW, women of the poorest wealth quintiles, and residents of Central, Central Western and South Western regions should also be prioritised. Further exploration is needed to understand why urban areas are associated with higher likelihood of LBW. In addition, research using nationally representative samples are required. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. Published 2022-03-21T06:46:06Z 2022-03-21T06:46:06Z 2019 2019-05-14 Journal Article Gupta, R. D., Swasey, K., Burrowes, V., Hashan, M. R., & Al Kibria, G. M. (2019). Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015. BMJ Open, 9(5) doi:10.1136/bmjopen-2018-025715 http://hdl.handle.net/10361/16476 http://dx.doi.org/10.1136/bmjopen-2018-025715 en_US https://bmjopen.bmj.com/content/9/5/e025715 application/pdf BMJ Open |
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Brac University |
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Institutional Repository |
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en_US |
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Low birth weight Demographic and health survey 2015 Afghanistan |
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Low birth weight Demographic and health survey 2015 Afghanistan Gupta, Rajat Das Swasey, Krystal Burrowes, Vanessa Hashan, Mohammad Rashidul Al Kibria, Gulam Muhammed Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015 |
| description |
This article was published in the BMJ Open [© Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. ] and the definite version is available at: http://dx.doi.org/10.1136/bmjopen-2018-025715 The Journal's website is at: https://bmjopen.bmj.com/content/9/5/e025715 |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Gupta, Rajat Das Swasey, Krystal Burrowes, Vanessa Hashan, Mohammad Rashidul Al Kibria, Gulam Muhammed |
| format |
Journal Article |
| author |
Gupta, Rajat Das Swasey, Krystal Burrowes, Vanessa Hashan, Mohammad Rashidul Al Kibria, Gulam Muhammed |
| author_sort |
Gupta, Rajat Das |
| title |
Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015 |
| title_short |
Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015 |
| title_full |
Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015 |
| title_fullStr |
Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015 |
| title_full_unstemmed |
Factors associated with low birth weight in Afghanistan: A cross-sectional analysis of the demographic and health survey 2015 |
| title_sort |
factors associated with low birth weight in afghanistan: a cross-sectional analysis of the demographic and health survey 2015 |
| publisher |
BMJ Open |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16476 http://dx.doi.org/10.1136/bmjopen-2018-025715 |
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