Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

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

충남 아산시 저체중 출생아의 산전 환경 위험요인

  • 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)
  • 윤석준 (고려대학교 의과대학 예방의학교실, 사이넥스 컨설팅) ;
  • 안형식 (고려대학교 의과대학 예방의학교실, 사이넥스 컨설팅) ;
  • 하미나 (단국대학교 의과대학 예방의학교실, 사이넥스 컨설팅) ;
  • 고경심 (메이산부인과) ;
  • 전경자 (순천향대학교 의과대학 간호학과) ;
  • 이희영 (고려대학교 의과대학 예방의학교실, 사이넥스 컨설팅)
  • Published : 2004.03.01
Download PDF
⟨ Previous Next ⟩

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

References

  1. Prichard, macDonald, Gant. Williams obstetetrics, 17th ed. Norwalk, Conne-ticut, Appleton-Century-Croft; 1985. 745-57
  2. McCormick MC. The contribution of low birth weight to infant mortality and childhood morbidity. NEJM 1985; 312(2): 82-90 https://doi.org/10.1056/NEJM198501103120204
  3. 홍창의, 소아과학. 7판. 대한교과서; 2001.(282-299쪽)
  4. 한영자, 신손문, 도세록, 서경, 이승욱, 장세원. 저체중 출생아 발생현황 및 정책과제. 한국보건사회연구원, 1999, 11-12
  5. Hong PS, Park HS. The study of maternal charicterstics of low birth infant. Korean J Women Health Nurs 1999; 5(1): 67-78(Korean)
  6. UNICEF, The State of World's Children 2001. UNICEF, 2001, 84-85
  7. 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)
  8. 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)
  9. 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)
  10. 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
  11. Koh KS. Prenatal environmental expo-sure and pregnancy outcomes. Korean J Occup Environ Med 2000; 12(2): 258-68 (Korean)
  12. 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
  13. Kim CK. Clinical study in prema-ture and low birth weight baby. Ehwa Med J 1978; 1: 207-16 (Korean)
  14. 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)
  15. 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)
  16. 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
  17. 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)
  18. Paul M, Himmelstein J. Repro-ductive hazards in the workplace: what chemical exposures. Obset Gynecol 1988; 71: 921-38
  19. 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
  20. 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 https://doi.org/10.1002/ajim.4700260102
  21. 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 https://doi.org/10.1093/oxfordjournals.aje.a114055
  22. 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 https://doi.org/10.1002/tera.1420400106
  23. 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 https://doi.org/10.2105/AJPH.79.1.78
  24. 김혜련, 신종각. 영유아 예방접종사업 개선방안, 한국보건사회연구원, 2000, 150
  25. Institue of Medicine. Preventing low birth weigh. Washington, DC; National Academy Press, 1985
  26. Institute of Medicine. Clearing the smoke. Washington, DC; National Academy Press, 2001. 547-9
  27. Brown SS. Can low birth weight be pre-vented? Fam PIann Perspect 1985; 17: 112-8
  28. Kramer MS , Determinants of low birth weight: methodological assess ment and meta-analysid. Bull World Health Organ 1987; 65: 663-737
  29. Chomitz VR, Cheung LW, Lieberman E. The role of lifestyle in prevention low birth weigh t.Future Children 1995; 5(1): 121-38 https://doi.org/10.2307/1602511
  30. 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
  31. 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
  32. Rylander L, Axmon A, Toren K, Albin M. Reproductive outcome among female hairdressers. Occup Environ Med 2002; 59 (8): 517-22 https://doi.org/10.1136/oem.59.8.517
  33. 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 https://doi.org/10.1590/S0034-89102002000100013
  34. 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
  35. 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