Abstract:
Background:As neonatal care improves in low-resource settings, more preterm or low birth weight (LBW) babies are surviving, but little is known about their long-term outcomes. Globally, preterm and/or LBW babies are at increased risk of mortality, malnutrition, and developmental delay. Objectives:We aim to describe the differences in development in rural Rwandan children at 24-36 months of age born preterm and/or LBW compared to their peers born term or normal birth weight (term/NBW), and to assess factors associated with poor development. Methods:We conducted a cross-sectional study using secondary data analysis from two combined datasets from 2014, using Ages and Stages Questionnaire (ASQ-3) for developmental assessment and anthropometrics for nutritional status (stunting and wasting). Demographic and clinical factors associated with poor developmental outcomes in univariate regression at α = 0.20 were included in a full model; we used backward stepwise penalized multivariable logistic regression to identify a final model at α = 0.05. Findings:In total, 445 children were included; 405 term/NBW, and 40 preterm and/or LBW. Half of them (n = 234; 52.6%) had developmental delay, including 207 (51.1%) among term/NBW and 27 (67.5%) among preterm and/or LBW (p = 0.048). In the final model, term/NBW children with stunting alone had a significant increase in the odds of developmental delay (OR 2.05, 95% CI 1.37-3.07), and children with wasting had a borderline statistically significant increased odds of developmental delay (OR 5.79, 95% CI 0.98-34.39). Being preterm and/or LBW and not stunted completely predicted delay. Conclusion:Half of the children had developmental delay in our sample from rural Rwanda. Preterm and/or LBW infants were more likely to have developmental delay, and the main predictor of developmental delay was stunting, with high rates of stunting observed also in term/NBW infants. Interventions to reduce undernutrition and prevent prematurity and LBW, alongside investments to promote early stimulation for optimal development, are needed if gains in addressing developmental delay are to be made.
journal_name
Ann Glob Healthjournal_title
Annals of global healthauthors
Ahishakiye A,Abimana MC,Beck K,Miller AC,Betancourt TS,Magge H,Mutaganzwa C,Kirk CMdoi
10.5334/aogh.2629subject
Has Abstractpub_date
2019-12-17 00:00:00pages
147issue
1issn
2214-9996journal_volume
85pub_type
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journal_title:Annals of global health
pub_type: 杂志文章,评审
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journal_title:Annals of global health
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journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2020-09-03 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章,评审
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更新日期:2021-01-04 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Annals of global health
pub_type: 杂志文章
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journal_title:Annals of global health
pub_type: 杂志文章
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journal_title:Annals of global health
pub_type: 杂志文章,评审
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journal_title:Annals of global health
pub_type: 历史文章,杂志文章,评审
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更新日期:2015-07-01 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2020-04-28 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2019-05-09 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章,评审
doi:10.1016/j.aogh.2015.08.002
更新日期:2015-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2018-08-31 00:00:00
abstract:Background:Although the incidence of cervical cancer has declined in developed countries, cervical cancer remains a major problem in those that are developing. Past studies suggest that Indian women, who account for at least one-fourth of the global disease burden, are not routinely screened. Objectives:Among the wome...
journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2020-03-16 00:00:00
abstract:BACKGROUND:Chile has recently been reclassified by the World Bank from an upper-middle-income country to a high-income country. There has been great progress in the last 20 to 30 years in relation to air and water pollution in Chile. Yet after 25 years of unrestrained growth, there remain clear challenges posed by air ...
journal_title:Annals of global health
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:Annals of global health
pub_type: 评论,社论
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更新日期:2019-06-17 00:00:00
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更新日期:2019-08-16 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2015-03-01 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章,多中心研究
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更新日期:2018-11-05 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2015-09-01 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Approximately 80% of individuals with disability reside in low- and middle-income countries where community-based rehabilitation (CBR) has been used as a strategy to improve disability. However, data relating to disability severity among CBR beneficiaries in low-income countries like Uganda remain scarce, pa...
journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Sub-Saharan Africa (SSA) has one of the highest levels of perinatal mortality globally. However, there are sub-regional and country-specific disparities in its distribution. OBJECTIVE:The aim of this study was to undertake a meta-analysis of demographic and health surveys to quantify perinatal mortality rat...
journal_title:Annals of global health
pub_type: 杂志文章,meta分析
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更新日期:2019-07-12 00:00:00
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pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Annals of global health
pub_type: 杂志文章
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更新日期:2020-07-06 00:00:00