Abstract:
OBJECTIVE:To investigate social inequalities underlying low birthweight (LBW) outcomes in Sri Lanka. DESIGN:Cross-sectional study. SETTING:This study used the Sri Lanka Demographic and Health Survey 2016, the first such survey to cover the entire country since the Civil War ended in 2001. PARTICIPANTS:Birthweight data extracted from the child health development records available for 7713 babies born between January 2011 and the date of interview in 2016. OUTCOME MEASURES:The main outcome variable was birth weight, classified as LBW (≤2500 g) and normal. METHODS:We applied random intercept three-level logistic regression to examine the association between LBW and maternal, socioeconomic and geographic variables. Concentration indices were estimated for different population subgroups. RESULTS:The population-level prevalence of LBW was 16.9% but was significantly higher in the estate sector (28.4%) compared with rural (16.6%) and urban (13.6%) areas. Negative concentration indices suggest a relatively higher concentration of LBW in poor households in rural areas and the estate sector. Results from fixed effects logistic regression models confirmed our hypothesis of significantly higher risk of LBW outcomes across poorer households and Indian Tamil communities (AOR 1.70, 95% CI 1.02 to 2.83, p<0.05). Results from random intercept models confirmed there was substantial unobserved variation in LBW outcomes at the mother level. The effect of maternal biological variables was larger than that of socioeconomic factors. CONCLUSION:LBW rates are significantly higher among babies born in poorer households and Indian Tamil communities. The findings highlight the need for nutrition interventions targeting pregnant women of Indian Tamil ethnicity and those living in economically deprived households.
journal_name
BMJ Openjournal_title
BMJ openauthors
Abeywickrama G,S Padmadas S,Hinde Adoi
10.1136/bmjopen-2020-037223subject
Has Abstractpub_date
2020-05-25 00:00:00pages
e037223issue
5issn
2044-6055pii
bmjopen-2020-037223journal_volume
10pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:International policy recommends continuous, cost-effective monitoring of health data to enable health services to identify and respond to health inequities as experienced by different ethnic groups. However, there is a lack of routinely collected ethnicity data, particularly in primary care, and very littl...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026335
更新日期:2018-10-31 00:00:00
abstract:INTRODUCTION:The mainstay treatment for reducing the symptoms of angina and long-term risk of heart attacks in patients with heart disease is stent implantation in the diseased coronary artery. While this procedure has revolutionised treatment, the incidence of secondary events remains a concern. These repeat events ar...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-012728
更新日期:2016-12-20 00:00:00
abstract:OBJECTIVES:A Demographic and Health Platform was established in Magude in 2015, prior to the deployment of a project aiming to evaluate the feasibility of malaria elimination in southern Mozambique, named the Magude project. This platform aimed to inform the design, implementation and evaluation of the Magude project, ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033985
更新日期:2020-05-05 00:00:00
abstract:INTRODUCTION:Opioid use has increased globally for the management of chronic non-cancer-related pain. There are concerns regarding the misuse of opioids leading to persistent opioid use and subsequent hospitalisation and deaths in developed countries. Hospital admissions related to surgery or trauma have been identifie...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-044493
更新日期:2021-01-19 00:00:00
abstract:OBJECTIVES:To support return to work (RTW) among cancer patients, a multidisciplinary rehabilitation programme was developed which combined occupational counselling with a supervised physical exercise programme during chemotherapy. The aim was to investigate RTW rates of cancer patients and to evaluate changes in work-...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-014746
更新日期:2017-06-15 00:00:00
abstract:INTRODUCTION:Primary sclerosing cholangitis (PSC) is a progressive inflammatory liver disease characterised by relentless liver fibrosis and a high unmet need for new therapies. Preventing fibrosis represents an important area of interest in the development of vital new drugs. Vascular adhesion protein-1 (VAP-1) drives...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-015081
更新日期:2017-07-03 00:00:00
abstract:OBJECTIVES:Sierra Leone has one of the highest maternal mortality ratios in the world. Timely and well-coordinated referrals are necessary to reduce delays in providing adequate care for women with obstetric complications. This study describes factors affecting timely and adequate referral of women with obstetric compl...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041746
更新日期:2020-12-10 00:00:00
abstract:OBJECTIVES:Several ABILHAND Rasch-built manual ability scales were previously developed for chronic stroke (CS), cerebral palsy (CP), rheumatoid arthritis (RA), systemic sclerosis (SSc) and neuromuscular disorders (NMD). The present study aimed to explore the applicability of a generic manual ability scale unbiased by ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001807
更新日期:2012-10-31 00:00:00
abstract:OBJECTIVES:(1) Investigate and explore whether different classes of associative stigma (the process by which a person experiences stigmatisation as a result of an association with another stigmatised person) could be identified using latent class analysis; (2) determine the sociodemographic and employment-related corre...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028179
更新日期:2019-07-11 00:00:00
abstract:INTRODUCTION:Tranexamic acid (TXA) is a synthetic derivative of the amino acid lysine that inhibits fibrinolysis by blocking lysine-binding sites on plasminogen, which contribute to reduced bleeding, the need for transfusion and mortality. Although there is reliable evidence of the efficacy of TXA, its effects on other...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036020
更新日期:2020-06-22 00:00:00
abstract:INTRODUCTION:Diabetic macular oedema (DMO) and proliferative diabetic retinopathy (PDR) are the major causes of sight loss in people with diabetes. Due to the increased prevalence of diabetes, the workload related to these complications is increasing making it difficult for Hospital Eye Services (HSE) to meet demands. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027795
更新日期:2019-06-28 00:00:00
abstract:OBJECTIVES:To ascertain whether an ultrabrief intervention (UBI) improves mental health outcomes for patients in general practice with mild-to-moderate mental health concerns. TRIAL DESIGN:Two-arm cluster randomised controlled trial. METHODS:Participants: general practitioners (GPs) were invited based on working in a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023481
更新日期:2019-02-27 00:00:00
abstract:INTRODUCTION:Auditory verbal hallucinations (AVH) are prevalent experiences that can induce distress and impede social functioning. While most voice hearers benefit from antipsychotic medication or cognitive-behavioural therapy, additional effective interventions are needed to reduce the burden of experiencing AVH. 'Te...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-020537
更新日期:2018-03-06 00:00:00
abstract:OBJECTIVE:To examine the impact of caesarean section on breastfeeding indicators-early initiation of breastfeeding, exclusive breastfeeding under 6 months and children ever breastfed (at least once)-in sub-Saharan Africa. DESIGN:Secondary analysis of Demographic and Health Surveys (DHS). SETTING:Thirty-three low-inco...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-027497
更新日期:2019-09-04 00:00:00
abstract:OBJECTIVE:To investigate the appropriateness of cases presenting to the emergency department (ED) following ambulance-based secondary telephone triage. DESIGN:A pragmatic retrospective cohort analysis of all the planned and unplanned ED presentations within 48 hours of a secondary telephone triage. SETTING:The second...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016845
更新日期:2017-10-15 00:00:00
abstract:OBJECTIVES:The aim of this study was to quantify sex differences in diagnostic and revascularisation coronary procedures within 1 year of hospitalisation for acute myocardial infarction (AMI) or angina. DESIGN:This is a prospective cohort study. Baseline questionnaire (January 2006-April 2009) data from the Sax Instit...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026507
更新日期:2019-07-23 00:00:00
abstract:INTRODUCTION:The importance of cardiovascular health in relation to pregnancy outcome is increasingly acknowledged. Women who develop certain pregnancy complications, in particular preeclampsia, are at higher risk for future cardiovascular disease. Independent of its outcome, pregnancy requires a substantial adaptive r...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033083
更新日期:2019-11-10 00:00:00
abstract:INTRODUCTION:Parkinson's disease (PD) is the second most common neurodegenerative disorder in developed countries. There is an increasing interest in the use of mindfulness-related interventions in the management of patients with a chronic disease. In addition, interventions that promote personal control, stress-manage...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003326
更新日期:2013-10-10 00:00:00
abstract:OBJECTIVES:To evaluate the implementation of a new procedure for screening and treatment of malnutrition for older people in community settings and to identify factors promoting or inhibiting its implementation as a routine aspect of care. DESIGN:Prospective process evaluation using mixed methods with pre/post-impleme...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025966
更新日期:2019-08-10 00:00:00
abstract:AIM:To estimate the population attributable risk (PAR) for Chlamydia trachomatis infection in young men and women in Sydney, Australia. METHOD:Multivariate logistic regression was used to examine the association between demographic, sexual behaviour and other potential risk factors and chlamydia positivity in young (≤...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2010-000004
更新日期:2011-02-23 00:00:00
abstract:INTRODUCTION:Smell and taste of milk are not generally considered when tube feeding preterm infants. Preterm infants have rapid growth, particularly of the brain, and high caloric needs. Enteral feeding is often poorly tolerated which may lead to growth failure and long-term neurodevelopmental impairment. Smell and tas...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027805
更新日期:2019-07-17 00:00:00
abstract:OBJECTIVES:Access to reproductive information and contraception (RIC) continues to be a critical unmet need in Tanzania and impedes the realisation of reproductive health rights. This study examined key sources of RIC and the factors influencing their uptake by women in Mbeya region of Tanzania. SETTING:This qualitati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036600
更新日期:2020-10-10 00:00:00
abstract:OBJECTIVE:The proper use of safety measures by welders is an important way of preventing and/or reducing a variety of health hazards that they are exposed to during welding. There is a lack of knowledge about hazards and personal protective equipments (PPEs) and the use of PPE among the welders in Nepal is limited. We ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004646
更新日期:2014-06-02 00:00:00
abstract:OBJECTIVES:Our aim was to determine clusters of non-communicable diseases (NCDs) in a very large, population-based sample of middle-aged and older adults from low- and middle-income (LMICs) and high-income (HICs) regions. Additionally, we explored the associations with several covariates. DESIGN:The total sample was 7...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034441
更新日期:2020-07-19 00:00:00
abstract:OBJECTIVES:Retirement villages (RV) have expanded rapidly, now housing perhaps one in eight people aged 75+ years in New Zealand. Health service initiatives might better support residents and offer cost advantages, but little is known of resident demographics, health status or needs. This study describes village reside...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035876
更新日期:2020-09-18 00:00:00
abstract:OBJECTIVES:Many sedentary individuals are aware of the health benefits of regular physical activity and start becoming more physically active. Yet, despite good intentions, many struggle to keep up initial exercise levels and experience a decline in exercise frequency. A possible explanation is that it is hard to estab...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024043
更新日期:2019-02-13 00:00:00
abstract:OBJECTIVES:To investigate different professionals' (nurse anaesthetists', anaesthesiologists', and postanaesthesia care unit nurses') descriptions of and reflections on the postoperative handover. DESIGN:A focus group interview study with a descriptive design using qualitative content analysis of transcripts. SETTING...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-015038
更新日期:2017-08-04 00:00:00
abstract:OBJECTIVES:To present the primary outcomes from a baseline study on attitudes towards female genital cutting (FGC) after migration. DESIGN:Baseline data from a planned cluster randomised, controlled trial. Face-to-face interviews were used to collect questionnaire data in 2015. Based on our hypothesis that established...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-017506
更新日期:2017-08-11 00:00:00
abstract:BACKGROUND:Large gaps exist in the implementation of guideline recommendations for cardiovascular disease (CVD) risk management. Electronic decision support (EDS) systems are promising interventions to close these gaps but few have undergone clinical trial evaluation in Australia. We have developed HealthTracker, a mul...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002177
更新日期:2012-11-19 00:00:00
abstract:OBJECTIVES:To determine whether there was variation in nurse staffing across hospitals in Queensland prior to implementation of nurse-to-patient ratio legislation targeting medical-surgical wards, and if so, the extent to which nurse staffing variation was associated with poor outcomes for patients and nurses. DESIGN:...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036264
更新日期:2020-09-06 00:00:00