Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.61186/jrums
fa
jalali
1393
2
1
gregorian
2014
5
1
13
1
online
1
fulltext
fa
مقایسه شیوع نوزادان نارس و کم وزن در نژاد ایرانی و افغانی در زایشگاه نیک نفس رفسنجان در سال 1390
A Comparative Study on Prevalence of Preterm Birth and Low Birth Weight in Iranians and Afghans Races in Rafsanjan Nik-Nafs Hospital in 2011-2012
آمار و اپيدميولوژي
Statistics& Epidemiology
توصيفي
Description
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 7.1pt margin-left: 7.1pt margin-bottom: 0.0001pt text-align: justify line-height: 125% "><b><span lang="FA" style="font-size: 12pt line-height: 125% font-family: 'B Nazanin' ">چکیده<o:p /></span></b></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 7.1pt margin-left: 7.1pt margin-bottom: 0.0001pt text-align: justify line-height: 120% "><b><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' ">زمینه
و هدف:</span></b><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' ">
<span style="color: black ">تولد نارس و وزن کم هنگام تولد به عنوان عوامل مهم مرگ و
میر، اختلالات تکاملی، عوارض نوزادی و شیرخواری مطرح میباشند. از آن جایی که
پیامدهای بهداشتی در گروههای قومی- نژادی متفاوت است</span> <span style="color: black ">و اطلاعات کمی در این زمینه در</span></span><span dir="LTR"></span><span lang="AR-SA" dir="LTR" style="line-height: 120% font-family: 'Times New Roman', serif color: black "><span dir="LTR"></span> </span><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black ">کشور وجود دارد، این مطالعه
با هدف بررسی وضعیت تولد نوزادان نارس و کم وزن در</span><span dir="LTR"></span><span lang="AR-SA" dir="LTR" style="line-height: 120% font-family: 'Times New Roman', serif color: black "><span dir="LTR"></span> </span><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black ">نژاد ایرانی و افغانی انجام
شده است.<o:p /></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 7.1pt margin-left: 7.1pt margin-bottom: 0.0001pt text-align: justify line-height: 120% "><b><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black ">مواد و روشها:</span></b><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black "> این مطالعه مقطعی بر روی 5925 نوزاد زنده ایرانی
و افغانی زایشگاه نیک نفس رفسنجان در سال 1390 انجام گرفت. اطلاعات از دادههای
موجود در پروندههای زایمانی واحد مدارک پزشکی زایشگاه جمعآوری شد. ملاک تولد
نارس در این مطالعه، سن حاملگی کمتر از 37 هفته بارداری و ملاک اطلاق کم وزنی، وزن
موقع تولد کمتر از 2500 گرم است. جهت تحلیل دادهها از آزمونهای آماری </span><i><span dir="LTR" style="line-height: 120% font-family: 'Times New Roman', serif color: black ">t</span></i><span dir="RTL"></span><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black "><span dir="RTL"></span> مستقل، مجذور کای و آزمون دقیق فیشر استفاده گردید.<o:p /></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 7.1pt margin-left: 7.1pt margin-bottom: 0.0001pt text-align: justify line-height: 120% "><b><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black ">یافتهها:</span></b><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black "> تعداد 5532 نوزاد (4/93%) ایرانی و 393 نوزاد
(6/6%) افغانی بودند. در این مطالعه میزان شیوع تولد نارس 5/7% (447 نفر) بود، به
طوری که این میزان در بین موالید ایرانی 1/7% (391 نفر) و در بین موالید افغانی
5/14% (56 نفر) مشاهده شد (001/0></span><span dir="LTR" style="line-height: 120% font-family: 'Times New Roman', serif color: black ">p</span><span dir="RTL"></span><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black "><span dir="RTL"></span>).
میزان شیوع کم وزنی در مطالعه حاضر 7% (416 نفر) بود که این میزان در بین موالید
ایرانی 7/6% (367 نفر) و در موالید افغانی 7/12% (49 نفر) به دست آمد (001/0></span><span dir="LTR" style="line-height: 120% font-family: 'Times New Roman', serif color: black ">p</span><span dir="RTL"></span><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black "><span dir="RTL"></span>).</span><span dir="LTR"></span><span lang="AR-SA" dir="LTR" style="line-height: 120% font-family: 'Times New Roman', serif color: black "><span dir="LTR"></span> </span><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black "><o:p /></span></p>
<p class="MsoNormal" dir="RTL" style="margin-top: 0cm margin-right: 7.1pt margin-left: 7.1pt margin-bottom: 0.0001pt text-align: justify line-height: 120% "><b><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black ">نتیجهگیری:</span></b><span lang="AR-SA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black "> با توجه به بالا بودن میزان تولدهای نارس و کم
وزن در بین مهاجران افغانی، به نظر میرسد نژاد و احتمالاً عواملی چون نبود خدمات
بیمهای مناسب، کمبود دسترسی به خدمات بهداشتی و سطح اجتماعی- اقتصادی پایین
مهاجران افغان از عوامل تأثیرگذار بر این افزایش باشند.<o:p /></span></p>
<p class="1" dir="RTL" style="margin-top: 0cm margin-right: 7.1pt margin-left: 7.1pt margin-bottom: 0.0001pt text-align: justify line-height: 120% "><span lang="FA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black ">واژههای کلیدی:</span><span lang="FA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' color: black font-weight: normal "> تولد نارس، کم وزنی، نژاد، ایرانی، افغانی</span><span lang="FA" style="font-size: 12pt line-height: 120% font-family: 'B Nazanin' font-weight: normal "><o:p /></span></p>
<p align="left" style="direction: ltr "><p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Background
and Objective:</span></b><span style="font-family: 'Times New Roman', serif "> Preterm
birth and low birth weight are considered as causes of morbidity and mortality,
developmental disorders and child abnormalities. Since health outcomes differ
on ethno-racial groups and there is little information among hand with regards
to the said matter in Iran, this study was designed to survey the preterm and
low birth weight prevalence on Iranian and Afghan nationalities.<span lang="AR-SA" dir="RTL"><o:p /></span></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Materials and Methods</span></b><b><span style="font-family: 'Times New Roman', serif ">:</span></b><span style="font-family: 'Times New Roman', serif ">
This cross-sectional study was carried out on 5925 Iranian and Afghan live
births which delivered in Rafsanjan Nik-Nafs hospital on 2011-2012. Data was
collected via use of delivery records of hospital medical documentary unit.
The<span> </span>criterion for preterm birth was gestational
age less than 37 weeks, and for low birth weight was birth weight less than
2500 grams. For data analysis, independent two-sample <i>t</i>-test, <i>chi</i>-square
and <i>Fisher's</i> exact tests were used.<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Results:
</span></b><span style="font-family: 'Times New Roman', serif ">overal, 5532
infants (93.4%) were Iranian and 393 infant (6.6%) were Afghan. Preterm birth
prevalence was 7.5% (447 cases), so that 7.1% (391 cases) and 14.5% (56 cases)
were Iranian and Afghan respectively (p<0.001). In the present study, low
birth weight prevalence was 7% (416 cases) out of which 6.7% (367 cases) were
Iranian and 12.7% (49 cases) were Afghan (p<0.001).<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Conclusion:
</span></b><span style="font-family: 'Times New Roman', serif ">Since high prevalence
of preterm birth and low birth weight were seen among the Afghan refugees, it
appears that race and different factors such as: lack of proper insurance, availablity
of health services and a lower socio-economic status are in linked with this
increase.<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Key words</span></b><span style="font-family: 'Times New Roman', serif ">: </span><span style="font-family: 'Times New Roman', serif ">Preterm
birth</span><span style="font-family: 'Times New Roman', serif ">, Low </span><span style="font-family: 'Times New Roman', serif ">birth
weight</span><span style="font-family: 'Times New Roman', serif ">, Race, Iranians, Afghans </span><span style="font-family: 'Times New Roman', serif "><o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif "><!--stripped--> <!--stripped--></span></b></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Funding:</span></b><b><span style="font-family: 'Times New Roman', serif "> </span></b><span style="font-family: 'Times New Roman', serif ">This research was
funded by Rafsanjan University of Medical Sciences.<o:p /></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Conflict
of Interest:</span></b><b><span style="font-family: 'Times New Roman', serif "> </span></b><span style="font-family: 'Times New Roman', serif ">None declared.<b><o:p /></b></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">Ethical
approval:</span></b><b><span style="font-family: 'Times New Roman', serif "> </span></b><span style="font-family: 'Times New Roman', serif ">The Ethics Committee of Rafsanjan University of Medical
Sciences approved the study.<b><o:p /></b></span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif "><!--stripped--> <!--stripped--></span></b></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% direction: ltr unicode-bidi: embed "><b><span style="font-family: 'Times New Roman', serif ">How
to cite this article: </span></b><span style="font-family: 'Times New Roman', serif ">Goujani
R, Rezaeian M, Sheikh Fathollahi M, Manshori A, Vaziri Nejad R, Razi S.
Comparative prevalence study of preterm birth and low birth weight in Iranian
and Afghan in Rafsanjan Nik-Nafs hospital in 2011-2012.</span><i><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif "> J Rafsanjan Univ Med Sci</span></i><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif "> 2014 13(1): 67-82. [Farsi]</span><span style="font-size: 9pt line-height: 150% font-family: 'Times New Roman', serif "><o:p /></span></p></p>
تولد نارس, کم وزنی, نژاد, ایرانی, افغانی
Preterm birth, Low birth weight, Race, Iranians, Afghans
67
82
http://journal.rums.ac.ir/browse.php?a_code=A-10-1143-1&slc_lang=fa&sid=1
M.
Rezaeian
محسن
رضائیان
moeygmr2@yahoo.co.uk
6900319475328460011756
6900319475328460011756
Yes
R.
Goujani
رضا
گوجانی
6900319475328460011757
6900319475328460011757
No
M.
Sheikh Fathollahi
محمود
شیخ فتح الهی
6900319475328460011758
6900319475328460011758
No
R.
Vaziri Nejad
رضا
وزیری نژاد
6900319475328460011759
6900319475328460011759
No
A.
Manshori
آزیتا
منشوری
6900319475328460011760
6900319475328460011760
No
S.
Razi
سعید
راضی
6900319475328460011761
6900319475328460011761
No