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Published in: Maternal and Child Health Journal 5/2008

01-09-2008

Determinants of Birthweight; Gender Based Analysis

Authors: Samia Halileh, Niveen Abu-Rmeileh, Graham Watt, Nick Spencer, Nahida Gordon

Published in: Maternal and Child Health Journal | Issue 5/2008

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Abstract

The objective of this cross sectional study is to look at determinants of birth weight and their association with the gender of the baby in 2,795 full term children living in the occupied Palestinian territory, derived from a stratified random sample of 2,994 households in the West Bank and 2,234 households in the Gaza Strip. The response rate was 85%. Multivariable analysis using analysis of variance for mixed models showed that sex and birth order, maternal age and education and to a lesser extent region were determinants of birth weight for all children. The effect of maternal education on birth weight differed for female and male infants, tending to be relatively unchanged for male infants and with mean birth weights increasing with maternal education in female infants. The effect of birth order differed by maternal age, with mean birth weight increasing with maternal age for first and second births; but being unaffected by maternal age for infants of birth order greater than two. We conclude that birth weight is influenced by common biological determinants across cultures, but is also influenced by social, ethnic, and environmental factors that are culture specific, of which some might be gender related.
Footnotes
1
PCBS.gov.ps
 
2
This experience is internally documented at PCBS for the courageous work of the field workers and the most appreciated assistance of UNICEF and RCS.
 
Literature
1.
go back to reference Wilcox, A. J. (2001). On the importance—and the unimportance—of birthweight. International Journal of Epidemiology, 30, 1233–1241.PubMedCrossRef Wilcox, A. J. (2001). On the importance—and the unimportance—of birthweight. International Journal of Epidemiology, 30, 1233–1241.PubMedCrossRef
2.
go back to reference Folkner, B., Hulman, S., & Kushner, H. (1998). Birthweight versus childhood growth as determinants of adult blood pressure. Hypertension, 31(part 1), 145–150. Folkner, B., Hulman, S., & Kushner, H. (1998). Birthweight versus childhood growth as determinants of adult blood pressure. Hypertension, 31(part 1), 145–150.
3.
go back to reference Barker, D. (1992) The fetal origins of adult hypertension. Hypertension, 10, s39–s44.CrossRef Barker, D. (1992) The fetal origins of adult hypertension. Hypertension, 10, s39–s44.CrossRef
4.
go back to reference Hardy, R., Wadsworth, M. E. J., Langenberg, R., & Kuh, D. (2004). Birthweight, childhood growth, and blood pressure at 43 years in a British birth cohort. International Journal of Epidemiology, 33, 121–129.PubMedCrossRef Hardy, R., Wadsworth, M. E. J., Langenberg, R., & Kuh, D. (2004). Birthweight, childhood growth, and blood pressure at 43 years in a British birth cohort. International Journal of Epidemiology, 33, 121–129.PubMedCrossRef
5.
go back to reference Phillips, D., Barker, D., Hales, C., Hirst, S., & Osmond, C. (1994). Thinness at birth and insulin resistance in adult life. Diabetologia, 37, 150–154.PubMedCrossRef Phillips, D., Barker, D., Hales, C., Hirst, S., & Osmond, C. (1994). Thinness at birth and insulin resistance in adult life. Diabetologia, 37, 150–154.PubMedCrossRef
6.
go back to reference Hyponen, E., Power, C., & Davey Smith, G. (2003). Prenatal growth, BMI, and risk of type 2 diabetes by early midlife. Diabetes care, 26, 2512–2517.CrossRef Hyponen, E., Power, C., & Davey Smith, G. (2003). Prenatal growth, BMI, and risk of type 2 diabetes by early midlife. Diabetes care, 26, 2512–2517.CrossRef
7.
go back to reference Alshimmiri, M. M., Hammoud, M. S., Al-Saleh, E. A., & Alsaeid, K. M. S. (2003). Ethnic variation in birthweight percentiles in Kuwait. Paediatric and Perinatal Epidemiology, 17, 355–362.PubMedCrossRef Alshimmiri, M. M., Hammoud, M. S., Al-Saleh, E. A., & Alsaeid, K. M. S. (2003). Ethnic variation in birthweight percentiles in Kuwait. Paediatric and Perinatal Epidemiology, 17, 355–362.PubMedCrossRef
8.
go back to reference Oken, E., Kleinman, K., Rich-Edwards, J., & Gillman, M. (2003). A nearly continuous measure of birthweight for gestational age using a United States national reference. BMC Pediatrics, 3, 6.PubMedCrossRef Oken, E., Kleinman, K., Rich-Edwards, J., & Gillman, M. (2003). A nearly continuous measure of birthweight for gestational age using a United States national reference. BMC Pediatrics, 3, 6.PubMedCrossRef
9.
go back to reference Letaif, M., Soltani, M. S., Salem, K. B., & Bchir, A. (2001) Epidemiology of low birthweight in Tunisia. Sante Publique, 13, 359–366. Letaif, M., Soltani, M. S., Salem, K. B., & Bchir, A. (2001) Epidemiology of low birthweight in Tunisia. Sante Publique, 13, 359–366.
10.
go back to reference Behrman, R. E., Klliegman, R. M., & Jenson, H. B. (Eds). (2000). Nelson textbook of pediatrics (16th ed., 478 pp.). Philadelphia: Saunders company. Behrman, R. E., Klliegman, R. M., & Jenson, H. B. (Eds). (2000). Nelson textbook of pediatrics (16th ed., 478 pp.). Philadelphia: Saunders company.
11.
12.
go back to reference Mishra, V., Thapa, S., et al. (2005). Effect of iron supplementation during pregnancy on birth weight: Evidence from Zimbabwe. Food and Nutrition Bulletin, 26, 338–347.PubMed Mishra, V., Thapa, S., et al. (2005). Effect of iron supplementation during pregnancy on birth weight: Evidence from Zimbabwe. Food and Nutrition Bulletin, 26, 338–347.PubMed
13.
go back to reference Fareh, O. I., Rizk, D. E., et al. (2005). Obstetric impact of anemia in pregnant women in United Arab Emirates. Journal of Obstetrics and Gynecology, 25, 440–444.CrossRef Fareh, O. I., Rizk, D. E., et al. (2005). Obstetric impact of anemia in pregnant women in United Arab Emirates. Journal of Obstetrics and Gynecology, 25, 440–444.CrossRef
14.
go back to reference Behrman, R. E., Klliegman, R. M., & Jenson, H. B. (Eds.). (2000). Nelson textbook of pediatrics (16th ed., 452 pp.). Philadelphia: Saunders company. Behrman, R. E., Klliegman, R. M., & Jenson, H. B. (Eds.). (2000). Nelson textbook of pediatrics (16th ed., 452 pp.). Philadelphia: Saunders company.
15.
go back to reference Spencer, N., Logan, S., & Gill, L. (1999). Trends and social patterning of birthweight in Sheffield, 1985–94. Archives of Disease in Childhood. Fetal and Neonatal Edition, 81, F138–F140.PubMed Spencer, N., Logan, S., & Gill, L. (1999). Trends and social patterning of birthweight in Sheffield, 1985–94. Archives of Disease in Childhood. Fetal and Neonatal Edition, 81, F138–F140.PubMed
16.
go back to reference Karim, E., & Mascie-Taylor, C. G. (1997). The association between birthweight, sociodemographic variables and maternal anthropometry in an urban sample from Dhaka, Bangladesh. Annals of human biology, 24, 387–401.PubMedCrossRef Karim, E., & Mascie-Taylor, C. G. (1997). The association between birthweight, sociodemographic variables and maternal anthropometry in an urban sample from Dhaka, Bangladesh. Annals of human biology, 24, 387–401.PubMedCrossRef
17.
go back to reference Spencer, N., & Logan, S. (2002). The treatment of parental height as a biological factor in studies of birthweight and childhood growth. Archives of Disease in Childhood, 87, 184–187.PubMedCrossRef Spencer, N., & Logan, S. (2002). The treatment of parental height as a biological factor in studies of birthweight and childhood growth. Archives of Disease in Childhood, 87, 184–187.PubMedCrossRef
18.
go back to reference Khoshnood, B., Wall, S., & Lee, K. S. (2005). Risk of low birth weight associated with advanced maternal age among four ethnic groups in the United States. Maternal and Child Health Journal, 9(1), 3–9.PubMedCrossRef Khoshnood, B., Wall, S., & Lee, K. S. (2005). Risk of low birth weight associated with advanced maternal age among four ethnic groups in the United States. Maternal and Child Health Journal, 9(1), 3–9.PubMedCrossRef
19.
go back to reference Spencer, N., & Logan, S. (2002). Social influences on birthweight. Archives of Disease in Childhood. Fetal and Neonatal Edition, 86, F6–F7.PubMedCrossRef Spencer, N., & Logan, S. (2002). Social influences on birthweight. Archives of Disease in Childhood. Fetal and Neonatal Edition, 86, F6–F7.PubMedCrossRef
20.
go back to reference Hoff, C., Wertelecki, W., Reyes, E., Zansky, S., Dutt, J., & Stumper, A. (1985). Maternal Socio medical characteristics and birthweight of first born. Social Science & Medicine, 21, 775–783.CrossRef Hoff, C., Wertelecki, W., Reyes, E., Zansky, S., Dutt, J., & Stumper, A. (1985). Maternal Socio medical characteristics and birthweight of first born. Social Science & Medicine, 21, 775–783.CrossRef
21.
go back to reference Thorsdottir, I., Birgisdottir, B. E., Halldorsdottir, S., & Geirsson, R. T. (2004). Association of fish and fish liver oil intake in pregnancy with infant size at birth among women of normal weight before pregnancy in a fishing community. American Journal of Epidemiology, 160, 460–465.PubMedCrossRef Thorsdottir, I., Birgisdottir, B. E., Halldorsdottir, S., & Geirsson, R. T. (2004). Association of fish and fish liver oil intake in pregnancy with infant size at birth among women of normal weight before pregnancy in a fishing community. American Journal of Epidemiology, 160, 460–465.PubMedCrossRef
22.
go back to reference Zhu, J. L., Hjollund, N. H., & Olsen, J. (2004). National Birth cohort in Denmark. American Journal of Obstetrics and Gynecology, 191, 285–291.PubMedCrossRef Zhu, J. L., Hjollund, N. H., & Olsen, J. (2004). National Birth cohort in Denmark. American Journal of Obstetrics and Gynecology, 191, 285–291.PubMedCrossRef
23.
go back to reference Keeley, R. D., Birchard, A., Dickinson, P., Steiner, J., Dickenson, L. M., Rymer, S., Palmer, B., Derback, T., & Kempe, A. (2004). Parental attitudes about a pregnancy predict birthweight in a low income population. Annals of Family Medicine, 2, 145–149.PubMedCrossRef Keeley, R. D., Birchard, A., Dickinson, P., Steiner, J., Dickenson, L. M., Rymer, S., Palmer, B., Derback, T., & Kempe, A. (2004). Parental attitudes about a pregnancy predict birthweight in a low income population. Annals of Family Medicine, 2, 145–149.PubMedCrossRef
24.
go back to reference Zimmer-Gembeck, M., & Helfand, M. (1996). Low birthweight in a public prenatal care program: Behavioral and psychosocial risk factors and psychosocial intervention. Social Science & Medicine, 43,187–197.CrossRef Zimmer-Gembeck, M., & Helfand, M. (1996). Low birthweight in a public prenatal care program: Behavioral and psychosocial risk factors and psychosocial intervention. Social Science & Medicine, 43,187–197.CrossRef
25.
go back to reference Feldman, P. G., Dunkel-Schetter, C., Sandman, C. A., & Wadhwa, P. D. (2000). Maternal social support predicts birthweight and fetal growth in human pregnancy. Psychosomatic Medicine, 62, 715–725.PubMed Feldman, P. G., Dunkel-Schetter, C., Sandman, C. A., & Wadhwa, P. D. (2000). Maternal social support predicts birthweight and fetal growth in human pregnancy. Psychosomatic Medicine, 62, 715–725.PubMed
26.
go back to reference Horton, R. (2004) UNICEF leadership 2005–2015: A call for strategic change. Lancet, 364, 2071–2074.PubMedCrossRef Horton, R. (2004) UNICEF leadership 2005–2015: A call for strategic change. Lancet, 364, 2071–2074.PubMedCrossRef
27.
go back to reference Phadke, M. A. (2005). Unicef: Suggestions for change. Lancet, 365, 289.PubMed Phadke, M. A. (2005). Unicef: Suggestions for change. Lancet, 365, 289.PubMed
28.
go back to reference Tamimi, R., Lagiou, P., Mucci, L. A., Hsieh, C. C., Adami, H. O., & Tricopoulos, D. (2003). Average energy intake among pregnant women carrying a boy compared with a girl. B M J, 326, 1245–1246.CrossRef Tamimi, R., Lagiou, P., Mucci, L. A., Hsieh, C. C., Adami, H. O., & Tricopoulos, D. (2003). Average energy intake among pregnant women carrying a boy compared with a girl. B M J, 326, 1245–1246.CrossRef
29.
go back to reference Hughes, A., Northstone, K., Golding, J., & ALSPAC study team. (2002). Reduced birth weight in boys with hypospadias: An index of androgen dysfunction? Archives of Disease in Childhood. Fetal and Neonatal Edition, 87, 150–151.CrossRef Hughes, A., Northstone, K., Golding, J., & ALSPAC study team. (2002). Reduced birth weight in boys with hypospadias: An index of androgen dysfunction? Archives of Disease in Childhood. Fetal and Neonatal Edition, 87, 150–151.CrossRef
31.
go back to reference Qotob, R., Mawajdeh, S., Allosh, R., Mehyar, H., & Majali, S. (2004) The effect of prenatal knowledge of fetal sex on birthweight: A study from Jordan. Health Care for Women International, 25, 281–291.CrossRef Qotob, R., Mawajdeh, S., Allosh, R., Mehyar, H., & Majali, S. (2004) The effect of prenatal knowledge of fetal sex on birthweight: A study from Jordan. Health Care for Women International, 25, 281–291.CrossRef
32.
go back to reference Suarez, F., Zeghoud, F., Rossignol, C., Walrant, O., & Garabedian, M. (1997). Association between vitamin D receptor gene polymorphism and sex dependent growth during the first two years of life. The Journal of Clinical Endocrinology and Metabolism, 82, 2966–2970.PubMedCrossRef Suarez, F., Zeghoud, F., Rossignol, C., Walrant, O., & Garabedian, M. (1997). Association between vitamin D receptor gene polymorphism and sex dependent growth during the first two years of life. The Journal of Clinical Endocrinology and Metabolism, 82, 2966–2970.PubMedCrossRef
33.
go back to reference Boerma, J. T., Weinstein, K. I., Rustein, S. O., Sommerfelt, A. E. (1996). Data on birthweight in developing countries: Can surveys help? Bulletin of the World Health Organization, 74, 209–216.PubMed Boerma, J. T., Weinstein, K. I., Rustein, S. O., Sommerfelt, A. E. (1996). Data on birthweight in developing countries: Can surveys help? Bulletin of the World Health Organization, 74, 209–216.PubMed
34.
go back to reference Palestinian Central Bureaue of Statistics. (2000). Health survey-2000: Main findings. Ramallah-Palestine, pp. 146, 37. Palestinian Central Bureaue of Statistics. (2000). Health survey-2000: Main findings. Ramallah-Palestine, pp. 146, 37.
35.
go back to reference Zurayk, H., Halabi, S., & Deeb, M. (1987). Measure of social class based on education for use in health studies in developing countries. Journal of Epidemiology and Community Health, 41, 173–179.PubMedCrossRef Zurayk, H., Halabi, S., & Deeb, M. (1987). Measure of social class based on education for use in health studies in developing countries. Journal of Epidemiology and Community Health, 41, 173–179.PubMedCrossRef
36.
go back to reference Gofin, R., Neumark, Y. D., et al. (2000). Birth weight recall by mothers of Israeli children. Public Health, 114, 161–163.PubMedCrossRef Gofin, R., Neumark, Y. D., et al. (2000). Birth weight recall by mothers of Israeli children. Public Health, 114, 161–163.PubMedCrossRef
37.
go back to reference O’Sullivan, J. J., Pearce, M. S., et al. (2000). Parental recall of birth weight: How accurate is it? Archives of Disease in Childhood, 82(3), 202–203.PubMedCrossRef O’Sullivan, J. J., Pearce, M. S., et al. (2000). Parental recall of birth weight: How accurate is it? Archives of Disease in Childhood, 82(3), 202–203.PubMedCrossRef
38.
go back to reference Walton, K. A., Murray, L. J., et al. (2000). Parental recall of birth weight: A good proxy for recorded birth weight? European Journal of Epidemiology, 16, 793–796.PubMedCrossRef Walton, K. A., Murray, L. J., et al. (2000). Parental recall of birth weight: A good proxy for recorded birth weight? European Journal of Epidemiology, 16, 793–796.PubMedCrossRef
39.
go back to reference Palestinian Central Bureau of Statistics. (2002). Nutrition survey-2002: Analytical report. Ramallah-Palestine. Palestinian Central Bureau of Statistics. (2002). Nutrition survey-2002: Analytical report. Ramallah-Palestine.
40.
go back to reference Hindmarsh, P. C., Geary, M. P. P., Rodeck C. H., Kngdom J. C. P., & Cole T. J. (2002). Intrauterine growth and its relationship to size and shape at birth. Pediatric Research, 52, 263–268.PubMed Hindmarsh, P. C., Geary, M. P. P., Rodeck C. H., Kngdom J. C. P., & Cole T. J. (2002). Intrauterine growth and its relationship to size and shape at birth. Pediatric Research, 52, 263–268.PubMed
41.
go back to reference Qoutob, R., Mawajdeh, S., Allosh, R., Mehyar, H., & Majali, S. (2004). The effect of prenatal knowledge of fetal sex on birthweight: A study from Jordan. Health Care for Women International, 25, 281–291.CrossRef Qoutob, R., Mawajdeh, S., Allosh, R., Mehyar, H., & Majali, S. (2004). The effect of prenatal knowledge of fetal sex on birthweight: A study from Jordan. Health Care for Women International, 25, 281–291.CrossRef
42.
go back to reference Lewis, J. R. (1974). The birthweight of babies in the Cameroon grasslands. Journal of Tropical Pediatrics, 20, 300–301. Lewis, J. R. (1974). The birthweight of babies in the Cameroon grasslands. Journal of Tropical Pediatrics, 20, 300–301.
43.
go back to reference Alshimiri, M. M., Hammoud, M. S., Al-Saleh, E. A., & Alsaeid, K. M. (2003). Ethnic variation in birthweight percentiles in Kuwait. Paediatric and Perinatal Epidemiology, 17, 355–362.CrossRef Alshimiri, M. M., Hammoud, M. S., Al-Saleh, E. A., & Alsaeid, K. M. (2003). Ethnic variation in birthweight percentiles in Kuwait. Paediatric and Perinatal Epidemiology, 17, 355–362.CrossRef
44.
go back to reference Odell, C. D., Kotelchuck, M., Chetty, V. K., Fowler, J., Stubblefield, P. G., Orejuela, M., & Jack, B. W. (2006). Maternal hypertension as a risk factor for low birth weight infants: Comparison of Haitian and African-American women. Maternal and Child Health Journal J, 10, 39–46.PubMedCrossRef Odell, C. D., Kotelchuck, M., Chetty, V. K., Fowler, J., Stubblefield, P. G., Orejuela, M., & Jack, B. W. (2006). Maternal hypertension as a risk factor for low birth weight infants: Comparison of Haitian and African-American women. Maternal and Child Health Journal J, 10, 39–46.PubMedCrossRef
45.
go back to reference Zhu, B. P., & Le, T. (2003). Effect of interpregnancy interval on Infant low birth weight: A retrospective cohort study using the Michigan Maternally linked birth database. Maternal and Child Health Journal, 7, 169–178.PubMedCrossRef Zhu, B. P., & Le, T. (2003). Effect of interpregnancy interval on Infant low birth weight: A retrospective cohort study using the Michigan Maternally linked birth database. Maternal and Child Health Journal, 7, 169–178.PubMedCrossRef
46.
go back to reference Palestinian Central Bureau of Statistics. (2001). DHS-2000: Final report. Ramallah-Palestine, pp. 95. Palestinian Central Bureau of Statistics. (2001). DHS-2000: Final report. Ramallah-Palestine, pp. 95.
48.
go back to reference Qoutob, R., Mawajdeh, S., Allosh, R., Mehyar, H., & Majali, S. (2004). The effect of prenatal knowledge of fetal sex on birthweight: A study from Jordan. Health Care for Women International, 25, 281–291.CrossRef Qoutob, R., Mawajdeh, S., Allosh, R., Mehyar, H., & Majali, S. (2004). The effect of prenatal knowledge of fetal sex on birthweight: A study from Jordan. Health Care for Women International, 25, 281–291.CrossRef
49.
go back to reference Feldman, P. G., Dunkel-Schetter, C., Sandman, C. A., & Wadhwa, P. D. (2000). Maternal social support predicts birthweight and fetal growth in human pregnancy. Psychosomatic Medicine, 62, 715–725.PubMed Feldman, P. G., Dunkel-Schetter, C., Sandman, C. A., & Wadhwa, P. D. (2000). Maternal social support predicts birthweight and fetal growth in human pregnancy. Psychosomatic Medicine, 62, 715–725.PubMed
50.
go back to reference Keeley, R. D., Birchard, A., Dickinson, P., Steiner, J., Dickenson, L. M., Rymer, S., Palmer, B., Derback, T., & Kempe, A. (2004). Parental attitudes about a pregnancy predict birthweight in a low income population. Annals of Family Medicine, 2, 145–149.PubMedCrossRef Keeley, R. D., Birchard, A., Dickinson, P., Steiner, J., Dickenson, L. M., Rymer, S., Palmer, B., Derback, T., & Kempe, A. (2004). Parental attitudes about a pregnancy predict birthweight in a low income population. Annals of Family Medicine, 2, 145–149.PubMedCrossRef
51.
go back to reference Zimmer-Gembeck, M., & Helfand, M. (1996). Low birthweight in a public prenatal care program: Behavioral and psychosocial risk factors and psychosocial intervention. Social Science & Medicine, 43, 187–197.CrossRef Zimmer-Gembeck, M., & Helfand, M. (1996). Low birthweight in a public prenatal care program: Behavioral and psychosocial risk factors and psychosocial intervention. Social Science & Medicine, 43, 187–197.CrossRef
52.
go back to reference Sacher, R. K., Sehgal, R., Verma, J., Prakash, V., & Singh, W. P. (1990). The female child-a picture of denial and deprivation. Indian Journal of Maternal and Child Health, 4, 124–126. Sacher, R. K., Sehgal, R., Verma, J., Prakash, V., & Singh, W. P. (1990). The female child-a picture of denial and deprivation. Indian Journal of Maternal and Child Health, 4, 124–126.
53.
go back to reference Palestinian Central Bureau of Statistics. (2000). Health survey-2000: Main findings. Ramallah-Palestine, pp. 128. Palestinian Central Bureau of Statistics. (2000). Health survey-2000: Main findings. Ramallah-Palestine, pp. 128.
54.
go back to reference Palestinian Central Bureau of Statistics. (2000). Health survey-2000: Main findings. Ramallah-Palestine, pp. 219. Palestinian Central Bureau of Statistics. (2000). Health survey-2000: Main findings. Ramallah-Palestine, pp. 219.
Metadata
Title
Determinants of Birthweight; Gender Based Analysis
Authors
Samia Halileh
Niveen Abu-Rmeileh
Graham Watt
Nick Spencer
Nahida Gordon
Publication date
01-09-2008
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 5/2008
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-007-0226-z

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