Background

Despite their importance to respiratory and other health outcomes, housing conditions have been little-studied with respect to perinatal outcomes.

Methods

1927 participants in the British National Child Development Study reported on housing conditions and pregnancy outcomes, including presence/severity of mold/dampness; type of heating; and whether remodeling of various sorts had been conducted. Crowding, based on the number of people in the residence and the number of rooms, was also considered. Outcomes assessed were low birthweight (< 2500 g), preterm birth (< 37 weeks), and small-for-gestational-age (< 10th percentile for gestational age). Multiple logistic regression with adjustment for maternal, sociodemographic, and housing factors was conducted.

Results

Women who reported serious problems with mold were more likely to give birth to a low birthweight (adjusted OR 1.98, 95% CI 1.13–3.47) or small-for-gestational-age (2.06, 1.25–3.38) baby; no consistent associations were seen with preterm birth. Crowding was associated only with small-for-gestational-age (1.73, 1.11–2.76).

Conclusions

Exposure to mold or dampness, and housing conditions generally, is a potentially important but under-investigated aspect of women's lives during pregnancy. Future studies should more thoroughly investigate housing characteristics and their relationship with birth outcomes.

中文翻译：

---

住房条件和出生结局：国家儿童发展研究

背景

尽管它们对呼吸和其他健康结果的重要性，但是关于围产期结果的住房条件却很少被研究。

方法

1927年，英国国家儿童发展研究的参与者报告了住房状况和妊娠结局，包括霉菌的存在/严重程度/潮湿；加热方式 是否进行了各种改型。还考虑了基于居住人数和房间数的拥挤情况。评估的结果是低出生体重（<2500 g），早产（<37周）和小胎龄（胎龄<10％）。进行了多元逻辑回归分析，并调整了母亲，社会人口统计学和住房因素。

结果

报告患有霉菌严重问题的妇女更容易生育低体重的婴儿（校正后的OR 1.98，95％CI 1.13–3.47）或小于胎龄的婴儿（2.06，1.25–3.38）。没有观察到与早产的一致性。拥挤只与胎龄较小有关（1.73，1.11-2.76）。

结论

暴露于霉菌或潮湿环境，以及通常的住房条件，是孕妇怀孕期间可能重要但尚未充分研究的方面。未来的研究应更彻底地调查住房特征及其与出生结局的关系。