当前位置: X-MOL 学术Int. J. Epidemiol. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
A test of the epidemiological paradox in a context of forced migration: low birthweight among Syrian newborns in Lebanon.
International Journal of Epidemiology ( IF 7.7 ) Pub Date : 2019-02-01 , DOI: 10.1093/ije/dyy200
Sawsan Abdulrahim 1 , Rym El Rafei 2, 3 , Zahraa Beydoun 1 , Ghinwa Y El Hayek 2, 3 , Pascale Nakad 2, 3 , Khalid Yunis 2, 3
Affiliation  

BACKGROUND Studies on immigrants revealed an epidemiological paradox whereby low-socioeconomic status (SES) immigrant mothers exhibit favourable birth outcomes compared with native-born mothers. We tested the epidemiological paradox in a context of forced migration, comparing associations of low birthweight (LBW) and maternal SES between Syrian and Lebanese newborns in Lebanon. METHODS We used data from the National Collaborative Perinatal Neonatal Network (NCPNN) of 31 Lebanese hospitals, including 45 442 Lebanese and 4910 Syrian neonates born 2011-13. We assessed associations between LBW and maternal SES for both groups. Logistic regression models examined interactions between maternal origin and SES. RESULTS Syrian births increased exponentially between 2011 and 2013, along with the group's forced migration into Lebanon. Although Syrian mothers are more socioeconomically disadvantaged compared with Lebanese mothers, Syrian LBW (6.2%) was only marginally higher than Lebanese LBW (5.6%; P = 0.059). Only 20-24-years-old Syrian women [odds ratio (OR) = 1.70 (1.22-2.36)] and those with ≥ university education [OR = 2.02 (0.98-4.16)] exhibited higher odds of delivering an LBW baby compared with Lebanese women of the same age and education. CONCLUSIONS The findings do not provide strong evidence for the epidemiological paradox in a forced migration context. However, the relatively advantageous LBW profile among Syrian neonates, despite their mothers' low SES and exposure to acute and chronic psychological stress, points to protective mechanisms. One of these mechanisms may be a collective response by the displaced population to improve neonatal outcomes as a way of recovering from loss and death.

中文翻译:

在强迫迁徙的情况下对流行病学悖论的检验:黎巴嫩叙利亚新生儿的低出生体重。

背景技术对移民的研究揭示了一种流行病学悖论,据此,与本地出生的母亲相比,低社会经济地位(SES)的移民母亲表现出良好的出生结局。我们在强迫迁徙的情况下测试了流行病学悖论,比较了黎巴嫩叙利亚新生儿和黎巴嫩新生儿中低出生体重(LBW)和母亲SES的关联。方法我们使用了来自31家黎巴嫩医院的国家围产期围产期新生儿网络(NCPNN)的数据,其中包括2011-13年出生的45 442名黎巴嫩人和4910名叙利亚新生儿。我们评估了两组的LBW和母亲SES之间的关联。Logistic回归模型检查了产妇来源与SES之间的相互作用。结果在2011年至2013年之间,随着该组织被迫移居黎巴嫩,叙利亚的出生人数呈指数增长。尽管与黎巴嫩母亲相比,叙利亚母亲在社会经济上处于不利地位,但叙利亚LBW(6.2%)仅略高于黎巴嫩LBW(5.6%; P = 0.059)。与20岁以上的叙利亚妇女[比值比(OR)= 1.70(1.22-2.36)]和具有≥大学学历的妇女[OR = 2.02(0.98-4.16)]相比,分娩低体重婴儿的几率更高同龄和受过教育的黎巴嫩妇女。结论研究结果不能为强迫迁移背景下的流行病学悖论提供强有力的证据。然而,尽管叙利亚新生儿的母亲低SES以及暴露于急性和慢性心理压力,但它们相对较有利于LBW,这表明了保护机制。
更新日期:2018-10-23
down
wechat
bug