우리나라 혼외 출생아의 조기분만과 저체중아 발생에 관한 연구: 2015-2018년
Preterm Birth and Low Birth Weight in Extramarital Birth in Korea: 2015-2018 Years
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초록
Objectives: The purpose of this study was to analyze the risk of preterm birth (PTB) and low birth weight (LBW) in babies born to unmarried parents (extramarital birth). Methods: This study used birth certificate data (1,523,594 births) from Korea Statistics, 2015-18 years. Odds ratio and 95% confidence intervals were calculated by logistic regression analyses to describe the risk of PTB and LBW in extramarital birth adjusted for maternal age, maternal education, infantile sex, and type of birth (singleton & multiple birth). Results: During this periods, the rate of extramarital birth was 1.9 percent in 2015-18. The incidence of LBW was 8.4 percent in extramarital birth and 5.9 percent in marital birth. The rate of PTB in extramarital birth were 10.6 percent and 7.3 percent in marital birth. The LBW and PTB rate of extramarital birth (father listed on the birth certificate) was 7.4 percent and 9.1 percent, respectively. Among extramarital birth (father not listed on the birth certificate) was associated with increased risk of PTB (12.3%) and LBW (9.5%). Compared with LBW and PTB rate of marital birth, the odds ratio (OR) for LBW and PTB were 1.66 (95% confidence interval, 95% CI: 1.56-1.77) and 1.57 (95% CI: 1.49-1.67) for extramarital birth (father listed). Risk of LBW (OR: 2.14) and PTB (OR: 2.14) was higher in extramarital birth (father not listed) than that of marital birth. Conclusions: The babies born to unmarried parents was associated with increased risk of LBW and PTB, compared with those of marital birth. Risk of adversed pregnancy outcome was higher in extramarital birth (father not listed on the birth certificate). More study is required to understand the factors to adversed pregnancy outcome of extramarital status.
Abstract
Objectives: The purpose of this study was to analyze the risk of preterm birth (PTB) and low birth weight (LBW) in babies born to unmarried parents (extramarital birth). Methods: This study used birth certificate data (1,523,594 births) from Korea Statistics, 2015-18 years. Odds ratio and 95% confidence intervals were calculated by logistic regression analyses to describe the risk of PTB and LBW in extramarital birth adjusted for maternal age, maternal education, infantile sex, and type of birth (singleton & multiple birth). Results: During this periods, the rate of extramarital birth was 1.9 percent in 2015-18. The incidence of LBW was 8.4 percent in extramarital birth and 5.9 percent in marital birth. The rate of PTB in extramarital birth were 10.6 percent and 7.3 percent in marital birth. The LBW and PTB rate of extramarital birth (father listed on the birth certificate) was 7.4 percent and 9.1 percent, respectively. Among extramarital birth (father not listed on the birth certificate) was associated with increased risk of PTB (12.3%) and LBW (9.5%). Compared with LBW and PTB rate of marital birth, the odds ratio (OR) for LBW and PTB were 1.66 (95% confidence interval, 95% CI: 1.56-1.77) and 1.57 (95% CI: 1.49-1.67) for extramarital birth (father listed). Risk of LBW (OR: 2.14) and PTB (OR: 2.14) was higher in extramarital birth (father not listed) than that of marital birth. Conclusions: The babies born to unmarried parents was associated with increased risk of LBW and PTB, compared with those of marital birth. Risk of adversed pregnancy outcome was higher in extramarital birth (father not listed on the birth certificate). More study is required to understand the factors to adversed pregnancy outcome of extramarital status.
참고문헌 (24)
- "Statistics Korea"[URL]
- Ventura SJ, "Changing patterns of nonmarital childbearing in the United States", NCHS Data Brief, (18), pp.1~8 (2009)
- Strama A, "A comparative analysis of selected demographic parameters for evaluating parity of women in Poland, Spain, England and Wales for the period 1996-2011", Adv Clin Exp Med, 25(3), pp.551~560 (2016)[DOI]
- DeKlyen M, "The mental health of married, cohabiting, and non-coresident parents with infants", Am J Public Health, 96(10), pp.1836~1841 (2006)[DOI]
- Zeitlin JA, "Marital status, cohabitation, and risk of preterm birth in Europe : where births outside marriage are common and uncommon", Paediatr Perinat Epidemiol, 16(2), pp.124~130 (2002)[DOI]
- Shah PS, "Knowledge Synthesis Group of Determinants of preterm", LBW births. Maternal marital status and birth outcomes : a systematic review and meta-analyses, 2011, pp.15(7), 1097~1109
- 임달오, "혼외 출생아의 조기분만과 저체중아 발생 위험도에 관한 연구: 2008-2012년 출생통계", 보건의료산업학회지, 8(3), pp.137~145 (2014), 보건의료산업학회
- Hidalgo-Lopezosa P, "Sociodemographic factors associated with preterm birth and low birth weight : a crosssectional study", Women Birth, 32(6), pp.e538~e543 (2019)[DOI]
- Balayla J, "Maternal marital status and the risk of stillbirth and infant death : a population-based cohort study on 40 million births in the United States", Womens Health Issues, 21(5), pp.361~365 (2011)[DOI]
- Eun SH, "A clinical observation of newborns of unmarried mothers", J Korean Soc Neonatol, 8(1), pp.128~132 (2001)
- 주성홍, "미혼모의 출산과 사회복지 실태에 관한 고찰", Obstetrics & Gynecology Science, 48(7), pp.1760~1766 (2005), 대한산부인과학회
- Kim Young-il, "Impact of Pre-Marital Pregnancy on Birth Outcome: Evidence from South Korea", 응용경제, 14(3), pp.209~238 (2012), 한국응용경제학회
- Sullivan K, "The potential contribution of marital-cohabitation status to racial, ethnic, and nativity differentials in birth outcomes in Texas", Matern Child Health J, 16(4), pp.775~784 (2012)[DOI]
- "MDIS (Microdata Intergrated Service)"[URL]
- Curtin SC, "Recent declines in nonmarital childbearing in the United States", NCHS Data Brief, (162), pp.1~8 (2014)
- Kirchengast S, "Pregnancy outcome is associated with maternal marital status in Austria-even at the beginning of the 21st century", Anthropol Anz, 65(4), pp.415~426 (2007)[DOI]
- Phung H, "Risk factors for low birth weight in a socio-economically disadvantaged population : parity, marital status, ethnicity and cigarette smoking", Eur J Epidemiol, 18(3), pp.235~243 (2003)[DOI]
- El-Sayed AM, "Life course variation in the relation between maternal marital status and preterm birth", Ann Epidemiol, 22(3), pp.168~174 (2012)[DOI]
- López PO, "Sociodemographic characteristics of mother’s population and risk of preterm birth in Chile", Reprod Health, 10, pp.26~ (2013)[DOI]
- Zain NM, "Impact of maternal marital status on birth outcomes among young Malaysian women : a prospective cohort study", Asia Pac J Public Health, 27(3), pp.335~347 (2015)[DOI]
- Raatikainen K, "Marriage still protects pregnancy", BJOG, 112(10), pp.1411~1416 (2005)[DOI]
- Merklinger-Gruchala A, "The effect of prenatal stress, proxied by marital and paternity status, on the risk of preterm birth", Int J Environ Res Public Health, 16(2), pp.273~ (2019)[DOI]
- Frech A, "The relationships between mothers’ work pathways and physical and mental health", J Health Soc Behav, 53(4), pp.396~412 (2012)[DOI]
- Campbell JE, "Nonmarital births in Oklahoma 1975-1995", J Okla State Med Assoc, 91(2), pp.68~73 (1998)