Maternal education level and low birth weight: A meta-analysis

Objective: To assess the association between maternal education level and birth weight, considering the circumstances in which the excess use of technology in healthcare, as well as the scarcity of these resources, may result in similar outcomes. Methods: A meta-analysis of cohort and cross-sectiona...

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Main Authors: Sonia Silvestrin, Clécio Homrich da Silva, Vânia Naomi Hirakata, André A.S. Goldani, Patrícia P. Silveira, Marcelo Z. Goldani
Format: Article
Language:Portuguese
Published: Brazilian Society of Pediatrics 2013-07-01
Series:Jornal de Pediatria (Versão em Português)
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2255553613000803
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author Sonia Silvestrin
Clécio Homrich da Silva
Vânia Naomi Hirakata
André A.S. Goldani
Patrícia P. Silveira
Marcelo Z. Goldani
author_facet Sonia Silvestrin
Clécio Homrich da Silva
Vânia Naomi Hirakata
André A.S. Goldani
Patrícia P. Silveira
Marcelo Z. Goldani
author_sort Sonia Silvestrin
collection DOAJ
description Objective: To assess the association between maternal education level and birth weight, considering the circumstances in which the excess use of technology in healthcare, as well as the scarcity of these resources, may result in similar outcomes. Methods: A meta-analysis of cohort and cross-sectional studies was performed; the studies were selected by systematic review in the MEDLINE database using the following key words: socioeconomic factors, infant, low birth weight, cohort studies, cross-sectional studies. The summary measures of effect were obtained by random effect model, and its results were obtained through forest plot graphs. The publication bias was assessed by Egger's test, and the Newcastle-Ottawa scale was used to assess study quality. Results: The initial search found 729 articles. Of these, 594 were excluded after reading the title and abstract; 21, after consensus meetings among the three reviewers; 102, after reading the full text; and three for not having the proper outcome of the nine final articles, 88.8% had quality ≥ six stars (Newcastle-Ottawa Scale), showing good quality studies. The heterogeneity of the articles was considered moderate. High maternal education showed a 33% protective effect against low birth weight, whereas medium degree of education showed no significant protection when compared to low maternal education. Conclusions: The hypothesis of similarity between the extreme degrees of social distribution, translated by maternal education level in relation to the proportion of low birth weight, was not confirmed.
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spelling doaj.art-161da85241fc437a884c5a9e27777a2c2022-12-22T03:23:32ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362013-07-0189433934510.1016/j.jpedp.2013.01.004Maternal education level and low birth weight: A meta-analysisSonia Silvestrin0Clécio Homrich da Silva1Vânia Naomi Hirakata2André A.S. Goldani3Patrícia P. Silveira4Marcelo Z. Goldani5Mestre, Programa de Pós-graduação em Saúde da Criança e do Adolescente, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, BrasilDoutor, Departamento de Pediatria, Programa de Pós-graduação em Saúde da Criança e do Adolescente, Faculdade de Medicina, UFRGS, Porto Alegre, RS, BrasilMestre, Grupo de Pesquisa e Pós-graduação, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, BrasilAcadêmico de Medicina, Faculdade de Medicina, UFRGS, Porto Alegre, RS, BrasilDoutor, Departamento de Pediatria, Programa de Pós-graduação em Saúde da Criança e do Adolescente, Faculdade de Medicina, UFRGS, Porto Alegre, RS, BrasilDoutor, Departamento de Pediatria, Programa de Pós-graduação em Saúde da Criança e do Adolescente, Faculdade de Medicina, UFRGS, Porto Alegre, RS, Brasil. Serviço de Pediatria, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, BrasilObjective: To assess the association between maternal education level and birth weight, considering the circumstances in which the excess use of technology in healthcare, as well as the scarcity of these resources, may result in similar outcomes. Methods: A meta-analysis of cohort and cross-sectional studies was performed; the studies were selected by systematic review in the MEDLINE database using the following key words: socioeconomic factors, infant, low birth weight, cohort studies, cross-sectional studies. The summary measures of effect were obtained by random effect model, and its results were obtained through forest plot graphs. The publication bias was assessed by Egger's test, and the Newcastle-Ottawa scale was used to assess study quality. Results: The initial search found 729 articles. Of these, 594 were excluded after reading the title and abstract; 21, after consensus meetings among the three reviewers; 102, after reading the full text; and three for not having the proper outcome of the nine final articles, 88.8% had quality ≥ six stars (Newcastle-Ottawa Scale), showing good quality studies. The heterogeneity of the articles was considered moderate. High maternal education showed a 33% protective effect against low birth weight, whereas medium degree of education showed no significant protection when compared to low maternal education. Conclusions: The hypothesis of similarity between the extreme degrees of social distribution, translated by maternal education level in relation to the proportion of low birth weight, was not confirmed.http://www.sciencedirect.com/science/article/pii/S2255553613000803EducationLow-birth weight infantMeta-analysis
spellingShingle Sonia Silvestrin
Clécio Homrich da Silva
Vânia Naomi Hirakata
André A.S. Goldani
Patrícia P. Silveira
Marcelo Z. Goldani
Maternal education level and low birth weight: A meta-analysis
Jornal de Pediatria (Versão em Português)
Education
Low-birth weight infant
Meta-analysis
title Maternal education level and low birth weight: A meta-analysis
title_full Maternal education level and low birth weight: A meta-analysis
title_fullStr Maternal education level and low birth weight: A meta-analysis
title_full_unstemmed Maternal education level and low birth weight: A meta-analysis
title_short Maternal education level and low birth weight: A meta-analysis
title_sort maternal education level and low birth weight a meta analysis
topic Education
Low-birth weight infant
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S2255553613000803
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AT patriciapsilveira maternaleducationlevelandlowbirthweightametaanalysis
AT marcelozgoldani maternaleducationlevelandlowbirthweightametaanalysis