Evidence map›Paper›PMID 31092648›Full record

ArticleBMJ open2019

Factors associated with low birth weight in Afghanistan: a cross-sectional analysis of the demographic and health survey 2015.

Rajat Das Gupta, Krystal Swasey, Vanessa Burrowes, Mohammad Rashidul Hashan, Gulam Muhammed Al Kibria

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In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. Factors Associated with Low Birthweight in Low-and-Middle Income Countries in South Asia.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rajat Das GuptaCentre for Science of Implementation and Scale-Up, BRAC James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.ORCID 0000-0002-7680-676X
Krystal SwaseyDepartment of Epidemiology and Public Health, School of Medicine, University of Maryland, Baltimore, MD-21201, United States of America.
Vanessa BurrowesDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD-21205, United States of America.
Mohammad Rashidul HashanDhaka Medical College and Hospital, Dhaka, Bangladesh.
Gulam Muhammed Al KibriaDepartment of Epidemiology and Public Health, School of Medicine, University of Maryland, Baltimore, MD-21201, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to investigate the factors associated with low birth weight (LBW) in Afghanistan.

designCross-sectional study.

settingThis study used data collected from the Afghanistan Demographic and Health Survey 2015.

participantsFacility-based data from 2773 weighted live-born children enrolled by a two-stage sampling strategy were included in our analysis. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was LBW, defined as birth weight <2.5kg.

resultsOut of 2773 newborns, 15.5% (n=431) had LBW. Most of these newborns were females (58.3%, n=251), had a mother with no formal schooling (70.5%, n=304), lived in urban areas (63.4%, n=274) or lived in the Central region of Afghanistan (59.7%, n=257). In multivariable analysis, residence in Central (adjusted OR (AOR): 3.4; 95% CI 1.7 to 6.7), Central Western (AOR: 3.0; 95% CI 1.5 to 5.8) and Southern Western (AOR: 4.0; 95% CI 1.7 to 9.1) regions had positive association with LBW. On the other hand, male children (AOR: 0.5; 95% CI 0.4 to 0.8), newborns with primary maternal education (AOR: 0.5; 95% CI 0.3 to 0.8), birth interval ≥48 months (AOR: 0.4; 95% CI 0.1 to 0.8), belonging to the richest wealth quintile (AOR: 0.2; 95% CI 0.1 to 0.6) and rural residence (AOR: 0.3; 95% CI 0.2 to 0.6) had decreased odds of LBW.

conclusionsMultiple factors had association with LBW in Afghanistan. Maternal, Neonatal and Child Health programmes should focus on enhancing maternal education and promoting birth spacing to prevent LBW. To reduce the overall burden of LBW, women of the poorest wealth quintiles, and residents of Central, Central Western and South Western regions should also be prioritised. Further exploration is needed to understand why urban areas are associated with higher likelihood of LBW. In addition, research using nationally representative samples are required.

Indexed as

Infant, Low Birth WeightAdolescentAdultAfghanistanCross-Sectional StudiesFemaleHealth SurveysHumansInfant, NewbornLogistic ModelsMaleMaternal HealthMiddle AgedMultivariate AnalysisPregnancyPrenatal CareAfghanistanbirth weightdeterminantsfactorsglobal healthlow birth weight

Identifiers

PMID31092648
PMCPMC6530387

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.