Newborn low birth weight: do socio-economic inequality still persist in India?

Abstract Background The incidence of preterm birth and subsequent low birth weight (LBW) are vital global public health issues. It contributes to high infant and child mortality in the early stages of life and later on in adult life; it increases the risk for non-communicable diseases. The study aim...

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Autores principales:	Prem Shankar Mishra, Debashree Sinha, Pradeep Kumar, Shobhit Srivastava, Rahul Bawankule
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Low birth weight Socio-economic inequality Concentration index Decomposition India Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/905d89ccce5d4051ace8a2b2aea54b45
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spelling	oai:doaj.org-article:905d89ccce5d4051ace8a2b2aea54b452021-11-21T12:33:21ZNewborn low birth weight: do socio-economic inequality still persist in India?10.1186/s12887-021-02988-31471-2431https://doaj.org/article/905d89ccce5d4051ace8a2b2aea54b452021-11-01T00:00:00Zhttps://doi.org/10.1186/s12887-021-02988-3https://doaj.org/toc/1471-2431Abstract Background The incidence of preterm birth and subsequent low birth weight (LBW) are vital global public health issues. It contributes to high infant and child mortality in the early stages of life and later on in adult life; it increases the risk for non-communicable diseases. The study aims to understand the socio-economic status-related inequality for LBW among children in India. It hypothesises that there is no association between the socio-economic status of the household and the newborn’s LBW in India. Methods The study utilised data from the fourth round of the National Family Health Survey, a national representative cross-sectional survey conducted in 2015-16 (N = 127,141). The concentration index (CCI) and the concentration curve (CC) measured socio-economic inequality in low birth status among newborns. Wagstaff decomposition further analysed key contributors in CCI by segregating significant covariates. Results About 18.2% of children had low birth weight status. The value of concentration was − 0.05 representing that low birth weight status is concentrated among children from lower socio-economic status. Further, the wealth quintile explained 76.6% of the SES related inequality followed by regions of India (− 44%) and the educational status of mothers (43.4%) for LBW among children in India. Additionally, the body mass index of the women (28.4%), ante-natal care (20.8%) and residential status (− 15.7%) explained SES related inequality for LBW among children in India. Conclusion Adequate attention should be given to the mother’s nutritional status. Awareness of education and usage of health services during pregnancy should be promoted. Further, there is a need to improve the coverage and awareness of the ante-natal care (ANC) program. In such cases, the role of the health workers is of utmost importance. Programs on maternal health services can be merged with maternal nutrition to bring about an overall decline in the LBW of children in India.Prem Shankar MishraDebashree SinhaPradeep KumarShobhit SrivastavaRahul BawankuleBMCarticleLow birth weightSocio-economic inequalityConcentration indexDecompositionIndiaPediatricsRJ1-570ENBMC Pediatrics, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Low birth weight Socio-economic inequality Concentration index Decomposition India Pediatrics RJ1-570
spellingShingle	Low birth weight Socio-economic inequality Concentration index Decomposition India Pediatrics RJ1-570 Prem Shankar Mishra Debashree Sinha Pradeep Kumar Shobhit Srivastava Rahul Bawankule Newborn low birth weight: do socio-economic inequality still persist in India?
description	Abstract Background The incidence of preterm birth and subsequent low birth weight (LBW) are vital global public health issues. It contributes to high infant and child mortality in the early stages of life and later on in adult life; it increases the risk for non-communicable diseases. The study aims to understand the socio-economic status-related inequality for LBW among children in India. It hypothesises that there is no association between the socio-economic status of the household and the newborn’s LBW in India. Methods The study utilised data from the fourth round of the National Family Health Survey, a national representative cross-sectional survey conducted in 2015-16 (N = 127,141). The concentration index (CCI) and the concentration curve (CC) measured socio-economic inequality in low birth status among newborns. Wagstaff decomposition further analysed key contributors in CCI by segregating significant covariates. Results About 18.2% of children had low birth weight status. The value of concentration was − 0.05 representing that low birth weight status is concentrated among children from lower socio-economic status. Further, the wealth quintile explained 76.6% of the SES related inequality followed by regions of India (− 44%) and the educational status of mothers (43.4%) for LBW among children in India. Additionally, the body mass index of the women (28.4%), ante-natal care (20.8%) and residential status (− 15.7%) explained SES related inequality for LBW among children in India. Conclusion Adequate attention should be given to the mother’s nutritional status. Awareness of education and usage of health services during pregnancy should be promoted. Further, there is a need to improve the coverage and awareness of the ante-natal care (ANC) program. In such cases, the role of the health workers is of utmost importance. Programs on maternal health services can be merged with maternal nutrition to bring about an overall decline in the LBW of children in India.
format	article
author	Prem Shankar Mishra Debashree Sinha Pradeep Kumar Shobhit Srivastava Rahul Bawankule
author_facet	Prem Shankar Mishra Debashree Sinha Pradeep Kumar Shobhit Srivastava Rahul Bawankule
author_sort	Prem Shankar Mishra
title	Newborn low birth weight: do socio-economic inequality still persist in India?
title_short	Newborn low birth weight: do socio-economic inequality still persist in India?
title_full	Newborn low birth weight: do socio-economic inequality still persist in India?
title_fullStr	Newborn low birth weight: do socio-economic inequality still persist in India?
title_full_unstemmed	Newborn low birth weight: do socio-economic inequality still persist in India?
title_sort	newborn low birth weight: do socio-economic inequality still persist in india?
publisher	BMC
publishDate	2021
url	https://doaj.org/article/905d89ccce5d4051ace8a2b2aea54b45
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Newborn low birth weight: do socio-economic inequality still persist in India?

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