Skip to main content

Advertisement

Log in

Determinants of Birthweight; Gender Based Analysis

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

The objective of this cross sectional study is to look at determinants of birth weight and their association with the gender of the baby in 2,795 full term children living in the occupied Palestinian territory, derived from a stratified random sample of 2,994 households in the West Bank and 2,234 households in the Gaza Strip. The response rate was 85%. Multivariable analysis using analysis of variance for mixed models showed that sex and birth order, maternal age and education and to a lesser extent region were determinants of birth weight for all children. The effect of maternal education on birth weight differed for female and male infants, tending to be relatively unchanged for male infants and with mean birth weights increasing with maternal education in female infants. The effect of birth order differed by maternal age, with mean birth weight increasing with maternal age for first and second births; but being unaffected by maternal age for infants of birth order greater than two. We conclude that birth weight is influenced by common biological determinants across cultures, but is also influenced by social, ethnic, and environmental factors that are culture specific, of which some might be gender related.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Notes

  1. PCBS.gov.ps

  2. This experience is internally documented at PCBS for the courageous work of the field workers and the most appreciated assistance of UNICEF and RCS.

References

  1. Wilcox, A. J. (2001). On the importance—and the unimportance—of birthweight. International Journal of Epidemiology, 30, 1233–1241.

    Article  PubMed  CAS  Google Scholar 

  2. Folkner, B., Hulman, S., & Kushner, H. (1998). Birthweight versus childhood growth as determinants of adult blood pressure. Hypertension, 31(part 1), 145–150.

    Google Scholar 

  3. Barker, D. (1992) The fetal origins of adult hypertension. Hypertension, 10, s39–s44.

    Article  CAS  Google Scholar 

  4. Hardy, R., Wadsworth, M. E. J., Langenberg, R., & Kuh, D. (2004). Birthweight, childhood growth, and blood pressure at 43 years in a British birth cohort. International Journal of Epidemiology, 33, 121–129.

    Article  PubMed  Google Scholar 

  5. Phillips, D., Barker, D., Hales, C., Hirst, S., & Osmond, C. (1994). Thinness at birth and insulin resistance in adult life. Diabetologia, 37, 150–154.

    Article  PubMed  CAS  Google Scholar 

  6. Hyponen, E., Power, C., & Davey Smith, G. (2003). Prenatal growth, BMI, and risk of type 2 diabetes by early midlife. Diabetes care, 26, 2512–2517.

    Article  Google Scholar 

  7. Alshimmiri, M. M., Hammoud, M. S., Al-Saleh, E. A., & Alsaeid, K. M. S. (2003). Ethnic variation in birthweight percentiles in Kuwait. Paediatric and Perinatal Epidemiology, 17, 355–362.

    Article  PubMed  CAS  Google Scholar 

  8. Oken, E., Kleinman, K., Rich-Edwards, J., & Gillman, M. (2003). A nearly continuous measure of birthweight for gestational age using a United States national reference. BMC Pediatrics, 3, 6.

    Article  PubMed  Google Scholar 

  9. Letaif, M., Soltani, M. S., Salem, K. B., & Bchir, A. (2001) Epidemiology of low birthweight in Tunisia. Sante Publique, 13, 359–366.

    Google Scholar 

  10. Behrman, R. E., Klliegman, R. M., & Jenson, H. B. (Eds). (2000). Nelson textbook of pediatrics (16th ed., 478 pp.). Philadelphia: Saunders company.

  11. Sacks, D. A. (2004). Determinants of fetal growth. Current Diabetes Reports, 4, 281–287.

    Article  PubMed  Google Scholar 

  12. Mishra, V., Thapa, S., et al. (2005). Effect of iron supplementation during pregnancy on birth weight: Evidence from Zimbabwe. Food and Nutrition Bulletin, 26, 338–347.

    PubMed  Google Scholar 

  13. Fareh, O. I., Rizk, D. E., et al. (2005). Obstetric impact of anemia in pregnant women in United Arab Emirates. Journal of Obstetrics and Gynecology, 25, 440–444.

    Article  CAS  Google Scholar 

  14. Behrman, R. E., Klliegman, R. M., & Jenson, H. B. (Eds.). (2000). Nelson textbook of pediatrics (16th ed., 452 pp.). Philadelphia: Saunders company.

  15. Spencer, N., Logan, S., & Gill, L. (1999). Trends and social patterning of birthweight in Sheffield, 1985–94. Archives of Disease in Childhood. Fetal and Neonatal Edition, 81, F138–F140.

    PubMed  CAS  Google Scholar 

  16. Karim, E., & Mascie-Taylor, C. G. (1997). The association between birthweight, sociodemographic variables and maternal anthropometry in an urban sample from Dhaka, Bangladesh. Annals of human biology, 24, 387–401.

    Article  PubMed  CAS  Google Scholar 

  17. Spencer, N., & Logan, S. (2002). The treatment of parental height as a biological factor in studies of birthweight and childhood growth. Archives of Disease in Childhood, 87, 184–187.

    Article  PubMed  CAS  Google Scholar 

  18. Khoshnood, B., Wall, S., & Lee, K. S. (2005). Risk of low birth weight associated with advanced maternal age among four ethnic groups in the United States. Maternal and Child Health Journal, 9(1), 3–9.

    Article  PubMed  Google Scholar 

  19. Spencer, N., & Logan, S. (2002). Social influences on birthweight. Archives of Disease in Childhood. Fetal and Neonatal Edition, 86, F6–F7.

    Article  PubMed  CAS  Google Scholar 

  20. Hoff, C., Wertelecki, W., Reyes, E., Zansky, S., Dutt, J., & Stumper, A. (1985). Maternal Socio medical characteristics and birthweight of first born. Social Science & Medicine, 21, 775–783.

    Article  CAS  Google Scholar 

  21. Thorsdottir, I., Birgisdottir, B. E., Halldorsdottir, S., & Geirsson, R. T. (2004). Association of fish and fish liver oil intake in pregnancy with infant size at birth among women of normal weight before pregnancy in a fishing community. American Journal of Epidemiology, 160, 460–465.

    Article  PubMed  Google Scholar 

  22. Zhu, J. L., Hjollund, N. H., & Olsen, J. (2004). National Birth cohort in Denmark. American Journal of Obstetrics and Gynecology, 191, 285–291.

    Article  PubMed  Google Scholar 

  23. Keeley, R. D., Birchard, A., Dickinson, P., Steiner, J., Dickenson, L. M., Rymer, S., Palmer, B., Derback, T., & Kempe, A. (2004). Parental attitudes about a pregnancy predict birthweight in a low income population. Annals of Family Medicine, 2, 145–149.

    Article  PubMed  Google Scholar 

  24. Zimmer-Gembeck, M., & Helfand, M. (1996). Low birthweight in a public prenatal care program: Behavioral and psychosocial risk factors and psychosocial intervention. Social Science & Medicine, 43,187–197.

    Article  CAS  Google Scholar 

  25. Feldman, P. G., Dunkel-Schetter, C., Sandman, C. A., & Wadhwa, P. D. (2000). Maternal social support predicts birthweight and fetal growth in human pregnancy. Psychosomatic Medicine, 62, 715–725.

    PubMed  CAS  Google Scholar 

  26. Horton, R. (2004) UNICEF leadership 2005–2015: A call for strategic change. Lancet, 364, 2071–2074.

    Article  PubMed  Google Scholar 

  27. Phadke, M. A. (2005). Unicef: Suggestions for change. Lancet, 365, 289.

    PubMed  CAS  Google Scholar 

  28. Tamimi, R., Lagiou, P., Mucci, L. A., Hsieh, C. C., Adami, H. O., & Tricopoulos, D. (2003). Average energy intake among pregnant women carrying a boy compared with a girl. B M J, 326, 1245–1246.

    Article  Google Scholar 

  29. Hughes, A., Northstone, K., Golding, J., & ALSPAC study team. (2002). Reduced birth weight in boys with hypospadias: An index of androgen dysfunction? Archives of Disease in Childhood. Fetal and Neonatal Edition, 87, 150–151.

    Article  Google Scholar 

  30. Mihyar, H. A. (1994). The effect of prenatal knowledge of fetal sex on the birthweight of the newborn. Public Health Research (http://www.environment.gov.jo/).

  31. Qotob, R., Mawajdeh, S., Allosh, R., Mehyar, H., & Majali, S. (2004) The effect of prenatal knowledge of fetal sex on birthweight: A study from Jordan. Health Care for Women International, 25, 281–291.

    Article  Google Scholar 

  32. Suarez, F., Zeghoud, F., Rossignol, C., Walrant, O., & Garabedian, M. (1997). Association between vitamin D receptor gene polymorphism and sex dependent growth during the first two years of life. The Journal of Clinical Endocrinology and Metabolism, 82, 2966–2970.

    Article  PubMed  CAS  Google Scholar 

  33. Boerma, J. T., Weinstein, K. I., Rustein, S. O., Sommerfelt, A. E. (1996). Data on birthweight in developing countries: Can surveys help? Bulletin of the World Health Organization, 74, 209–216.

    PubMed  CAS  Google Scholar 

  34. Palestinian Central Bureaue of Statistics. (2000). Health survey-2000: Main findings. Ramallah-Palestine, pp. 146, 37.

  35. Zurayk, H., Halabi, S., & Deeb, M. (1987). Measure of social class based on education for use in health studies in developing countries. Journal of Epidemiology and Community Health, 41, 173–179.

    Article  PubMed  CAS  Google Scholar 

  36. Gofin, R., Neumark, Y. D., et al. (2000). Birth weight recall by mothers of Israeli children. Public Health, 114, 161–163.

    Article  PubMed  CAS  Google Scholar 

  37. O’Sullivan, J. J., Pearce, M. S., et al. (2000). Parental recall of birth weight: How accurate is it? Archives of Disease in Childhood, 82(3), 202–203.

    Article  PubMed  CAS  Google Scholar 

  38. Walton, K. A., Murray, L. J., et al. (2000). Parental recall of birth weight: A good proxy for recorded birth weight? European Journal of Epidemiology, 16, 793–796.

    Article  PubMed  CAS  Google Scholar 

  39. Palestinian Central Bureau of Statistics. (2002). Nutrition survey-2002: Analytical report. Ramallah-Palestine.

  40. Hindmarsh, P. C., Geary, M. P. P., Rodeck C. H., Kngdom J. C. P., & Cole T. J. (2002). Intrauterine growth and its relationship to size and shape at birth. Pediatric Research, 52, 263–268.

    PubMed  Google Scholar 

  41. Qoutob, R., Mawajdeh, S., Allosh, R., Mehyar, H., & Majali, S. (2004). The effect of prenatal knowledge of fetal sex on birthweight: A study from Jordan. Health Care for Women International, 25, 281–291.

    Article  Google Scholar 

  42. Lewis, J. R. (1974). The birthweight of babies in the Cameroon grasslands. Journal of Tropical Pediatrics, 20, 300–301.

    CAS  Google Scholar 

  43. Alshimiri, M. M., Hammoud, M. S., Al-Saleh, E. A., & Alsaeid, K. M. (2003). Ethnic variation in birthweight percentiles in Kuwait. Paediatric and Perinatal Epidemiology, 17, 355–362.

    Article  Google Scholar 

  44. Odell, C. D., Kotelchuck, M., Chetty, V. K., Fowler, J., Stubblefield, P. G., Orejuela, M., & Jack, B. W. (2006). Maternal hypertension as a risk factor for low birth weight infants: Comparison of Haitian and African-American women. Maternal and Child Health Journal J, 10, 39–46.

    Article  PubMed  Google Scholar 

  45. Zhu, B. P., & Le, T. (2003). Effect of interpregnancy interval on Infant low birth weight: A retrospective cohort study using the Michigan Maternally linked birth database. Maternal and Child Health Journal, 7, 169–178.

    Article  PubMed  Google Scholar 

  46. Palestinian Central Bureau of Statistics. (2001). DHS-2000: Final report. Ramallah-Palestine, pp. 95.

  47. Mihyar, H. A. (1994). The effect of prenatal knowledge of fetal sex on the birthweight of the newborn. Public Health Research (http://www.environment.gov.jo/) accessed on Nov. 2004.

  48. Qoutob, R., Mawajdeh, S., Allosh, R., Mehyar, H., & Majali, S. (2004). The effect of prenatal knowledge of fetal sex on birthweight: A study from Jordan. Health Care for Women International, 25, 281–291.

    Article  Google Scholar 

  49. Feldman, P. G., Dunkel-Schetter, C., Sandman, C. A., & Wadhwa, P. D. (2000). Maternal social support predicts birthweight and fetal growth in human pregnancy. Psychosomatic Medicine, 62, 715–725.

    PubMed  CAS  Google Scholar 

  50. Keeley, R. D., Birchard, A., Dickinson, P., Steiner, J., Dickenson, L. M., Rymer, S., Palmer, B., Derback, T., & Kempe, A. (2004). Parental attitudes about a pregnancy predict birthweight in a low income population. Annals of Family Medicine, 2, 145–149.

    Article  PubMed  Google Scholar 

  51. Zimmer-Gembeck, M., & Helfand, M. (1996). Low birthweight in a public prenatal care program: Behavioral and psychosocial risk factors and psychosocial intervention. Social Science & Medicine, 43, 187–197.

    Article  CAS  Google Scholar 

  52. Sacher, R. K., Sehgal, R., Verma, J., Prakash, V., & Singh, W. P. (1990). The female child-a picture of denial and deprivation. Indian Journal of Maternal and Child Health, 4, 124–126.

    Google Scholar 

  53. Palestinian Central Bureau of Statistics. (2000). Health survey-2000: Main findings. Ramallah-Palestine, pp. 128.

  54. Palestinian Central Bureau of Statistics. (2000). Health survey-2000: Main findings. Ramallah-Palestine, pp. 219.

Download references

Acknowledgements

This survey was conducted as part of a cooperative work between the Palestinian Central Bureau of Statistics, the UNICEF office in Jerusalem and the Palestinian Ministry of Health.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Samia Halileh.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Halileh, S., Abu-Rmeileh, N., Watt, G. et al. Determinants of Birthweight; Gender Based Analysis. Matern Child Health J 12, 606–612 (2008). https://doi.org/10.1007/s10995-007-0226-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10995-007-0226-z

Keywords

Navigation