{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:13:45Z","timestamp":1787926425337,"version":"build-2784847793"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T00:00:00Z","timestamp":1616457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In Australia, 6.7% of babies (5.2% for singletons) are born low birth weight (LBW), and over the past decade, this figure has increased by 8%. Evidence regarding LBW has largely come from hospital-based cross-sectional studies, which are not representative, lack temporality and do not examine the potential predictors of LBW using a comprehensive theoretical framework. This study, therefore, examined predictors of LBW within a biopsychosocial framework, using a community-based representative prospective cohort with 19\u2009years of data.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The study included 11\u00a0854 singleton babies born to 5622 women from the 1973 to 1978 cohort of the Australian Longitudinal Study on Women\u2019s Health.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 5622 first births, 310 (5.5%) were reported as LBW. Maternal risk factors included pre-pregnancy underweight (aOR\u2009=\u20092.27, 95% CI: 1.43\u20133.62), chronic diabetes (aOR\u2009=\u20092.38, 95% CI: 1.14\u20134.95), gestational diabetes (aOR\u2009=\u20091.93, 95% CI: 1.27\u20132.94), chronic hypertension (aOR\u2009=\u20092.23, 95% CI: 1.50\u20133.33) and gestational hypertension (aOR\u2009=\u20092.44, 95% CI: 1.78\u20133.36). Among all births (N\u2009=\u200911\u00a0854), the overall LBW rate was 3.8% with a recurrence rate of 4.8%. Identified risk factors included menarche before 12\u2009years (aOR\u2009=\u20091.57; 95% CI: 1.17\u20132.11), pre-pregnancy underweight (aOR\u2009=\u20092.25, 95% CI: 1.46\u20133.45), gestational diabetes (aOR\u2009=\u20091.74, 95% CI: 1.16\u20132.59), chronic hypertension (aOR\u2009=\u20092.01, 95% CI: 1.40\u20132.90) and gestational hypertension (aOR\u2009=\u20092.81, 95% CI: 2.05\u20133.84). LBW was less likely for second births (aOR\u2009=\u20090.39, 95% CI: 0.31\u20130.50) and third\/above births (aOR\u2009=\u20090.49, 95% CI: 0.35\u20130.67) compared with the first births.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Increased nutrition counselling\/supplementation for underweight women and interventions aimed at chronic disease prevention and management by using a multi-sectoral approach may be the key to the prevention of LBW.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckab033","type":"journal-article","created":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T12:21:11Z","timestamp":1615292471000},"page":"776-783","source":"Crossref","is-referenced-by-count":6,"title":["Low birth weight and its associated biopsychosocial factors over a 19-year period: findings from a national cohort study"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1360-4909","authenticated-orcid":false,"given":"Habtamu Mellie","family":"Bizuayehu","sequence":"first","affiliation":[{"name":"Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Newcastle, NSW, Australia"},{"name":"Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa L","family":"Harris","sequence":"additional","affiliation":[{"name":"Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Newcastle, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Chojenta","sequence":"additional","affiliation":[{"name":"Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Newcastle, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peta M","family":"Forder","sequence":"additional","affiliation":[{"name":"Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Newcastle, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Loxton","sequence":"additional","affiliation":[{"name":"Research Centre for Generational Health and Ageing, School of Medicine and Public Health, Faculty of Health and Medicine, The University of Newcastle, Newcastle, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,3,23]]},"reference":[{"key":"2021101318353151500_ckab033-B1","year":"2011"},{"key":"2021101318353151500_ckab033-B2","year":"2017"},{"key":"2021101318353151500_ckab033-B3","volume-title":"Australia\u2019s Mothers and Babies 2017 \u2013 In Brief. 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