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Civil unrest linked to intrauterine growth restriction in western Kenya.

Dybjer, Elin LU ; Linvik, J and Nilsson, Peter LU (2014) In Journal of Developmental Origins of Health and Disease 5(5). p.370-373
Abstract
Risk factors associated with intrauterine growth restriction (IUGR) have previously been identified, but few studies have described the relationship between IUGR and maternal stress caused by exposure to civil unrest. Here, we investigate this relationship during the Mount Elgon crisis in western Kenya between 2006 and 2008, following a period of violence. Birth weight data were compared between three hospitals in an exposed area, Mount Elgon (n=570), and one hospital in a control area, Kimilili (n=530). In a sub-analysis, the most stress exposed hospital, Bungoma West (n=211), was compared with the control hospital in Kimilili. Adjustments were made for offspring sex, gestational age and parity. The difference in mean birth weight between... (More)
Risk factors associated with intrauterine growth restriction (IUGR) have previously been identified, but few studies have described the relationship between IUGR and maternal stress caused by exposure to civil unrest. Here, we investigate this relationship during the Mount Elgon crisis in western Kenya between 2006 and 2008, following a period of violence. Birth weight data were compared between three hospitals in an exposed area, Mount Elgon (n=570), and one hospital in a control area, Kimilili (n=530). In a sub-analysis, the most stress exposed hospital, Bungoma West (n=211), was compared with the control hospital in Kimilili. Adjustments were made for offspring sex, gestational age and parity. The difference in mean birth weight between the most stress-exposed hospital (Bungoma West) and the control hospital (Kimilili) was 91 g after full adjustment (P=0.041). In conclusion, epidemiological data suggest a significant relationship between exposure to civil unrest and IUGR causing lower birth weight. (Less)
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Contribution to journal
publication status
published
subject
in
Journal of Developmental Origins of Health and Disease
volume
5
issue
5
pages
370 - 373
publisher
Cambridge University Press
external identifiers
  • pmid:25089942
  • wos:000344546300006
  • scopus:84931573059
ISSN
2040-1752
DOI
10.1017/S2040174414000348
language
English
LU publication?
yes
id
9b126eea-3db3-47fa-8bfc-227e107fea00 (old id 4615610)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25089942?dopt=Abstract
date added to LUP
2014-09-03 22:36:30
date last changed
2017-01-01 04:09:16
@article{9b126eea-3db3-47fa-8bfc-227e107fea00,
  abstract     = {Risk factors associated with intrauterine growth restriction (IUGR) have previously been identified, but few studies have described the relationship between IUGR and maternal stress caused by exposure to civil unrest. Here, we investigate this relationship during the Mount Elgon crisis in western Kenya between 2006 and 2008, following a period of violence. Birth weight data were compared between three hospitals in an exposed area, Mount Elgon (n=570), and one hospital in a control area, Kimilili (n=530). In a sub-analysis, the most stress exposed hospital, Bungoma West (n=211), was compared with the control hospital in Kimilili. Adjustments were made for offspring sex, gestational age and parity. The difference in mean birth weight between the most stress-exposed hospital (Bungoma West) and the control hospital (Kimilili) was 91 g after full adjustment (P=0.041). In conclusion, epidemiological data suggest a significant relationship between exposure to civil unrest and IUGR causing lower birth weight.},
  author       = {Dybjer, Elin and Linvik, J and Nilsson, Peter},
  issn         = {2040-1752},
  language     = {eng},
  number       = {5},
  pages        = {370--373},
  publisher    = {Cambridge University Press},
  series       = {Journal of Developmental Origins of Health and Disease},
  title        = {Civil unrest linked to intrauterine growth restriction in western Kenya.},
  url          = {http://dx.doi.org/10.1017/S2040174414000348},
  volume       = {5},
  year         = {2014},
}