Next Article in Journal
An Indoor Gardening Planting Table Game Design to Improve the Cognitive Performance of the Elderly with Mild and Moderate Dementia
Previous Article in Journal
Ambient PM2.5 and Annual Lung Cancer Incidence: A Nationwide Study in 295 Chinese Counties
Article

The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial

1
School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an 710049, Shaanxi, China
2
School of Medicine, University of Washington, Seattle, WA 98195, USA
3
Aceso Global, Washington, DC 20036, USA
4
School of Risk and Actuarial Studies and CEPAR, University of New South Wales, Sydney, NSW 2052, Australia
5
School of Public Health, Xi’an Jiaotong University Health Science Center, Xi’an 710061, Shaanxi, China
6
The Children’s Hospital and School of Public Health, Zhejiang University School of Medicine, Hangzhou 310058, Zhejiang, China
7
Nutrition Department, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
*
Author to whom correspondence should be addressed.
These authors contributed equally to this manuscript.
Int. J. Environ. Res. Public Health 2020, 17(5), 1482; https://doi.org/10.3390/ijerph17051482
Received: 29 January 2020 / Revised: 16 February 2020 / Accepted: 18 February 2020 / Published: 25 February 2020
(This article belongs to the Section Children's Health)
Background: The aim of this study was to estimate the effects of maternal text messages on inappropriate weight for gestational age (IWGA) in newborns in rural China. Methods: Participants were pregnant women presenting for antenatal care at a Maternal and Child Health Center in Xi’an, China during the 2013–2015 period. In total, 2115 women completed the program with follow-up information included in the final analyses. All mothers were divided into four groups, including (1) a control group that received only a few “Basic” messages, (2) a Care-Seeking (CS) message group, (3) Good Household Prenatal Practices (GHPP) message group, and (4) a group receiving all 148 text messages. The primary outcome was IWGA, including small for gestational age (SGA) and macrosomia (weighing ≥4000g at birth). Multivariable logistic regression using an intent-to-treat estimate was utilized. Results: In total, 19.5% of newborns were IWGA. The risk of IWGA was 23.0% in the control group, 19.6% in the CS group, 18.9% in the GHPP group, and 16.5% in the group with All Texts. Compared to the control group, the odds ratio of IWGA was 0.65 (0.48–0.89) for the group receiving All Texts, which remained statistically significant after performing the Holm-Bonferroni correction. The odds ratio of macrosomia was 0.54 (0.34–0.87) and 0.57 (0.36–0.49) for the Care Seeking message group and the All Texts group, respectively, with statistical significance. Conclusion: A package of free informational text messages, including advice for good household prenatal practices and care seeking, may prevent the inappropriate weight for gestational age through a protective effect on macrosomia. Advice to encourage care seeking in pregnancy may prevent macrosomia among neonates in rural China as well. View Full-Text
Keywords: inappropriate weight for gestational age; short message service; quasi-randomized controlled trial; mhealth inappropriate weight for gestational age; short message service; quasi-randomized controlled trial; mhealth
MDPI and ACS Style

Zhou, Z.; Su, Y.; Heitner, J.; Si, Y.; Wang, D.; Zhou, Z.; Yuan, C. The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial. Int. J. Environ. Res. Public Health 2020, 17, 1482. https://doi.org/10.3390/ijerph17051482

AMA Style

Zhou Z, Su Y, Heitner J, Si Y, Wang D, Zhou Z, Yuan C. The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2020; 17(5):1482. https://doi.org/10.3390/ijerph17051482

Chicago/Turabian Style

Zhou, Zhongliang, Yanfang Su, Jesse Heitner, Yafei Si, Dan Wang, Zhiying Zhou, and Changzheng Yuan. 2020. "The Effects on Inappropriate Weight for Gestational Age of an SMS Based Educational Intervention for Pregnant Women in Xi’an China: A Quasi-Randomized Controlled Trial" International Journal of Environmental Research and Public Health 17, no. 5: 1482. https://doi.org/10.3390/ijerph17051482

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop