Table 3

Maternal characteristics and factors associated with risk of mild microcephaly

CharacteristicMild microcephalyNormocephalyPrevalence rate per 100OR
95% CI
UnadjustedAdjusted*
Maternal age (years)
 <2531249326.01.37 (1.19 to 1.58)1.29 (1.06 to 1.42)
 25–2998817 2755.41.24 (1.12 to 1.38)1.13 (1.01 to 1.25)
 30–3460513 1254.41.00 (reference)1.00 (reference)
 ≥3519767022.90.64 (0.54 to 0.75)0.54 (0.41 to 0.72)
Education
 University/college131125 4644.91.00 (reference)1.00 (reference)
 High school3126 644.70.97 (0.85 to 1.10)0.99 (0.87 to 1.13)
 Elementary school47910 3064.60.90 (0.81 to 1.01)1.02 (0.91 to 1.14)
Primiparity185034 0525.21.72 (1.51 to 1.97)1.73 (1.50 to 2.01)
Cantonese ethnicity188835 7035.01.56 (1.36 to 1.81)1.45 (1.25 to 1.68)
IVF conception892 4873.50.72 (0.57 to 0.89)0.78 (0.65 to 0.96)
Congenital heart disease224234.91.04 (0.68 to 1.60)0.89 (0.57 to 1.38)
Other congenital anomalies in offspring†254155.71.21 (0.80 to 1.81)1.23 (0.81 to 1.86)
Intrauterine growth restriction4017218.84.72 (2.34 to 6.68)4.48 (3.14 to 6.40)
Maternal anomalies153753.90.80 (0.48 to 1.34)0.80 (0.48 to 1.35)
Diabetes mellitus21650954.10.83 (0.72 to 0.96)0.96 (0.83 to 1.11)
Pre-eclampsia448195.11.08 (0.79 to 1.46)1.10 (0.81 to 1.51)
Chronic illness27660274.40.90 (0.79 to 1.03)0.92 (0.81 to 1.05)
Teratogens355915.61.18 (0.84 to 1.67)1.22 (0.86 to 1.73)
TORCH agents‡113133.40.70 (0.38 to 1.28)0.70 (0.38 to 1.28)
Genital/reproductive infections196692.80.56 (0.36 to 0.89)0.66 (0.42 to 1.06)
Overall210242 0344.8
  • *Adjusted for infant birth year.

  • †Exclusive of congenital heart disease and CNS anomalies.

  • ‡Latent T oxoplasma gondii only.

  • CNS, central nervous system; IVF, in vitro fertilisation; TORCH, Toxoplasma gondii, rubella virus, cytomegalovirus, herpes simplex virus.