Sociodemographic disparities in preterm birth and low birthweight in the State of Georgia: Results from the 2017-2018 Pregnancy Risk Assessment Monitoring System.

Autor: Kondracki AJ; Department of Community Medicine, Mercer University School of Medicine, Savannah and Macon, Georgia, USA., Reddick B; Department of Community Medicine, Mercer University School of Medicine, Savannah and Macon, Georgia, USA., Smith BE; Department of Internal Medicine, Mercer University School of Medicine, Macon, Georgia, USA., Geller PA; Department of Psychological and Brain Sciences, Drexel University College of Arts and Sciences, Philadelphia, Pennsylvania, USA., Callands T; Department of Health Promotion & Behavior College of Public Health, University of Georgia, Athens, Georgia, USA., Barkin JL; Department of Community Medicine, Mercer University School of Medicine, Savannah and Macon, Georgia, USA.
Jazyk: angličtina
Zdroj: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association [J Rural Health] 2023 Jan; Vol. 39 (1), pp. 91-104. Date of Electronic Publication: 2022 May 03.
DOI: 10.1111/jrh.12668
Abstrakt: Purpose: To update the overall prevalence of preterm birth (PTB) (<37 weeks gestation) and low birthweight (LBW) (<2,500 g) in the State of Georgia, including rural and urban counties.
Methods: A sample was drawn from the 2017-2018 Georgia Pregnancy Risk Assessment Monitoring System (PRAMS). In the complete-case data of singleton births (n=1,258), we estimated the weighted percentage prevalence of PTB, LBW, early/late PTB, and moderately/very LBW subcategories in association with maternal sociodemographic characteristics, and the prevalence stratified by rural/urban county of residence. Univariate and multivariate logistic regression models were fitted to estimate the odds ratios (ORs) of PTB and LBW adjusting for selected covariates. Logistic regression results from multiple imputation by chained equations (MICE) were used for comparison.
Findings: The overall rate for PTB was 9.3% and 6.8% for LBW and among them, 2.3% were early PTB, 7.0% were late PTB, 5.4% were moderately LBW (MLBW), and 1.3% were very LBW (VLBW). Non-Hispanic Black women had the highest prevalence of PTB, LBW, early PTB, MLBW, and VLBW, as well as PTB and LBW in urban counties and LBW in rural counties. The odds of PTB (aOR 1.38; 95% CI: 0.81, 2.35) and LBW (aOR 2.68; 95% CI: 1.32, 5.43) were also higher among non-Hispanic Black relative to non-Hispanic White women and among women who received adequate-plus prenatal care compared to inadequate prenatal care.
Conclusions: Socioeconomic and health disparities created by disadvantage should be a focus of state policy to improve neonatal outcomes in the State of Georgia.
(© 2022 National Rural Health Association.)
Databáze: MEDLINE
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