Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention

Autor: Lindsay Osei, Nicolas Vignier, Mathieu Nacher, Juliette Laumonnier, Claude Conan, Loreinzia Clarke, Akoï Koivogui, Sabrina Covis, Luciano Valony, Célia Basurko, Solène Wiedner-Papin, Alain Prual, Thierry Cardoso, Malika Leneuve-Dorilas, Leslie Alcouffe, Najeh Hcini, Stéphanie Bernard, Tiphanie Succo, Françoise Vendittelli, Narcisse Elenga
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: International Journal of Public Health, Vol 69 (2024)
Druh dokumentu: article
ISSN: 1661-8564
DOI: 10.3389/ijph.2024.1606423
Popis: Objectives: Small for gestational age (SGA) newborns have a higher risk of poor outcomes. French Guiana (FG) is a territory in South America with poor living conditions. The objectives of this study were to describe risk factors associated with SGA newborns in FG.Methods: We used the birth cohort that compiles data from all pregnancies that ended in FG from 2013 to 2021. We analysed data of newborns born after 22 weeks of gestation and/or weighing more than 500 g and their mothers.Results: 67,962 newborns were included. SGA newborns represented 11.7% of all newborns. Lack of health insurance was associated with SGA newborns (p < 0.001) whereas no difference was found between different types of health insurance and the proportion of SGA newborns (p = 0.86). Mothers aged less than 20 years (aOR = 1.65 [1.55–1.77]), from Haiti (aOR = 1.24 [1.11–1.39]) or Guyana (aOR = 1.30 [1.01–1.68]) and lack of health insurance (aOR = 1.24 [1.10–1.40]) were associated with SGA newborns.Conclusion: Immigration and precariousness appear to be determinants of SGA newborns in FG. Other studies are needed to refine these results.
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