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Very Low Birth Weight and Perinatal Periods of Risk : Disparities in St. Louis
Joint Authors
Kiel, Deborah
Woolfolk, Candice L.
Xaverius, Pamela K.
Salas, Joanne
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-15
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
Very low birth weight (VLBW) is a significant issue in St.
Louis, Missouri.
Our study evaluated risk factors associated with VLBW in this predominantly urban community.
Methods.
From 2000 to 2009, birth and fetal death certificates were evaluated (n=160, 189), and mortality rates were calculated for perinatal periods of risk.
The Kitagawa method was used to explore fetoinfant mortality rates (FIMR) in terms of birth weight distribution and birthweight specific mortality.
Multivariable logistic regression was used to assess the magnitude of association of selected risk factors with VLBW.
Results.
VLBW contributes to 50% of the excess FIMR in St.
Louis City and County.
The highest proportion of VLBW can be attributed to black maternal race (40.6%) in St.
Louis City, inadequate prenatal care (19.8%), and gestational hypertension (12.0%) among black women.
Medicaid was found to have a protective effect for VLBW among black women (population attributable risk (PAR) = −14.5).
Discussion.
Interventions targeting the health of women before and during conception may be most successful at reducing the disparities in VLBW in this population.
Interventions geared towards smoking cessation and improvements in Medicaid and prenatal care access for black mothers and St.
Louis City residents can greatly reduce VLBW rates.
American Psychological Association (APA)
Xaverius, Pamela K.& Salas, Joanne& Kiel, Deborah& Woolfolk, Candice L.. 2014. Very Low Birth Weight and Perinatal Periods of Risk : Disparities in St. Louis. BioMed Research International،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-480438
Modern Language Association (MLA)
Xaverius, Pamela K.…[et al.]. Very Low Birth Weight and Perinatal Periods of Risk : Disparities in St. Louis. BioMed Research International No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-480438
American Medical Association (AMA)
Xaverius, Pamela K.& Salas, Joanne& Kiel, Deborah& Woolfolk, Candice L.. Very Low Birth Weight and Perinatal Periods of Risk : Disparities in St. Louis. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-480438
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-480438