| Title | Racial and ethnic disparities in postnatal growth among very low birth weight infants in California. |
| Publication Type | Journal Article |
| Year of Publication | 2023 |
| Authors | Lee SMin, Sie L, Liu J, Profit J, Main E, Lee HC |
| Journal | J Perinatol |
| Volume | 43 |
| Issue | 3 |
| Pagination | 371-377 |
| Date Published | 2023 Mar |
| ISSN | 1476-5543 |
| Keywords | Birth Weight, California, Ethnicity, Female, Health Status Disparities, Humans, Infant, Infant, Newborn, Infant, Very Low Birth Weight, Mothers, Pregnancy |
| Abstract | OBJECTIVE: To identify racial/ethnic disparities in postnatal growth by year and gestational age among very low birth weight infants. STUDY DESIGN: Total 37,122 infants, with birth weight 500-1500 g or gestational age 23-34 weeks in the California Perinatal Quality Care Collaborative in 2008-2016. Postnatal growth failure (PGF) was defined as change in weight Z-score from birth to discharge below -1.28. Multivariable regression analysis with birth hospital as random effect was used to estimate odds ratios (OR). RESULTS: Infants born to Hispanic mothers had highest risk of PGF at 30%, compared to white (24%, OR 1.33), Black (22%, OR 1.50), or Asian/Pacific Islander mothers (23%, OR 1.38). PGF incidence decreased from 2008 (27.4%) to 2016 (22.8%) with differences in trends by race. Each increasing gestational age week was associated with decreasing risk for PGF (OR 0.73, 95% confidence interval 0.72-0.74). CONCLUSION: Targeted interventions addressing PGF are needed to address disparities. |
| URL | https://pubmed.ncbi.nlm.nih.gov/36737570/ |
| DOI | 10.1038/s41372-023-01612-9 |
| Alternate Journal | J Perinatol |
| PubMed ID | 36737570 |
| PubMed Central ID | PMC9991910 |
| Grant List | R01 HD084667 / NH / NIH HHS / United States R01 HD094847 / NH / NIH HHS / United States |
