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Racial and ethnic disparities in postnatal growth among very low birth weight infants in California
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. P...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group US
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9991910/ https://www.ncbi.nlm.nih.gov/pubmed/36737570 http://dx.doi.org/10.1038/s41372-023-01612-9 |
Sumario: | 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. |
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