Risk and Protective Factors for Preterm Birth Among Black Women in Oakland, California
- PDF / 319,806 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 58 Downloads / 193 Views
Risk and Protective Factors for Preterm Birth Among Black Women in Oakland, California Monica R. McLemore 1 & Rachel L. Berkowitz 2 & Scott P. Oltman 3 & Rebecca J. Baer 3,4 & Linda Franck 1 & Jonathan Fuchs 3,5 & Deborah A. Karasek 3,6 & Miriam Kuppermann 3,6 & Safyer McKenzie-Sampson 3,7 & Daphina Melbourne 3,5 & Briane Taylor 3,5 & Shanell Williams 3,5 & Larry Rand 3,5 & Brittany D. Chambers 3,5 & Karen Scott 6 & Laura L. Jelliffe-Pawlowski 3,7 Received: 3 September 2020 / Revised: 28 September 2020 / Accepted: 29 September 2020 # W. Montague Cobb-NMA Health Institute 2020
Abstract This project examines risk and protective factors for preterm birth (PTB) among Black women in Oakland, California. Women with singleton births in 2011–2017 (n = 6199) were included. Risk and protective factors for PTB and independent risk groups were identified using logistic regression and recursive partitioning. Having less than 3 prenatal care visits was associated with highest PTB risk. Hypertension (preexisting, gestational), previous PTB, and unknown Women, Infant, Children (WIC) program participation were associated with a two-fold increased risk for PTB. Maternal birth outside of the USA and participation in WIC were protective. Broad differences in rates, risks, and protective factors for PTB were observed. Keywords Preterm birth . Risk factors . Protective factors . Black women . Oakland
Introduction Preterm birth (PTB; birth < 37 weeks gestation) is the second leading cause of infant mortality in the USA [1] and is associated with health problems in infancy, childhood, and adulthood (e.g., respiratory distress, cerebral palsy, developmental disabilities, Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40615-020-00889-2) contains supplementary material, which is available to authorized users. * Monica R. McLemore [email protected] 1
Department of Family Health Care Nursing, UCSF School of Nursing, 2 Koret Way, N431H, San Francisco, CA 94134, USA
2
School of Public Health, UC Berkeley, 2121 Berkeley Way, #5302, Berkeley, CA 94704, USA
3
California Preterm Birth Initiative, UCSF, San Francisco, CA, USA
4
Department of Pediatrics, UCSD, San Diego, CA, USA
5
San Francisco Department of Public Health, 101 Grove Street, San Francisco 94102, USA
6
Department of Obstetrics, Gynecology and Reproductive Sciences, UCSF School of Medicine, San Francisco, CA, USA
7
Department of Epidemiology & Biostatistics, UCSF School of Medicine, San Francisco, CA, USA
depression) [2–4]. The rate of PTB is persistently highest among non-Hispanic, Black women (hereafter referred to as Black women) compared with women of all other race/ethnicities. In 2018, the rate of PTB among Black women in the USA was 14.1% compared with 9.7% in Hispanic women, 9.1% in White women, and 8.6% in Asian women [5]. While differences in rates of PTB by race/ethnicity often vary by geographic area, Black women are consistently found to be at highest risk for PTB across the USA. For instance, in 2018, th
Data Loading...
