Disparities in Fetal Death and First Day Death

The Influence of Risk Factors in 2 Time Periods

Datos Bibliográficos

ID11031991
AutoresMartha Slay Wingate (0000-0003-2738-6137, The Centers), Wanda D Barfield (0000-0002-5875-0475, Martha S. Wingate is with the Department of Health Care Organization and Policy, University of Alabama at Birmingham. Wanda D. Barfield and Ruben Smith are with the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA. Joann Petrini is with the Department of Medical Education and Research, Danbury Hospital, Danbury, CT, and Office of the President, March of Dimes Foundation, White Plains, NY.), Joann Petrini (Martha S. Wingate is with the Department of Health Care Organization and Policy, University of Alabama at Birmingham. Wanda D. Barfield and Ruben Smith are with the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA. Joann Petrini is with the Department of Medical Education and Research, Danbury Hospital, Danbury, CT, and Office of the President, March of Dimes Foundation, White Plains, NY.), Ruben Smith Ruben Smith (Martha S. Wingate is with the Department of Health Care Organization and Policy, University of Alabama at Birmingham. Wanda D. Barfield and Ruben Smith are with the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA. Joann Petrini is with the Department of Medical Education and Research, Danbury Hospital, Danbury, CT, and Office of the President, March of Dimes Foundation, White Plains, NY.), Ruben Smith (0000-0001-7147-0112, The Centers)
Año2012
Volumen102
Número8
Páginase68-e73
Fecha de publicación2012-08-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2012.300790
PMID22698022
PMCIDPMC3464853
OpenAlexW2088279763
IdiomaEN
Citas recibidas2
Referencias citadas29

Objectives. We examined how changes in risk factors over time influence fetal, first day, and combined fetal–first day mortality and subsequent racial/ethnic disparities. Methods. We selected deliveries to US resident non-Hispanic White and Black mothers from the linked live birth–infant death cohort and fetal deaths files (1995–1996; 2001–2002) and calculated changes over time of mortality rates, odds, and relative odds ratios (RORs) overall and among mothers with modifiable risk factors (smoking, diabetes, or hypertensive disorders). Results. Adjusted odds ratios (AORs) for fetal mortality overall (AOR = 0.99; 95% confidence interval [CI] = 0.96, 1.01) and among Blacks (AOR = 0.98; 95% CI = 0.93, 1.03) indicated no change over time. Among women with modifiable risk factors, the RORs indicated no change in disparities. The ROR was not significant for fetal mortality (ROR = 0.96; 95% CI = 0.83, 1.01) among smokers, but there was evidence of some decline. There was evidence of increase in RORs in fetal death among mothers with diabetes and hypertensive disorders, but differences were not significant. Conclusions. Disparities in fetal, first day, and combined fetal–first day mortality have persisted and reflect discrepancies in care provision or other factors more challenging to measure

Confidence interval · Diabetes mellitus · Fetus · Logistic regression · Obstetrics · Odds · Odds ratio · Pregnancy · Relative risk · Demography · Endocrinology · Gestational Diabetes Research and Management · Global Maternal and Child Health · Internal Medicine · Medicine · Pregnancy and preeclampsia studies