Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention.
Int J Public Health
; 69: 1606423, 2024.
Article
em En
| MEDLINE
| ID: mdl-38681119
ABSTRACT
Objectives:
Small for gestational age (SGA) newborns have a higher risk of poor outcomes. French Guiana (FG) is a territory in South America with poor living conditions. The objectives of this study were to describe risk factors associated with SGA newborns in FG.Methods:
We used the birth cohort that compiles data from all pregnancies that ended in FG from 2013 to 2021. We analysed data of newborns born after 22 weeks of gestation and/or weighing more than 500 g and their mothers.Results:
67,962 newborns were included. SGA newborns represented 11.7% of all newborns. Lack of health insurance was associated with SGA newborns (p < 0.001) whereas no difference was found between different types of health insurance and the proportion of SGA newborns (p = 0.86). Mothers aged less than 20 years (aOR = 1.65 [1.55-1.77]), from Haiti (aOR = 1.24 [1.11-1.39]) or Guyana (aOR = 1.30 [1.01-1.68]) and lack of health insurance (aOR = 1.24 [1.10-1.40]) were associated with SGA newborns.Conclusion:
Immigration and precariousness appear to be determinants of SGA newborns in FG. Other studies are needed to refine these results.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Recém-Nascido Pequeno para a Idade Gestacional
/
Seguro Saúde
Limite:
Adult
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Female
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Humans
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Male
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Newborn
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Pregnancy
País como assunto:
America do sul
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Caribe ingles
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Guyana
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Guyana francesa
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article