Elsevier

SSM - Population Health

Predictors of preterm nascency and depression birth weight: A person-centered approach

Under a Creative Commons license

Open admission

Highlights

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Profound race-based infant health disparities exist, yet much is unclear regarding factors that predict disparate outcomes.

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Disparities-related scientific discipline has largely neglected theoretical models that could help conceptualize this complex event.

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This commodity drew from a comprehensive theoretical framework to investigate disparities in baby wellness outcomes.

Abstract

Objective

Profound disparities exist amid Black and White families who feel adverse infant wellness outcomes, yet much is unclear regarding factors that predict disparate outcomes. In order to address this gap, this report practical a person-centered, intersectional assay to decide ways that women's typological risk profiles inform take a chance for preterm birth and low birth weight.

Materials and methods

In order to examine the role that social determinants play in predicting run a risk, this study implemented a latent class mixture modeling analysis of information from the Pregnancy Risk Assessment Monitoring Organisation (PRAMS). Data were extracted from Pennsylvania and Illinois PRAMS surveys from 2012 to 2015 (n = 4336).

Results

Results of the study signal 3 distinct risk types amongst women in the sample: low-, moderate- and loftier-take chances. Iii latent classes were identified: (1) low risk for PTB/LBW (44%); (2) moderate risk (19%); and (iii) high risk (36%). Compared to form one, the likelihood of experiencing PTB were significantly college for class three (x two PTB = 9.54, p < .001; x two LBW = 35.51, p < .001). The likelihood of experiencing LBW were significantly higher for form three, compared to class two (x 2 PTB = nine.21, p < .05; x 2 LBW = 21.17, p < .001).Inside the three risk groups, racial disparities are particularly notable, with 76% of the sample's African American mothers falling into the "loftier-take a chance" category.

Conclusion

Public and perinatal health researchers, organizations, and funders are increasingly recognizing the demand to identify methods that will best support wellness-promoting interventions that take the potential to close the racial disparity in PTB and LBW. Although racial disparities have long been noted, the findings from this study'southward assay assist to better understand how determinants of health intersect to create an overarching risk profile, which can be used to inform health interventions and services that may reduce the current Black-White gap in infant wellness outcomes.

Keywords

Perinatal health

Racial disparities

Person-centered analyses

PRAMS

© 2021 The Writer. Published past Elsevier Ltd.