دورية أكاديمية
أعرض في EDS

Associations between maternal residential rurality and maternal health, access to care, and very low birthweight infant outcomes.

التفاصيل البيبلوغرافية
العنوان: Associations between maternal residential rurality and maternal health, access to care, and very low birthweight infant outcomes.
المؤلفون: Ondusko DS; Division of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA. ondusko@ohsu.edu., Liu J; Perinatal Epidemiology and Health Outcomes Research Unit, Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.; California Perinatal Quality Care Collaborative, Palo Alto, CA, USA., Hatch B; Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA., Profit J; Perinatal Epidemiology and Health Outcomes Research Unit, Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.; California Perinatal Quality Care Collaborative, Palo Alto, CA, USA., Carter EH; Division of Neonatology, Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA.
المصدر: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2022 Dec; Vol. 42 (12), pp. 1592-1599. Date of Electronic Publication: 2022 Jul 12.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: United States NLM ID: 8501884 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5543 (Electronic) Linking ISSN: 07438346 NLM ISO Abbreviation: J Perinatol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2001- : New York, NY : Nature Publishing Group
Original Publication: [Philadelphia, Pa. : W.B. Saunders, c1984-
مواضيع طبية MeSH: Maternal Health* , Rural Population*, Infant, Newborn ; Pregnancy ; Infant ; Female ; Humans ; Retrospective Studies ; Infant, Very Low Birth Weight ; Health Services Accessibility
مستخلص: Objective: Infant mortality is increased in isolated rural areas. This study compares prenatal factors, access to care, and health outcomes for very-low birthweight (VLBW) infants by degree of maternal residential rurality.
Methods: This descriptive population-based retrospective cohort study used the California Perinatal Quality Care Collaborative registry to study VLBW infants. Rurality was assigned as urban, large rural, and small rural/isolated using the Rural Urban Commuting Area codes. We used hierarchical random effect models to test the association of rurality with survival without major morbidity.
Results: The study included 38 614 dyads. VLBW survival without major morbidity decreased with increasing rurality and the relationship remained significant for small rural/isolated areas (OR 0.79, p = 0.03) after adjustment. Birth weight, gestational age, and infant sex were similar across geographic groups.
Conclusion: A rural urban disparity exists for VLBW survival without major morbidity. Our findings generate hypotheses about factors that may be driving these disparities.
(© 2022. The Author(s), under exclusive licence to Springer Nature America, Inc.)
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تواريخ الأحداث: Date Created: 20220712 Date Completed: 20221202 Latest Revision: 20230118
رمز التحديث: 20240628
DOI: 10.1038/s41372-022-01456-9
PMID: 35821103
قاعدة البيانات: MEDLINE
الوصف
تدمد:1476-5543
DOI:10.1038/s41372-022-01456-9