Disparities in Fetal Death and First Day Death: The Influence of Risk Factors in 2 Time Periods

Wingate, Martha S.; Barfield, Wanda D.; Petrini, Joann; Smith, Ruben

doi:10.2105/ajph.2012.300790

Cited by 4 publications

(4 citation statements)

References 31 publications

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“…Health disparities can negatively impact subsets of the population who have systematically experienced greater socioeconomic obstacles to health ( Vanderbilt, Dail, & Jaberi, 2015 ). For example, health disparities between ethnic and racial groups continue to grow ( Heron, Sutton, Xu, Ventura, Strobino, & Guyer, 2009 ) due to the widening gap in large declines in infant and fetal mortality among Caucasians compared to Black non-Hispanic or African Americans ( Wingate, Barfield, Petrini, & Smith, 2012 ). According to the American Congress of Obstetricians and Gynecologists, preterm birth remains a leading cause of infant morbidity and mortality (The American Congress of Obstetricians and Gynecologists: 2011 Women’s Health Stats & Facts).…”

Section: Introductionmentioning

confidence: 99%

Increasing Knowledge and Health Literacy about Preterm Births in Underserved Communities: An Approach to Decrease Health Disparities, a Pilot Study

Vanderbilt¹,

Wright²,

Brewer³

et al. 2015

GJHS

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Introduction:Health disparities can negatively impact subsets of the population who have systematically experienced greater socioeconomic obstacles to health. For example, health disparities between ethnic and racial groups continue to grow due to the widening gap in large declines in infant and fetal mortality among Caucasians compared to Black non-Hispanic or African Americans. According to the American Congress of Obstetricians and Gynecologists, preterm birth remains a leading cause of infant morbidity and mortality. The purpose of our study is to determine if the computer-based educational modules related to preterm birth health literacy and health disparity with a pre-test and post-test can effectively increase health knowledge of our participants in targeted underserved communities within the Richmond-metro area.Methods:This was a pilot study in the Richmond-Metro area. Participants were required to be over the age of 18, and had to electronically give consent. Descriptive statistics, means and standard deviations, and Paired t-tests were conducted in SPSS 22.0.Results:There were 140 participants in the pilot study. P <.05 was set as significant and all four modules had a P <.000. The males were not significant with modules: Let’s Talk Patient & Provider Communication P <.132 and It Takes a Village P <.066. Preterm birth status yes all of the findings were statistically significant P<.000. Preterm birth status no Let’s Talk Patients & Provider Communication was not significant P <.106.Conclusion:Overall, researchers found that with a strong research methodology and strong content relevant to the community, the participants demonstrated an increase in their knowledge in health literacy and preterm birth.

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Section: Introductionmentioning

confidence: 99%

Increasing Knowledge and Health Literacy about Preterm Births in Underserved Communities: An Approach to Decrease Health Disparities, a Pilot Study

Vanderbilt¹,

Wright²,

Brewer³

et al. 2015

GJHS

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“…Access to health care is greater in urban areas where the majority of Haitians reside, unlike Aboriginals who tend to live in remote areas. Researchers have proposed that barriers in access in the US contribute to Black–White stillbirth inequality, but health care is funded publicly for residents and documented migrants in Quebec. There is, however, evidence that Haitians underuse health care services in Quebec or rely on alternative health practitioners .…”

Section: Commentmentioning

confidence: 99%

Stillbirth Rates among Haitians in Canada

Auger

Vecchiato

Naimi³

et al. 2014

Paediatric Perinatal Epid

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“…These outcomes and associated disparities may be an indicator of poor maternal health, limited access to care, or variability of these issues by race and ethnicity [30][31][32]. We must understand the changes in disparities in both risk factors and outcomes over time in order to develop culturally appropriate interventions and enhanced care for all women and children.…”

Section: Introductionmentioning

confidence: 99%

Perinatal Disparities Between American Indians and Alaska Natives and Other US Populations: Comparative Changes in Fetal and First Day Mortality, 1995–2008

Wingate

Barfield²,

Smith³

et al. 2015

Matern Child Health J

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To compare fetal and first day outcomes of American Indian and Alaskan Natives (AIAN) with non-AIAN populations. Singleton deliveries to AIAN and non-AIAN populations were selected from live birth-infant death cohort and fetal deaths files from 1995-1998 and 2005-2008. We examined changes over time in maternal characteristics of deliveries and disparities and changes in risks of fetal, first day (<24 h), and cause-specific deaths. We calculated descriptive statistics, odds ratios and confidence intervals, and ratio of odds ratios (RORs) to indicate changes in disparities. Along with black mothers, AIANs exhibited the highest proportion of risk factors including the highest proportion of diabetes in both time periods (4.6 and 6.5 %). Over time, late fetal death for AIANs decreased 17 % (aOR = 0.83, 95 % CI 0.72-0.97), but we noted a 47 % increased risk over time for Hispanics (aOR = 1.47, 95 % CI 1.40-1.55). Our data indicated no change over time among AIANs for first day death. For AIANs compared to whites, increased risks and disparities persisted for mortality due to congenital anomalies (ROR = 1.28, 95 % CI 1.03-1.60). For blacks compared to AIANs, the increased risks of fetal death (2005-2008: aOR = 0.60, 95 % CI 0.53-0.68) persisted. For Hispanics, lower risks compared to AIANs persisted, but protective effect declined over time. Disparities between AIAN and other groups persist, but there is variability by race/ethnicity in improvement of perinatal outcomes over time. Variability in access to care and pregnancy management should be considered in relation to health equity for fetal and early infant deaths.

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Disparities in Fetal Death and First Day Death: The Influence of Risk Factors in 2 Time Periods

Abstract: 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.

Cited by 4 publications

References 31 publications

Increasing Knowledge and Health Literacy about Preterm Births in Underserved Communities: An Approach to Decrease Health Disparities, a Pilot Study

Increasing Knowledge and Health Literacy about Preterm Births in Underserved Communities: An Approach to Decrease Health Disparities, a Pilot Study

Stillbirth Rates among Haitians in Canada

Perinatal Disparities Between American Indians and Alaska Natives and Other US Populations: Comparative Changes in Fetal and First Day Mortality, 1995–2008

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