Prevalence, predictors, and patterns of residential mobility by the parents of preterm infants.

IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Daria Murosko, Timothy Nelin, Priya Sharma, Vicky Tam, Elynna Volkova, Kristan Scott, Emily F Gregory, Scott Lorch
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引用次数: 0

Abstract

Objective: Describe how preterm infants experience residential mobility, or moving, before age 2 years.

Study design: This retrospective cohort study included 9267 preterm infants followed in a mid-Atlantic urban and suburban primary care network. Multivariable regression modeling identified patient and community factors associated with residential mobility, defined by a change in Census Block Group.

Results: 2494 infants (27%) moved before age 2 years; 559 (6%) moved more than once. Extreme prematurity, compared to late prematurity, was associated with increased odds of mobility (aOR 1.26, 95% CI 1.03-1.54). Governmental insurance, male sex, a positive or missing post-partum depression screen, and neighborhood deprivation were also positively associated with mobility. Among movers, 741 (30%) first relocated before 6 months of age, and mobility rates decreased with increasing chronologic age.

Conclusion: Early-life residential mobility is common among preterm infants, particularly extremely preterm infants. These findings have implications for discharge preparation among this vulnerable group.

早产儿父母居住流动的患病率、预测因素和模式。
目的:描述早产儿在2岁之前如何经历居住流动性或移动。研究设计:这项回顾性队列研究包括9267名早产儿,随访于大西洋中部城市和郊区初级保健网络。多变量回归模型确定了与居住流动性相关的患者和社区因素,由人口普查街区组的变化定义。结果:2494名婴儿(27%)在2岁前搬家;559人(6%)不止一次搬家。与晚期早产相比,极端早产与活动几率增加相关(aOR 1.26, 95% CI 1.03-1.54)。政府保险、男性、产后抑郁症筛查阳性或缺失以及邻里剥夺也与流动性呈正相关。在迁居者中,741人(30%)在6个月前首次迁居,迁居率随着年龄的增长而下降。结论:早产儿,尤其是极早产儿,早期居住流动性普遍存在。这些发现对这一弱势群体的出院准备具有启示意义。
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来源期刊
Journal of Perinatology
Journal of Perinatology 医学-妇产科学
CiteScore
5.40
自引率
6.90%
发文量
284
审稿时长
3-8 weeks
期刊介绍: The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.
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