Lindsay Osei, Nicolas Vignier, Mathieu Nacher, Juliette Laumonnier, Claude Conan, Loreinzia Clarke, Akoï Koivogui, Sabrina Covis, Luciano Valony, C. Basurko, Solène Wiedner-Papin, Alain Prual, Thierry Cardoso, Malika Leneuve-Dorilas, L. Alcouffe, N. Hcini, Stéphanie Bernard, Tiphanie Succo, Françoise Vendittelli, N. Elenga
{"title":"法属圭亚那的小于胎龄新生儿：医疗保险对预防的重要性","authors":"Lindsay Osei, Nicolas Vignier, Mathieu Nacher, Juliette Laumonnier, Claude Conan, Loreinzia Clarke, Akoï Koivogui, Sabrina Covis, Luciano Valony, C. Basurko, Solène Wiedner-Papin, Alain Prual, Thierry Cardoso, Malika Leneuve-Dorilas, L. Alcouffe, N. Hcini, Stéphanie Bernard, Tiphanie Succo, Françoise Vendittelli, N. Elenga","doi":"10.3389/ijph.2024.1606423","DOIUrl":null,"url":null,"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.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":"16 14","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention\",\"authors\":\"Lindsay Osei, Nicolas Vignier, Mathieu Nacher, Juliette Laumonnier, Claude Conan, Loreinzia Clarke, Akoï Koivogui, Sabrina Covis, Luciano Valony, C. Basurko, Solène Wiedner-Papin, Alain Prual, Thierry Cardoso, Malika Leneuve-Dorilas, L. Alcouffe, N. Hcini, Stéphanie Bernard, Tiphanie Succo, Françoise Vendittelli, N. Elenga\",\"doi\":\"10.3389/ijph.2024.1606423\",\"DOIUrl\":null,\"url\":null,\"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.\",\"PeriodicalId\":504643,\"journal\":{\"name\":\"International Journal of Public Health\",\"volume\":\"16 14\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-02-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Public Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3389/ijph.2024.1606423\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Public Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/ijph.2024.1606423","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention
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.
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