A PHP Error was encountered

Severity: Warning

Message: file_get_contents(https://...@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests

Filename: helpers/my_audit_helper.php

Line Number: 143

Backtrace:

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 143
Function: file_get_contents

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 209
Function: simplexml_load_file_from_url

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 994
Function: getPubMedXML

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3134
Function: GetPubMedArticleOutput_2016

File: /var/www/html/application/controllers/Detail.php
Line: 574
Function: pubMedSearch_Global

File: /var/www/html/application/controllers/Detail.php
Line: 488
Function: pubMedGetRelatedKeyword

File: /var/www/html/index.php
Line: 316
Function: require_once

Modeling the Likelihood of Low Birth Weight: Findings from a Chicago-Area Health System. | LitMetric

Modeling the Likelihood of Low Birth Weight: Findings from a Chicago-Area Health System.

J Racial Ethn Health Disparities

Division of General Internal Medicine and Geriatrics, Northwestern Feinberg School of Medicine, Chicago, IL, USA.

Published: August 2023

AI Article Synopsis

  • - This study analyzes low birth weight (LBW) births within a Chicago-area hospital system by linking birth records to poverty data, aiming to guide future health interventions.
  • - Findings indicate a 6.3% overall incidence of LBW, with significantly higher rates among non-Hispanic Black patients (11.3%) and those from poorer neighborhoods (9.2% in the poorest areas). Maternal factors like being a first-time mother or having chronic conditions also increased LBW risk.
  • - The study emphasizes the need for targeted healthcare strategies to address the social and clinical factors contributing to LBW, advocating for enhanced prenatal care programs and prioritizing investments in communities most affected.

Article Abstract

Objective: This study presents a statistical model of the incidence of low birth weight (LBW) births in a large, Chicago-area hospital system. The study was undertaken to provide a strategic framework for future health system interventions.

Methods: Administrative and electronic health records were matched to census Zip Code Tabulation Area (ZCTA) household poverty data for 42,681 births in 2016-2019 at seven system hospitals, serving a diverse patient population. A logistic regression model of LBW incidence was estimated to test the independent significance of maternal sociodemographic characteristics after controlling for clinical risk factors.

Results: The incidence of LBW was 6.3% overall but 11.3% among non-Hispanic Black patients as compared to 5.1% among non-Hispanic White patients. LBW incidence ranged from 9.2% for patients from the poorest ZCTA (20% + poor households) compared to 5.6% of patients from the most affluent (< 5% poor) ZCTA. Nulliparous patients, patients with pre-existing chronic conditions, and patients with hypertensive disorders of pregnancy were significantly more likely to have LBW births. After controlling for clinical risk factors and poverty level, non-Hispanic Black patients were still over 80% more likely and to have a LBW birth.

Discussion: Study findings reveal the joint effects of social and clinical risk factors. Findings profile our highest-risk populations for targeted interventions. Promising prenatal care redesign programs include pregnancy patient navigators, home and group visits, eHealth telemonitoring, improved mental health screening, and diversification of the maternity care workforce. Decreasing LBW births should be a national public health policy priority and will require major investments in the most impacted communities.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9823150PMC
http://dx.doi.org/10.1007/s40615-022-01360-0DOI Listing

Publication Analysis

Top Keywords

low birth
8
birth weight
8
health system
8
lbw incidence
8
modeling likelihood
4
likelihood low
4
weight findings
4
findings chicago-area
4
chicago-area health
4
system
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!