International journal of public health · 2024
Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention.
СтатьяНазвание и аннотация: Перевод в очереди
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Osei Lindsay, Vignier Nicolas, Nacher Mathieu, Laumonnier Juliette, Conan Claude, Clarke Loreinzia, Koivogui Akoï, Covis Sabrina, Valony Luciano, Basurko Célia, Wiedner-Papin Solène, Prual Alain, Cardoso Thierry, Leneuve-Dorilas Malika, Alcouffe Leslie, Hcini Najeh, Bernard Stéphanie, Succo Tiphanie, Vendittelli Françoise, Elenga Narcisse
Аннотация
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.