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Tytuł:
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Birth Weight Gradient in Parent-Reported Special Healthcare Needs among Children Born Preterm.
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Autorzy:
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Havinga J; Department of Pediatrics, Brody School of Medicine at East Carolina University, Greenville, NC; James and Connie Maynard Children's Hospital, Vidant Medical Center, Greenville, NC. Electronic address: .
Tumin D; Department of Pediatrics, Brody School of Medicine at East Carolina University, Greenville, NC; James and Connie Maynard Children's Hospital, Vidant Medical Center, Greenville, NC.
Peedin L; Department of Pediatrics, Brody School of Medicine at East Carolina University, Greenville, NC; James and Connie Maynard Children's Hospital, Vidant Medical Center, Greenville, NC.
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Źródło:
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The Journal of pediatrics [J Pediatr] 2020 Feb; Vol. 217, pp. 73-78. Date of Electronic Publication: 2019 Nov 12.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: St. Louis, MO : Mosby
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MeSH Terms:
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Birth Weight*
Developmental Disabilities/*epidemiology
Infant, Premature, Diseases/*epidemiology
Caregivers ; Child, Preschool ; Data Interpretation, Statistical ; Databases, Factual ; Female ; Health Surveys ; Humans ; Infant ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases/diagnosis ; Infant, Very Low Birth Weight ; Male ; Multivariate Analysis ; Outcome Assessment, Health Care ; Parents ; Self Report ; Treatment Outcome ; United States
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Contributed Indexing:
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Keywords: National Survey of Children's Health; developmental outcomes; low birth weight; neonatal morbidity; neurodevelopmental impairment; prematurity; special healthcare needs; very low birth weight
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Entry Date(s):
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Date Created: 20191117 Date Completed: 20200727 Latest Revision: 20200727
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Update Code:
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20240104
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DOI:
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10.1016/j.jpeds.2019.10.011
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PMID:
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31732129
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Objective: To characterize the association of birth weight with parent-reported special healthcare needs (SHCN) and unmet healthcare needs among children born prematurely.
Study Design: We analyzed data from the 2016-2017 National Survey of Children's Health. Prematurity, birth weight, SHCN, and unmet healthcare needs were reported for one child per participating household. We analyzed children age 0-5 years, and classified birthweight among children born preterm as very low birth weight (VLBW, <1500 g), low birth weight (LBW, 1500-2500 g), and normal weight (NBW, >2500 g). Term-born NBW children were included as a reference group.
Results: The analysis included 190 VLBW preterm, 688 LBW preterm, 884 NBW preterm, and 15 629 NBW term-born children. Weighted SHCN prevalence was 10%, and 1% had unmet healthcare needs. On multivariable analysis, children born preterm and VLBW had significantly higher odds of SHCN compared with NBW term-born children (OR, 9.8; 95% CI, 4.9-19.6). Preterm LBW and NBW preterm groups had smaller increases in SHCN odds (OR, 2.5 and OR, 1.6, respectively). The odds of unmet healthcare needs did not differ among the 4 study groups.
Conclusions: Among children under 5 years of age, preterm birth and VLBW are associated with very high likelihood of SHCN, compared with LBW/NBW preterm or NBW term-born children. However, requirements for additional health services in this group were adequately met, according to caregiver report.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
