An investigation of social and class differences in very-low-birth-weight outcomes: a continuing public health concern.
The objective of this study was to examine the relationship of nonmedical factors, including socioeconomic status, social class, education, race, and social support, to low birth weight. In a case-control study of all resident very-low-birth-weight births between December 1, 1989, and March 31, 1991...
| Publicado en: | Journal of Health Care Finance Vol. 25; no. 3; pp. 75 - 90 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Journal of Health Care Finance
Spring99
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107198047&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107198047 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10786767 HLT jtl: Journal of Health Care Finance issn: 10786767 maglogo: N pubinfo: dt: Spring99 vid: 25 iid: 3 pid: 59749 pub: Journal of Health Care Finance artinfo: ui: 107198047 107198047 1999048795 NLM10094061 107198047 ppf: 75 ppct: 15 formats: tig: atl: An investigation of social and class differences in very-low-birth-weight outcomes: a continuing public health concern. aug: au: Longo DR Kruse RL LeFevre ML Schramm WF Stockbauer JW Howell V affil: School of Medicine, Family and Community Medicine, University of Missouri-Columbia, Columbia, MO sug: subj: Black Persons Infant, Very Low Birth Weight Perinatal Care Economics Pregnancy Complications Epidemiology Social Class White Persons Infant, Newborn Male Female Adult Pregnancy Socioeconomic Factors Support, Psychosocial Missouri Ethnology Hypothesis Risk Factors Questionnaires Record Review Case Control Studies Perinatal Death Pilot Studies Stratified Random Sample Surveys Interviews Research Subject Recruitment Economics Logistic Regression Funding Source Independent Variable Odds Ratio Confidence Intervals P-Value Statistical Significance Models, Statistical Descriptive Statistics Human Infant, Newborn: birth-1 month Adult: 19-44 years Male Female ab: The objective of this study was to examine the relationship of nonmedical factors, including socioeconomic status, social class, education, race, and social support, to low birth weight. In a case-control study of all resident very-low-birth-weight births between December 1, 1989, and March 31, 1991, mothers completed an extensive survey related to their experience of pregnancy, including prenatal and postnatal care. Cases were defined as very-low-birth-weight (VLBW) infants and were matched to moderately-low-birth-weight and normal-birth-weight infants in race, age, and maternal residence. The hypothesis that social and class factors are more predictive of low birth weight than medical factors alone for women without chronic health problems was supported. Although the degree of the association varies depending on birth weight outcome, race even though addressed through matching--continued to play an important role in birth outcomes. A comparison of logistic model performance with and without the inclusion of social factors indicated the importance these variables play in prediction of birth outcomes. This is one of the few studies undertaken that explicitly investigates impact of patient factors on medical care. Copyright (c) 1999 by Aspen Publishers, Inc. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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