Location
Culp Ballroom
Start Date
4-7-2022 9:00 AM
End Date
4-7-2022 12:00 PM
Poster Number
81
Faculty Sponsor’s Department
Biostatistics & Epidemiology
Name of Project's Faculty Sponsor
Shimin Zheng
Competition Type
Competitive
Type
Poster Presentation
Project's Category
Public Health
Abstract or Artist's Statement
Background: Low birth weight (LBW) is defined by the World Health Organization as birth weight of less than 2500g, and it is one of the leading causes of infant morbidity and mortality globally. LBW is indicative of poor prenatal care and nutrition in pregnancy, impacting on non-communicable disease risk burden throughout life. The main objective of this study was to examine the association between maternal socio-demographics and lifestyle behaviors with birth outcomes to elicit risk patterns among mothers of infants of LBW in the United States.Methods: National Survey of Children Health data for the years 2016-2020 were used in this analysis; n = 174,551, aged 0-17 years, 13,752 (9.19%) with LBW (Results: The average prevalence of LBW infants born between 2016-2020 was 9.19%, and 1.45% meeting the threshold of very LBW. In terms of age, the odds of LBW among mothers aged 18 or below were 32.9% higher (odds ratio (OR) 1.33, 95% confidence interval (CI) 1.08-1.64); the odds of LBW among mothers older than 35 were 21.2% higher (1.21, 1.10-1.33) than mothers between ages 19-35. Based on maternal health status, the odds of LBW was 95.5% higher among children whose parents reported good health vs. excellent health (1.96, 1.71-2.22). However, the odds of LBW was nearly three times higher if the parent’s health status was poor vs. excellent (2.98, 2.33-3.81). Based on race, the odds of delivering LBW babies was higher for African American (1.91, 1.73-2.11), Asian (1.56, 1.32-1.84), Native Hawaiian, and Other Pacific Islander (1.71, 1.05-2.80) when compared with White mothers. We also found that the odds of LBW in households with cigarettes use was 19.6% (1.20, 1.08-1.32) higher than in households without cigarette use. Presence of parents or guardians in households with mental illness or having drug/alcohol problems were associated with greater odds of LBW (1.18, 1.03-1.36) and (1.18, 1.05-1.33) respectively compared with households reporting none. The odds of LBW were lower among households where parents or guardians reported being married vs. single (0.78, 0.72-0.85) and among those reporting some college education or above vs. high school or less (0.84, 0.77-0.93). Conclusion: Results of our study revealed that there is a greater risk of LBW babies among non-White mothers who: had high school education or less, were unmarried, younger than 18 or older than 35, and lived in households where smoking, substance use problems, or mental illness were present. This can inform health promotion and clinical guidance during prenatal care to provide interventions tailored to the healthcare needs of mothers at risk for LBW babies to disrupt patterns of LBW children who stand to face a lifetime of poor health outcomes.
Low Birth Weight and Its Associated Risk Factors in The United States Using National Survey of Children Health Data 2016-2020
Culp Ballroom
Background: Low birth weight (LBW) is defined by the World Health Organization as birth weight of less than 2500g, and it is one of the leading causes of infant morbidity and mortality globally. LBW is indicative of poor prenatal care and nutrition in pregnancy, impacting on non-communicable disease risk burden throughout life. The main objective of this study was to examine the association between maternal socio-demographics and lifestyle behaviors with birth outcomes to elicit risk patterns among mothers of infants of LBW in the United States.Methods: National Survey of Children Health data for the years 2016-2020 were used in this analysis; n = 174,551, aged 0-17 years, 13,752 (9.19%) with LBW (Results: The average prevalence of LBW infants born between 2016-2020 was 9.19%, and 1.45% meeting the threshold of very LBW. In terms of age, the odds of LBW among mothers aged 18 or below were 32.9% higher (odds ratio (OR) 1.33, 95% confidence interval (CI) 1.08-1.64); the odds of LBW among mothers older than 35 were 21.2% higher (1.21, 1.10-1.33) than mothers between ages 19-35. Based on maternal health status, the odds of LBW was 95.5% higher among children whose parents reported good health vs. excellent health (1.96, 1.71-2.22). However, the odds of LBW was nearly three times higher if the parent’s health status was poor vs. excellent (2.98, 2.33-3.81). Based on race, the odds of delivering LBW babies was higher for African American (1.91, 1.73-2.11), Asian (1.56, 1.32-1.84), Native Hawaiian, and Other Pacific Islander (1.71, 1.05-2.80) when compared with White mothers. We also found that the odds of LBW in households with cigarettes use was 19.6% (1.20, 1.08-1.32) higher than in households without cigarette use. Presence of parents or guardians in households with mental illness or having drug/alcohol problems were associated with greater odds of LBW (1.18, 1.03-1.36) and (1.18, 1.05-1.33) respectively compared with households reporting none. The odds of LBW were lower among households where parents or guardians reported being married vs. single (0.78, 0.72-0.85) and among those reporting some college education or above vs. high school or less (0.84, 0.77-0.93). Conclusion: Results of our study revealed that there is a greater risk of LBW babies among non-White mothers who: had high school education or less, were unmarried, younger than 18 or older than 35, and lived in households where smoking, substance use problems, or mental illness were present. This can inform health promotion and clinical guidance during prenatal care to provide interventions tailored to the healthcare needs of mothers at risk for LBW babies to disrupt patterns of LBW children who stand to face a lifetime of poor health outcomes.