Racial Disparities and the Effect of Maternal Sexually Transmitted Infections on Adverse Birth Outcomes
Journal Title: Women's Health Science Journal - Year 2019, Vol 3, Issue 1
Abstract
Background: Understanding the role of sexually transmitted infections (STIs) in disparities associated with adverse birth outcomes (ABOs) may help target specific interventions for black and white women. Despite extensive research existing on racial disparities in ABOs and STIs, a gap in the literature exists regarding disparities in the association between STIs and ABOs. Methods: This cross-sectional study utilizes data from Missouri vital statistics (n=173,624), years 2010-2012. Exposure was classified as: primary-HIV, either alone or with another STI (gonorrhea, syphilis, hepatitis B, or hepatitis C); secondary-aforementioned STIs without HIV; and unexposed. Outcomes of interest included preterm birth (birth prior to 37 weeks of gestation), low birth weight (less than 2500g), and small for gestational age (weight below the 10th percentile for gestational age). Bivariate and multivariate logistic regression models estimated risk of STIs on ABOs and adjusted for potential confounders (age, education, marital status, prenatal care, health insurance, previous preterm birth, smoking, BMI, weight gain, and chronic health conditions), by calculating odds ratios and 95% confidence intervals for primary and secondary exposures on all three outcomes. Results: HIV exposure was significantly associated with a 72% increased odds (OR: 1.72, 95% CI: 1.03-2.89) for having a low birth weight birth and a 71% increased odds (OR: 1.71, 95% CI: 1.03-2.84) for being small for gestational age, when compared with women without an STI, after adjusting for potential confounding variables. Race was not an effect modifier. Conclusions: Reducing one’s risk of having an STI before pregnancy provides an important primary prevention tactic that can reduce risks for ABOs should one become pregnant.
Authors and Affiliations
Patrick J Ward, Jessica L Anderson, Rebecca M Gordon, Joanne Salas and Pamela K Xaverius*
Keywords
Related Articles
- EP ID EP745823
- DOI 10.23880/whsj-16000124
- Views 34
- Downloads 0
Gender Bias in Psychoanalysis – An Alternative Thinking
Under the risk of being surpassed by newer methods or being accused of using unsubstantiated techniques, it seems urgent to rethink some psychoanalytic central concepts that have not aged well. Considering that, this pap...
Factors Associated with Home Deliveries in Katondwe, Luangwa District
Despite the policy to stopping traditional birth attendants from conducting deliveries at home and encouraging all women to give birth at the health facility under skilled care, many women still give birth at home. A qua...
Task Shifting With Pharmacists to Increase Access and Uptake of Medical Abortion and Contraceptive Services among Adolescents in Kenya
The World Health Organization (WHO) recommends and recognize the importance of involvement of community providers in self-care including medical abortion (MA) among patients. In Kenya, young people between the ages of 15...
Postpartum Depression and Role of Social Demographic and Obstetric Factors
Objective: To determine the prevalence and psycho-socio-demographic predictors of postpartum depression. Design: Hospital based descriptive observational prospective study. Setting: Tertiary care hospital. Population:...
Adhesiolysis in Women with Chronic Pelvic Pain and a Temporal Resolution of Pain
Study Objectives: To evaluate the duration of pain improvement after laparoscopic and/or robotic assisted adhesiolysis in women with prior abdominal or pelvic surgeries that have been diagnosed with chronic pelvic pain w...