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 1
- Downloads 0
How Secure are Women and Young Professionals Working in Global Nutrition Sciences?
How can we encourage outstanding young researchers from all over the world and from all fields of nutrition to develop their careers in nutrition and to become part of a global network of future nutrition leaders? I prop...
Breast Cancer in Young Patients: Same or Different Entity?
Breast cancer is the most common pathology in women of reproductive age; approximately 7% of breast carcinomas are diagnosed in women less than 40 years of age, corresponding to more than 40% of all malignant diseases d...
Is it Still True that Women Live Longer than Men, But with a Worse Quality of Life?
In 1998 the WHO published a "gender challenge" for national and international organizations, an invitation to better assess risk factors involving women's health, to develop preventive strategies to reduce the impact of...
Acute Intestinal Ischemia and Mesenteric Vein Thrombosis with Mortality During Pregnancy
Objective: We present a case of acute intestinal ischemia and mesenteric venosus thrombosis in a first trimester pregnant woman with surgical treatment. Case presentation and intervention: Our case was a 23-year-old mult...
Effect of the Islamic Based on Parenting Class Parents Parenting in Padangpanjang
The position of the family as the smallest unit of society has a role and responsibility first and foremost to maintain the growth and development of children. As parents not only meet the needs of the child outwardly bu...