Document Detail


Birth outcomes across three rural-urban typologies in the Finger Lakes region of New York.
MedLine Citation:
PMID:  22458317     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The study is a descriptive, population-based analysis of birth outcomes in the New York State Finger Lakes region designed to determine whether perinatal outcomes differed across 3 rural typologies.
METHODS: Hospital birth data for the Finger Lakes region from 2006 to 2007 were used to identify births classified as low birthweight (LBW), small for gestational age (SGA), and preterm delivery (PTD). Maternal residences were defined using 3 existing ZIP code-level rural-urban typologies: Census Bureau ZIP codes, Rural-Urban Commuting Area codes, and Primary Service Areas. Within each typology, rural maternal characteristics and birth outcomes were compared to those in urban areas using multivariable logistic regression models.
FINDINGS: In bivariate analyses, rurality was associated with LBW and SGA for all typologies, whereas PTD was associated with residence in the Census Bureau typology only. After controlling for demographic characteristics, births to mothers in the most rural level of the Census Bureau typology and to all rural mothers in the Rural-Urban Commuting Area (RUCA) and Primary Service Area typologies were more likely to be LBW and PTD. SGA was not consistently associated with residence across typologies.
CONCLUSIONS: The typologies produced similar results for these outcomes, although effects were of greater magnitude in the RUCA and Primary Service Area typologies than in the Census Bureau typology. Comparison across typologies can have practical implications for researchers and policy makers interested in understanding the dynamics of rurality and birth outcomes in their regions.
Authors:
Kelly L Strutz; Ann M Dozier; Edwin van Wijngaarden; J Christopher Glantz
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.     Date:  2011-09-12
Journal Detail:
Title:  The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association     Volume:  28     ISSN:  1748-0361     ISO Abbreviation:  J Rural Health     Publication Date:  2012  
Date Detail:
Created Date:  2012-03-30     Completed Date:  2012-07-31     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  8508122     Medline TA:  J Rural Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  162-73     Citation Subset:  IM    
Copyright Information:
© 2011 National Rural Health Association.
Affiliation:
Department of Maternal and Child Health and Carolina Population Center, University of North Carolina, Chapel Hill, North Carolina 27516–2524, USA. strutz@email.unc.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Birth Certificates
Female
Humans
Infant, Low Birth Weight*
Infant, Newborn
Infant, Small for Gestational Age
New York / epidemiology
Premature Birth / epidemiology*
Rural Population / statistics & numerical data*
Urban Population / statistics & numerical data*
Young Adult
Grant Support
ID/Acronym/Agency:
R24 HD050924/HD/NICHD NIH HHS; T03MC07643-03-00//PHS HHS; T32 HD052468-02/HD/NICHD NIH HHS; T32-HD052468-02/HD/NICHD NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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