Document Detail


Teen twin pregnancies: differences in fetal growth outcomes among blacks and whites.
MedLine Citation:
PMID:  16118724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We set out to determine the magnitude of black-white disparity in intrauterine fetal growth inhibition among twin births to teenagers (age 15 to 19) in the United States using a retrospective cohort study design. We compared the risk for low and very low birthweight, preterm and very preterm, and small for gestational age between black and white twins born to teen mothers during the period 1995 through 1998. The methodology of generalized estimating equations was used to adjust for the presence of intracluster correlation within twin pairs. A total of 29,307 individual twins were analyzed. For all fetal growth indices examined, infants born to black mothers remained disadvantaged except for preterm birth, for which the risk was comparable to that of whites (adjusted OR, 1.03; 95% confidence interval [CI] 0.95 to 1.11). The racial gap was most marked for low birthweight (OR, 1.27; 95% CI, 1.19, 1.37]) and very low birthweight (OR, 1.30; 95% CI, 1.19 to 1.42). Black twins had an equal level of elevated risk for very preterm and small for gestational age (OR, 1.17; 95% CI, 1.07 to 1.27 and OR, 1.17; 95% CI, 1.07 to 1.28, respectively). In conclusion, we found significant differences in fetal growth parameters between black and white twins born to teen gravidas. Our findings confirm similar black disadvantage reported for singletons. Current prevention strategies aimed at reducing adverse fetal outcomes among teenagers in the United States need to consider the heightened risk among neonates born to black mothers.
Authors:
Hamisu M Salihu; Muktar H Aliyu; Jeanine E Sedjro; Sarah Nabukera; Olatunji J Oluwatade; Greg R Alexander
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Twin Study    
Journal Detail:
Title:  American journal of perinatology     Volume:  22     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-08-24     Completed Date:  2005-12-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  335-9     Citation Subset:  IM    
Affiliation:
Department of Maternal and Child Health, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
African Continental Ancestry Group / statistics & numerical data*
Cohort Studies
Comorbidity
European Continental Ancestry Group / statistics & numerical data*
Female
Fetal Growth Retardation / ethnology*
Gestational Age
Humans
Incidence
Infant, Low Birth Weight
Infant, Newborn
Odds Ratio
Pregnancy
Pregnancy Complications / epidemiology
Pregnancy Outcome / epidemiology
Pregnancy in Adolescence / ethnology*
Pregnancy, Multiple / ethnology*
Retrospective Studies
Smoking / epidemiology
Socioeconomic Factors
Twins
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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