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Article Dans Une Revue International Journal of Public Health Année : 2024

Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention

Luciano Valony
  • Fonction : Auteur

Résumé

Objectives: Small for gestational age (SGA) newborns have a higher risk of poor outcomes. French Guiana (FG) is a territory in South America with poor living conditions. The objectives of this study were to describe risk factors associated with SGA newborns in FG. Methods : We used the birth cohort that compiles data from all pregnancies that ended in FG from 2013 to 2021. We analysed data of newborns born after 22 weeks of gestation and/or weighing more than 500 g and their mothers. Results: 67,962 newborns were included. SGA newborns represented 11.7% of all newborns. Lack of health insurance was associated with SGA newborns ( p < 0.001) whereas no difference was found between different types of health insurance and the proportion of SGA newborns ( p = 0.86). Mothers aged less than 20 years (aOR = 1.65 [1.55–1.77]), from Haiti (aOR = 1.24 [1.11–1.39]) or Guyana (aOR = 1.30 [1.01–1.68]) and lack of health insurance (aOR = 1.24 [1.10–1.40]) were associated with SGA newborns. Conclusion: Immigration and precariousness appear to be determinants of SGA newborns in FG. Other studies are needed to refine these results.
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Dates et versions

hal-04466621 , version 1 (19-02-2024)

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Lindsay Osei, Nicolas Vignier, Mathieu Nacher, Juliette Laumonnier, Claude Conan, et al.. Small for Gestational Age Newborns in French Guiana: The Importance of Health Insurance for Prevention. International Journal of Public Health, 2024, 69, ⟨10.3389/ijph.2024.1606423⟩. ⟨hal-04466621⟩
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