Journal article
Associations of household unmet basic needs and health outcomes among very low birth weight children
Journal of perinatology
07 Feb 2023
PMID: 36750715
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
We examined associations of past year household hardships (housing, energy, food, and healthcare hardships) with postnatal growth, developmental risk, health status, and hospitalization among children 0-36 months born with very low birth weight (VLBW) and the extent that these relationships differed by receipt of child supplemental security income (SSI).
We examined cross-sectional data from 695 families. Growth was measured as weight-for-age z-score change. Developmental risk was defined as ≥1 concerns on the "Parents' Evaluation of Developmental Status" screening tool. Child health status was categorized as excellent/good vs. fair/poor. Hospitalizations excluded birth hospitalizations.
Compared to children with no household hardships, odds of developmental risk were greater with 1 hardship (aOR 2.0 [1.26, 3.17]) and ≥2 hardships (aOR) 1.85 [1.18, 2.91], and odds of fair/poor child health (aOR) 1.59 [1.02, 2.49] and hospitalizations (aOR) 1.49 [1.00, 2.20] were greater among children with ≥2 hardships. In stratified analysis, associations of hardships and developmental risk were present for households with no child SSI and absent for households with child SSI.
Household hardships were associated with developmental risk, fair/poor health status, and hospitalizations among VLBW children. Child SSI may be protective against developmental risk among children living in households with hardships.
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Details
- Title
- Associations of household unmet basic needs and health outcomes among very low birth weight children
- Creators
- Margaret G Parker - Boston Medical CenterStephanie Ettinger de Cuba - Boston Medical CenterLindsey J Rateau - Boston UniversityMargaret Shea - Boston UniversityMegan T Sandel - Boston Medical CenterDeborah A Frank - Boston Medical CenterDiana B Cutts - Hennepin County Medical CenterTimothy Heeren - Boston UniversityFélice Lê-Scherban - Drexel UniversityMaureen M Black - University of Maryland, BaltimoreEduardo R Ochoa, Jr - University of Arkansas for Medical SciencesRuth Rose-Jacobs - Boston Medical CenterArvin Garg - University of Massachusetts Chan Medical School
- Publication Details
- Journal of perinatology
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000928565700001
- Scopus ID
- 2-s2.0-85147672203
- Other Identifier
- 991020111991004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Pediatrics